eingeschätzt; ein eindeutiger Vorteil der HD-Technik ist bisher nicht bewiesen [3]. wie Gastroskopie, Koloskopie, ERCP etc. können weitere Differen- zierungen kann ein Rendezvous mittels PTC durchgeführt werden (siehe. Kapitel 4.1

Endoscopic imaging and therapy of the bile ducts and the pancreas ( ERCP ) with incision or dilation of the bile duct opening ( papillotomy, balloon dilation ) and stent placement. External discharge of bile through the liver ( percutaneous transhepatic drainage, PTD ) www.krankenhaus-heinsberg.de

ESGE suggests that when biliary cannulation is unsuccessful with a standard retrograde approach, anterograde guidewire insertion either by a percutaneous or endoscopic ultrasound (EUS)-guided The acute angulation of Roux-en-Y (R-Y) limb precludes endoscopic access for endoscopic retrograde cholangiopancreatography (ERCP) even using a balloon enteroscopy. Here, we describe a case of successful single balloon enteroscopy (SBE)-assisted ERCP using a rendezvous technique in a patient with sharply angulated R-Y limb in a 79-year-old woman who had bile duct stones. Download (PPT) With the echoendoscope in the long position, the dilated CBD was punctured through the first part of the duodenum with a steerable access needle device (18.5-gauge, 90°, Beacon EUS access system; Covidien, St Louis, Mo, USA). On stylet withdrawal, the needle tip was angled to 90° and could be manually rotated from the control Single Balloon Enteroscopy-Assisted ERCP Using Rendezvous Technique for Sharp Angulation of Roux-en-Y Limb in a Patient with Bile Duct Stones . By Takao Itoi, Kentaro Ishii, Atsushi Sofuni, Fumihide Itokawa, Toshio Kurihara, Takayoshi Tsuchiya, Shujiro Tsuji, Junko Umeda and Fuminori Moriyasu. Traditionally, rendezvous procedures such as the PTBD-assisted over-the-wire cannulation method, the parallel cannulation technique, or others may be available when a bile duct cannot be selectively cannulated[5-9].

eingeschätzt; ein eindeutiger Vorteil der HD-Technik ist bisher nicht bewiesen [3]. wie Gastroskopie, Koloskopie, ERCP etc. können weitere Differen- zierungen kann ein Rendezvous mittels PTC durchgeführt werden (siehe. Kapitel 4.1 ERCP bei voroperierten Patienten mit erschwertem Zugang zum Gallenweg und Endosonographisch gesteuertes internes Rendez-vous (EUS-ERCP). Wir bieten die Darstellung der Gallengänge mittels einer endoskopischen retrograden Cholangiopankreatikographie (ERCP) und eine perkutane transhepatische 3.1.2 ERCP u pacientů po RESEKCI ŽALUDKU PODLE BILLROTHA II .. 46 DBE [66].

elective cholecystectomy, ESGE suggests intraoperative ERCP with laparoendoscopic rendezvous (moderate quality evidence, weak recommendation). ESGE suggests that when biliary cannulation is unsuccessful with a standard retrograde approach, anterograde guidewire insertion either by a percutaneous or endoscopic ultrasound (EUS)-guided The acute angulation of Roux-en-Y (R-Y) limb precludes endoscopic access for endoscopic retrograde cholangiopancreatography (ERCP) even using a balloon enteroscopy. Here, we describe a case of successful single balloon enteroscopy (SBE)-assisted ERCP using a rendezvous technique in a patient with sharply angulated R-Y limb in a 79-year-old woman who had bile duct stones.

1. Introduction. The acute angulation of Roux-en-Y (R-Y) limb preclude endoscopic access for endoscopic retrograde cholangiopancreatography (ERCP) [1, 2] using even the balloon enteroscopy [3–10].Here, we describe a case of successful single balloon enteroscopy (SBE)-assisted lithotripsy using a rendezvous technique in a patient with sharply angulated R-Y limb.

Dez. 2015 Mit einer ERCP (endoskopisch retrograde Cholangio-Pankreatikografie) werden die Gallengänge, die Gallenblase und die Gänge der sowie die Kombination aus PTC und Endoskopie im Rendezvous-Verfahren sogenannten "Babyscope" im Mother-Baby-Technik (Gallengangsspiegelung 7 Nov 2013 Endosonography, ERCP, esophageal intubation, European Journal of rendezvous procedure, RUQ abdominal pain, RUQ pain, sedation, (ERC) sowie der Gallen- und Pankreaswege (ERCP) Diagnostische. Das Einlegen von Drainagen oder Prothesen (im Rendezvous-Verfahren) ist 15. Nov. 2018 endoskopischem Eingriff (Rendez-vous-Verfahren von PTC und ERCP) und vor allem ein unzureichender Abfluss von Galle und Kontrastmittel endoskopischen retrograden Cholangiopankreatikographie (ERCP) Gallensteinen den Abgang über den Hauptgallengang (Ductus hepatocholedochus) und den Arbeitskanal eines dickeren ERCP-Gerätes (Mother-Baby-Technik) oder Gallengang (auch im Rendezvous-Verfahren [transpapillär]); Verschluss von Jahren können wir nun auf modernste Technik zurückgreifen und Ihnen somit Endoskopischer retrograder Cholangiopankreatikographie (ERCP) oder als [Deutsch] Ziel: Ueberpruefung von Technik und Durchfuehrbarkeit einer include having to perform endoscopic retrograde cholangiopancreatography ( ERCP) or new drainage and retrograde access for subsequent rendezvous techniques.

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. A main advantage of PTC over ERCP is the opportunity to drain obstructed bile duct segments externally, even if the obstructing stricture is not passed by the draining catheter, as PTC uses a percutaneous antegrade access route.

Surg Endosc 20:419–423 PubMed CrossRef Google Scholar When ERCP fails to achieve selective cannulation, endoscopic ultrasound (EUS)-guided rendezvous procedure may be useful to access the PD for endotherapy. Factors that contribute to a successful rendezvous procedure have been reported. 7,9 Among the various factors, a dilated PD seems to be essential for a successful EUS rendezvous procedure. 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. This method is often used for patients with hepatobiliary dysfunction, when ERCP or PTBD alone are not sufficient for achieving desired outcomes. 1 In conclusion, we demonstrate that percutaneous transcystic 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). Results: The registry included 12,718 ERCP procedures performed on patients without a history of previous ERCP.

haben nun ermittelt, ob diese Technik einen Vorteil gegenüber anderen Laparoendoscopic rendezvous (LERV) endoscopic retrograde cholangiopancreatography (ERCP) and laparoscopic cholecystectomy (LC+ERCP/LERV) are considered an optimal approach for concomitant gallstones and common bile duct stones. The rendezvous technique is essential for the success of procedure. We applied two different LERV techniques, traditional technique and modified technique, in 60 2020-08-10 · Swahn F, Nilsson M, Arnelo U, et al. Rendezvous cannulation technique reduces post-ERCP pancreatitis: a prospective nationwide study of 12,718 ERCP procedures.
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la via biliare, si rendeva necessaria (in epoca pre-ERCP) l'esecuzione di Per l' LTCE, un catetere con cestello (Endo-Technik, Solingen,. Germany, fig. 6) è stato rendezvous (17 pazienti) o una coledocotomia laparoscopica. von nasobiliären Sonden; Rendezvous-Technik nach perkutaner Punktion der Gallenwege; ERCP nach z.B. B-II-Resektion oder Whipplescher Operation.

Method. At Double-balloon enteroscopy–ERCP rendezvous technique Endoscopic retrograde cholangiopancrea-tography (ERCP) in patients with surgical-ly altered upper gastrointestinal anatomy such as Roux-en-Y anastomosis is chal-lenging [1].
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dures included ERCP, and 39 patients (42 procedures) un-derwent EUS-RV after failed ERCP. The median age of the patients was 71 (range 29-84) years, and 26 procedures were performed in men. The indications for ERCP were malig-nant biliary obstruction in 24 patients and benign biliary dis-ease in 15 (Table 1). The reasons for EUS-RV were surgi-

The indications for ERCP were malig-nant biliary obstruction in 24 patients and benign biliary dis-ease in 15 (Table 1). The reasons for EUS-RV were surgi- The acute angulation of Roux-en-Y (R-Y) limb precludes endoscopic access for endoscopic retrograde cholangiopancreatography (ERCP) even using a balloon enteroscopy. Here, we describe a case of successful single balloon enteroscopy (SBE)-assisted ERCP using a rendezvous technique in a patient with sharply angulated R-Y limb in a 79-year-old woman who had bile duct stones. Method. At Double-balloon enteroscopy–ERCP rendezvous technique Endoscopic retrograde cholangiopancrea-tography (ERCP) in patients with surgical-ly altered upper gastrointestinal anatomy such as Roux-en-Y anastomosis is chal-lenging [1].

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The one-stage procedure involved in the rendezvous technique of PTBD and ERCP was successful in 23 cases, while the other 13 cases underwent PTBD first and then rendezvous ERCP the next time.

ERCP kan bland annat medföra pankreatit och används i princip Standardbehandling av koledochusstenar är peroperativ rendezvous ERCP över Critical view of safety technic som innebär att gallblåsan retraheras enligt. Rendezvous ERCP for purely diagnostic indications in inappropriate. Rendezvous should only be attempted after unsuccessful ERCP by an experienced endoscopist with documented high cannulation rates and skill with advanced cannulation techniques. Results: The SHORT rendezvous technique was successful in 14/14 patients (100%), with no complications and with a handling time of less than 60 seconds per case. No additional operator was needed to perform this maneuver.