Background and Aims Because a traditional rendezvous (RV) technique implies stretching of the papilla, possibly leading to post-ERCP pancreatitis, an alternative duodenal RV technique was evaluated. The aim was to assess the effectiveness, safety, and amount of time spent performing duodenal RV versus traditional RV cannulation in orthotopic liver transplantation patients with a T-tube.

AIM: To examine whether rendezvous endoscopic retrograde cholangiopancreatography (ERCP) is associated with less pancreatic damage, measured as leakage of proenzymes, than conventional ERCP. METHODS: Patients (n = 122) with symptomatic gallstone disease, intact papilla and no ongoing inflammation, were prospectively enrolled in this case-control designed study.

The serum total bilirubin 4 days later had decreased by 44.75%, and direct bilirubin had decreased by 45.61%. ercp with rendez-vous technique (billroyh ii gastrectomy) - caso clÍnico do hospital alemÃo oswaldo cruz apresentado na sbad 2012. 2019-01-01 2012-11-01 EUS rendezvous or direct intervention involves: (1) using endoscopic-ultrasound technology to access the bile duct with a small needle and manipulate a wire across the biliary orifice and into the duodenum to be then retrieved endoscopically for ERCP (rendezvous ERCP), or (2) using endoscopic-ultrasound technology to directly puncture and perform intended biliary therapy technique. In conclusion, we demonstrate that percutaneous trans-cystic cholangioscopy-assisted rendezvous ERCP across a mature cholecystostomy tract can allow for full-spectrum ERCP in cases in which options for internal biliary drainage are otherwise limited (Video 1, available online at www. giejournal.org).

Rendezvous ercp technique

About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features Press Copyright Contact us Creators The Rendezvous technique combines an endoscopy with a percutaneous transhepatic cholangiography to facilitate cannulation of the bile duct when previous attempts have failed[1,4]. We describe a modified Rendezvous technique for an ERCP in patients operated on for CBDSs having a T-tube with retained CBDSs. The Transgastric rendezvous technique for ERCP clearance of CBD stones has not been described in the literature elsewhere. With a growing part of the western population undergoing GBY the number of patients with gallstones in CBD will increase. The Transgastric Rendezvous approach should be considered in these BACKGROUND: Biliary access at ERCP rendezvous is usually achieved by withdrawing a wire passed antegrade via the accessory channel of the duodenoscope, which is then used for over-the-wire cannulation.

2001-10-01 · Background: The rendezvous technique combines endoscopy with percutaneous transhepatic cholangiography to facilitate cannulation of the bile duct when previous attempts have failed. Methods: Over a 7-year period, a total of 1753 ERCPs were performed.

The modified Rendezvous technique is a very easy method and increases the success of postoperative ERCP, especially in patients with large duodenal diverticula and with intradiverticular papilla Abstract. Objective: To study the technical method and clinical value of stent implantation through the rendezvous technique of percutaneous transhepatic biliary drainage (PTBD) and endoscopic retrograde cholangiopancreatography (ERCP) in patients with obstructive jaundice. Methods: Thirty-six patients with obstructive jaundice underwent the rendezvous technique of PTBD and ERCP after initially unsuccessful ERCP. A rendezvous procedure refers to the combination of endoscopic, percutaneous and/or surgical approaches to achieve a goal through 2 points of the body that cannot be achieved via one.

Background and aim: The rendezvous postoperative endoscopic retrograde cholangiopancreatography (ERCP) technique has been introduced as a modification of the single-session rendezvous intraoperative ERCP procedure in the management of concurrent common bile duct stones during cholecystectomy.

between ERCP and the rendezvous technique is that, in the latter, the steps of the endoscopic procedure are re- duced and facilitated because the surgeon helps the en- The rendezvous postoperative endoscopic retrograde cholangiopancreatography (ERCP) technique has been introduced as a modification of the single‐session rendezvous intraoperative ERCP procedure in the management of concurrent common bile duct stones during cholecystectomy. The registry included 12,718 ERCP procedures performed on patients without a history of previous ERCP. The risk of PEP when using the rendezvous technique compared with those who were cannulated by conventional means was reduced from 3.6 to 2.2% (odds ratio (OR) 0.5, 95% confidence interval 0.2–0.9, P =0.02).

ePoster. Response to ERCP in patients with altered anatomy is associated with lower success rates and higher through the ampulla (rendezvous technique, see below). 6. 1 Apr 2019 Transgastric ERCP with Rendezvous Technique by Mikkel Jessen in Gastroenterology Medicine & Research Two patients with gastric bypass Other factors associated with increased risk of PEP were young age, prolonged procedure time, and elective ERCP.CONCLUSIONS:Rendezvous bile duct If it is successful, the procedure is completed with standard ERCP. If the rendezvous cannot be completed, the patient is referred for percutaneous or surgical 29 Nov 2020 Ultrasound-Guided Rendezvous Technique in Failed Endoscopic retrograde cholangiopancreatography (ERCP) is the standard procedure benign = 3) with previous failed ERCP underwent an EUS intra- or extrahepatic approach with transluminal stenting or an EUS-guided rendezvous procedure Secondly, the “hitch and ride” technique simplifies retrograde biliary cannulation during a rendezvous procedure. Once a guidewire is transpapillary advanced Rendez-vous technique is one of the options available, this technique (LC) with intra operative endoscopic retrograde cholangiopancreatography (ERCP). An ERCP looks at the liver, pancreas, and gallbladder in order to find the cause of the above symptoms.
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ERCP and EUS advanced endoscopy Rendezvous should only be attempted after unsuccessful ERCP by an experienced endoscopist with documented high cannulation rates and skill with advanced cannulation techniques. EUS-rendezvous is one of the most technically complex endoscopic procedures and should only be offered by physicians with extensive experience in interventional EUS including more standard techniques such as pseudocyst drainage. ERC-PTC rendezvous techniques are used as a salvage technique after failed ERC or anticipating a complex intervention that might not be resolved by ERC alone.

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There are two major EUS-guided MPD interventions, namely, rendezvous technique 2014-01-01 2014-10-01 Background and Aims Because a traditional rendezvous (RV) technique implies stretching of the papilla, possibly leading to post-ERCP pancreatitis, an alternative duodenal RV technique was evaluated. The aim was to assess the effectiveness, safety, and amount of time spent performing duodenal RV versus traditional RV cannulation in orthotopic liver transplantation patients with a T-tube. The technique bears two disadvantages: 1) the possibility of calculi migration from the gallbladder into the MBD between ERCP and the moment of LC. 2) false negative results at ERCP. (8) This disadvantage can be foreseen by performing a LC immediately after the ERCP, under the same anaesthesia.

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The registry included 12,718 ERCP procedures performed on patients without a history of previous ERCP. The risk of PEP when using the rendezvous technique compared with those who were cannulated by conventional means was reduced from 3.6 to 2.2% (odds ratio (OR) 0.5, 95% confidence interval 0.2–0.9,P=0.02). Although a significant reduction there are overall relatively few cases with PEP and the calculated numbers needed to treat to avoid one case of PEP is as high as 71.

Laparoendoscopic rendezvous (LERV) endoscopic retrograde cholangiopancreatography (ERCP) and laparoscopic cholecystec-tomy (LC+ERCP/LERV) are considered an optimal approach for concomitant gallstones and common bile duct stones. e rendezvous technique is essential for the success of procedure.