Endoscopic retrograde cholangiopancreatography (ERCP) and percutaneous transhepatic Keywords: Endoscopic ultrasound-guided biliary drainage Endoscopic 1) and cholangiocarcinoma needed further management with rendezvous

There are two major EUS-guided MPD interventions, namely, rendezvous technique and antegrade technique (pancreatico- gastrostomy). 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

EUS-rendezvous may be a more feasible Tips and tricks for successful EUS-guided rendezvous ERCP. By . Shawn Mallery, MD, Associate Professor of Medicine, University of Minnesota, Minneapolis, MN, USA. Martin L. Freeman, MD, Professor of Medicine, University of Minnesota, Minneapolis, MN, USA. ERCP is a technically challenging procedure yet has become nearly universally available. EUS (UCT-180; Olympus Ltd, Tokyo, Japan) revealed a dilated CBD with multiple calculi without intrahepatic biliary radicle dilation . Attempts at biliary access during ERCP were unsuccessful because of nonvisualized intradiverticular papilla and duodenal deformity . Hence, EUS-guided rendezvous (EUS-RV) was considered. 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 The first EUS-RV report was by Mallery et al.8 in 2004; EUS-guided rendezvous drainage of the obstructed biliary and pancreatic ducts was performed in patients with ERCP failure aswell as those with pancreatic drainage.

Eus guided rendezvous ercp

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. Failed ERCP: EUS Rendezvous (Speaker: Michael Levy) Course List. Login Login. Recommended Biliary Access Techniques for ERCP: From Basic to Advanced (DV035) Released: November 2010 EUS-Guided Biliary Drainage: Current Techniques (DV069) Released: August 2015 Background and study aim: Endoscopic ultrasound (EUS)-guided biliary access is an alternative to percutaneous access after failed endoscopic retrograde cholangiopancreatography (ERCP).

Background and aims: Biliary cannulation is necessary in therapeutic ERCP for biliary disorders.

Failed ERCP: EUS Rendezvous (Speaker: Michael Levy) Course List. Login Login. Recommended Biliary Access Techniques for ERCP: From Basic to Advanced (DV035) Released: November 2010 EUS-Guided Biliary Drainage: Current Techniques (DV069) Released: August 2015

This open-ended approach to EUS-guided biliary drainage (i.e. inclusive of both rendezvous and EUS-guided choledocho- 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.

Background and aims: Biliary cannulation is necessary in therapeutic ERCP for biliary disorders. EUS-guided rendezvous (EUS-RV) can salvage failed cannulation. Our aim was to determine the safety and efficacy of EUS-RV by using a standardized algorithm with regard to the endoscope position in a prospective study.

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.

2 One of the advantages of EUS-guided biliary drainage procedure is the possibility Among these, rendezvous technique seems to be the safest of all EUS-guided procedure at the expense of a not excellent success rate (from 44% to 80%) and with the limit of the need of a accessible papilla by endoscopy.8 These limitations are overcome by direct transluminal EUS-guided approach as hepaticogastrostomy and choledochoduodenostomy that also ensure a 1-stage procedure.
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2014;52(10):1157–63. CrossRef Google Results: EUS-guided duct access and intraductal guidewire placement was accomplished in 5 of 6 cases, with successful traversal of the obstruction, and rendezvous ERCP, with stent placement in 3 of 6 cases (two biliary, one pancreatic). Beside rendezvous, EUS-directed transgastric ERCP (EDGE) procedures performed in patients with gastric bypass, and EUS-guided gastroenterostomy procedures performed in patients with postsurgical altered anatomy, should be included in this stage. Patients and methods: Between February 2006 and February 2013, 101 patients (malignant = 98, benign = 3) with previous failed ERCP underwent an EUS intra- or extrahepatic approach with transluminal stenting or an EUS-guided rendezvous procedure with transpapillary stent placement. OBSERVATIONS: EUS-guided transhepatic cholangiography was performed in 6 patients, with successful rendezvous ERCP and stent placement in 4, and transduodenal stent placement in another patient.

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.
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In this video, Yukitoshi Matsunami, MD, et al, demonstrate an EUS-guided rendezvous technique in a patient who presented with bile leakage and cholangitis du

Many reports followed, making the procedure widely recognized. Although EUS-RV is now performed relatively routinely in a few 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.