Patients are sedated for EUS and usually go home that same day after they recover from the anesthesia. Endoscopic retrograde cholangiopancreatography. ERCP) is a specialized endoscopy technique used to study the ducts of the liver, gallbladder and pancreas.

Rendezvous ERCP via endoscopic ultrasound-guided gallbladder drainage to salvage a dislodged lumen-apposing metal stent during choledochoduodenostomy A patient with metastatic pancreatic adenocarcinoma underwent combined endoscopic ultrasound-guided fine nee-dle aspiration (EUS-FNA) and endoscopic biliary drainage. Tumor involvement of a

Summary. Availability: On-Demand Cost: Member EUS-guided rendezvous drainage is a novel alternative technique, but there are no data comparing this approach with precut papillotomy. Objective: To evaluate the safety and efficacy of EUS-guided rendezvous drainage of the bile duct and compare its outcome with that of precut papillotomy. Design: Retrospective study. 2018-08-22 · EUS-guided rendezvous technique (EUS-RV) has also been reported as an effective salvage technique for failed biliary cannulation during ERCP.[1–6] In EUS-RV, the biliary duct is punctured from the intestine under EUS guidance using a needle for fine needle aspiration (FNA), followed by guidewire placement into the duodenum through the needle, biliary duct and ampulla. The rendezvous procedure, being a hybrid EUS‐ERCP procedure, with the role of EUS being limited to providing access, was classified separately from EUS‐BD.

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EUS-guided biliary drainage. EUS-guided angiotherapy. Endoscopic retrograde cholangiopancreatography (ERCP) has become the Key Words: Endoscopic ultrasound; Surgically altered anatomy; Rendezvous;  Failed cannulation while performing ERCP during pregnancy is a technically Endoscopic ultrasound (EUS) guided rendezvous technique has now emerged  Endoscopic retrograde cholangiopancreatography (ERCP) with stenosis stenting EUS-guided rendezvous drainage of obstructed biliary and pancreatic ducts:  Treatment options consisted of ERCP and PTBD or EUS-BD if ERCP failed. Endoscopic ultrasound rendezvous for bile duct access using a transduodenal  percutaneous and endoscopic approach (ie, rendezvous procedure) is often ultrasonography (EUS) in accessing the ducts in cases of failed ERCP. This. indications for ERCP and the currently practiced EUS-BD techniques, including EUS-guided rendezvous, EUS-guided choledochoduodenostomy and  Jan 17, 2019 BackgroundPercutaneous-transhepatic-endoscopic rendezvous procedures ultrasound-guided rendezvous procedures (EUS-RVs) have recently for endoscopic biliary and pancreatic drainage after initially failed ERCP.

"In situations where ERCP cannot be performed due to blockage or narrowing of the duodenum or if the opening of the bile duct, the ampulla, cannot be accessed, then the rendezvous procedure can be useful. This is also when knowing how to perform both EUS and ERCP can be extremely advantageous.

Tumor involvement of a The EUS-guided rendezvous procedure (EUS-RV) has emerged as a rescue procedure for patients with failed endoscopic retrograde cholangiopancreatography (ERCP) and biliary drainage. 1 We have also shown EUS-RV to be an acceptable alternative to precut papillotomy in patients with difficult bile duct cannulation. 2 One of the advantages of EUS-guided biliary drainage procedure is the possibility Endoscopic ultrasound (EUS) was developed as a less invasive alternative to surgery and radiology and is now used in appropriate patients after failed ERCP. Since 1995, when the first endoscopic ultrasound-guided pancreatography was reported, high-volume centers with experienced endoscopists have noted technical success rates approaching 70 percent for EUS-guided pancreatic duct drainage.

Steady progress is being made in endoscopic biliary intervention, especially endoscopic ultrasonography (EUS)‐guided procedures. The EUS‐guided rendezvous technique (EUS‐RV) is a salvage method for failed selective biliary cannulation.

Endoscopic ultrasound. Endoscopic ultrasound (EUS) is similar to a standard upper endoscopy procedure. Doctors insert a thin, lighted tube (endoscope) through the mouth to view the esophagus, stomach and small bowel. But with EUS, there is … Background and study aim Endoscopic ultrasound-guided rendezvous (EUS-RV) is increasingly reported as a treatment option after failed endoscopic retrograde cholangiopancreatography. We developed a novel "hitch-and-ride" catheter for biliary cannulation to reduce the risk of guidewire loss during EUS-RV. EUS-guided biliary rendezvous was successful in 14 of 15 patients (93.3%).

EUS-drainage ; 50 Biliary Drainage Trans-luminal Rendezvous 51 EUS-Rendezvous vs. Precut Papillotomy Precut Rendezvous p First-time success Overall success Complications 90.3 95.8 6.9 98.3 98.3 3.4 0.38 0.35 0.27 Rendezvous is effective and safe Dhir V GI Endoscopy 2012 52 Trans-luminal route Intra vs. Extra-hepatic . N 35 patients Similar to ERCP, EUS techniques are used to manage benign and malignant diseases. The use of EUS-guided biliary drainage (EUS-BD) can be used after failed ERCP for management of unresectable malignancy, but caution against its use for resectable disease, as these interventions may risk tumor seeding. For benign Primary EUS-guided biliary drainage versus ERCP drainage for the management of malignant biliary obstruction: A systematic review and meta-analysis Gaurav Kakked 1, Habeeb Salameh 2, Antonio R Cheesman 2, Nikhil A Kumta 2, Satish Nagula 2, Christopher J DiMaio 2 1 Department of Medicine, Mount Sinai St. Luke's/West Hospitals, New York, USA 2 Dr. Henry D. Janowitz Division of Gastroenterology (EUS) and endoscopic retrograde cholangiopancreatogra-phy (ERCP). We recommend that endoscopy services across Europe adopt the following seven key and one minor per-formance measures for EUS and ERCP, for measurement and evaluation in daily practice at center and endoscopist level: 1 Adequate antibiotic prophylaxis before ERCP (key per- nostomy, EUS-guided rendezvous (EUSr), and EUS-guided antegrade stent placement.
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ERCP) is a specialized endoscopy technique used to study the ducts of the liver, gallbladder and pancreas.

Patients are sedated for EUS and usually go home that same day after they recover from the anesthesia. Endoscopic retrograde cholangiopancreatography. ERCP) is a specialized endoscopy technique used to study the ducts of the liver, gallbladder and pancreas. Conclusions: EUS is a feasible technique for allowing rendezvous drainage of obstructed biliary or pancreatic ducts through native papillae or anastomoses after initially unsuccessful ERCP.
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BackgroundEUS-guided rendezvous procedure (EUS-RV) can be done by the transhepatic (TH) or the extrahepatic (EH) route. There is no data on the preferred access route when both routes are available

Endoscopic ultrasound rendezvous for bile duct access using a transduodenal  percutaneous and endoscopic approach (ie, rendezvous procedure) is often ultrasonography (EUS) in accessing the ducts in cases of failed ERCP. This. indications for ERCP and the currently practiced EUS-BD techniques, including EUS-guided rendezvous, EUS-guided choledochoduodenostomy and  Jan 17, 2019 BackgroundPercutaneous-transhepatic-endoscopic rendezvous procedures ultrasound-guided rendezvous procedures (EUS-RVs) have recently for endoscopic biliary and pancreatic drainage after initially failed ERCP.

RESULTS: A total of 71 patients underwent the intrahepatic approach (66 hepatogastrostomies and 5 EUS-guided rendezvous), and 30 underwent the 

In general, the EUS-guided rendezvous approach is preferred if the guidewire can be placed across the papilla. 3 Success rates are between 77% and 92%, and reported complications range between 0% to 44% of cases, and include pain, bleeding, perforation and hematoma Rendezvous ERCP via endoscopic ultrasound-guided gallbladder drainage to salvage a dislodged lumen-apposing metal stent during choledochoduodenostomy A patient with metastatic pancreatic adenocarcinoma underwent combined endoscopic ultrasound-guided fine nee-dle aspiration (EUS-FNA) and endoscopic biliary drainage. Tumor involvement of a The EUS-guided rendezvous procedure (EUS-RV) has emerged as a rescue procedure for patients with failed endoscopic retrograde cholangiopancreatography (ERCP) and biliary drainage. 1 We have also shown EUS-RV to be an acceptable alternative to precut papillotomy in patients with difficult bile duct cannulation. 2 One of the advantages of EUS-guided biliary drainage procedure is the possibility Endoscopic ultrasound (EUS) was developed as a less invasive alternative to surgery and radiology and is now used in appropriate patients after failed ERCP. Since 1995, when the first endoscopic ultrasound-guided pancreatography was reported, high-volume centers with experienced endoscopists have noted technical success rates approaching 70 percent for EUS-guided pancreatic duct drainage.

7,9 Among the various factors, a dilated PD seems to be essential for a successful EUS rendezvous procedure. EUS-RV is an alternate option for CBD stones in failed ERCP. The novel steerable access needle provides the opportunity to manipulate the guidewire in the desired direction without the risk of sheering. Endoscopic retrograde cholangiopancreatography (ERCP) requires deep biliary cannulation. When deep biliary cannulation is failed, the endoscopic ultrasonography rendezvous technique (EUS‐RV) is a useful salvage method. EUS-guided rendezvous drainage is a novel alternative technique, but there are no data comparing this approach with precut papillotomy. Presented by Maurice E Arregui at the Video Face-Off Panel: Common Bile Duct Exploration - More than One Way to Skin a Cat held during the 2017 SAGES Annual 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.