Rendezvous verfahren ercp

A Rendezvous procedure is when PTC is used to access the biliary tree in an anterograde fashion facilitating successful completion of a challenging ERCP. We report 3 patients who had complex bile leaks after segmental liver resection and underwent a combined Rendezvous procedure to establish biliary continuity to treat the leak. 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. At follow-up ERCP rendezvous by using Olympus videoduodenoscopes (Olympus Keymed, Southend-on-Sea, UK), an ultratome sphincterotome catheter (Autotome RX44 cannulating sphincterotome; Microvasive Endoscopy, Boston Scientific Corp, Spencer, Ind) was passed, and an attempt was made to cannulate the ampullary orifice alongside the drainage catheter (Fig.

3 The rendezvous (RV) intraoperative (RVIO 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 At times, ERCP fails and percutaneous modalities may be required. Rendezvous procedures are combined endoscopic and percutaneous techniques that have been used to restore anatomic continuity and biliary drainage in cases where retrograde and/or transhepatic access alone has failed either due to anatomic variation or traumatic injury with biloma 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 13 Lella F, Bagnolo F, Rebuffat C et al. Use of the laparoscopic-endoscopic approach, the so-called „rendezvous“ technique, in cholecystocholedocholithiasis: a valid method in cases with patient-related risk factors for post-ERCP pancreatitis.

Medizinische Klinik, HELIOS Klinikum Erfurt 19.00 Uhr EUS-ERCP-Rendez-Vous - (Münchner-Prothesen); Perkutane Einlage von selbstexpandierenden Metallstents; Rendezvous-Verfahren im Zusammenhang mit ERCP. Endosonographie.

Die ERCP ist eine radiologische Untersuchung, bei der der Arzt die Hohlräume der Gallenwege, die Gallenblase (griech. cholé = Galle) und die Gänge der Bauchspeicheldrüse (griech. pán = alles, kréas = Fleisch) entgegen der normalen Flussrichtung (retrograd) bis zu ihrem Ursprung zurückverfolgen und beurteilen kann. 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 2.3 Ablauf von ERCP und EST, Precut-Technik, Rendezvous-Verfahren..13 2.3.1 ERCP (endoskopische 3.3 Analyse der Blutungsrate nach ERCP Rendezvous techniques, either percutaneous or EUS-guied, were required for endoscopic access in the other 9 patients.

In diesem Artikel werden schwerpunktmäßig Rendezvous-Verfahren zwischen Endoskopiker und Chirurg dargestellt. Introduction. Endoscopic retrograde cholangiopancreatography (ERCP) is the most common method worldwide to treat common bile duct stones (CBDS). 1 There are still controversies regarding the timing of the ERCP procedure with regard to cholecystectomy; 2 however, ERCP carried out before cholecystectomy is the most commonly used approach worldwide. 3 The rendezvous (RV) intraoperative (RVIO 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 At times, ERCP fails and percutaneous modalities may be required. Rendezvous procedures are combined endoscopic and percutaneous techniques that have been used to restore anatomic continuity and biliary drainage in cases where retrograde and/or transhepatic access alone has failed either due to anatomic variation or traumatic injury with biloma The registry included 12,718 ERCP procedures performed on patients without a history of previous ERCP.
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Between January 1, 2012 and December 31, 2012, a total of 7488 sessions of ERCP were performed in 11 high-volume centers in Japan; 490 (6.1%) of these Se hela listan på lifeline.de Dr. Gomez uses the rendezvous technique for bile duct obstructions due to malignancy and occasionally for obstructions resulting from benign conditions. "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. ERCP is associated with a failure rate to cannulate the ampula of Vater ranging from 4%-18% of cases while post ERCP pancreatitis is a major complication which can follow inadvertent pancreatic cannulation and contrast injection[14-16].

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Choledocholithiasis; Mechanische Lithotrypsie; PTCD – ERCP Rendezvous In 6 patients, endoscopic-guided plastic stents were placed using rendezvous technique, We could not cannulate the biliary duct during ERCP twice. Morbiditaet und Mortalitaet der endoskopischen Verfahren waren in aelteren Arbeite 16. Dez. 2015 Mit einer ERCP werden die Gallengänge, Gallenblase und Gänge der ERCP jedoch ein komplikationsloses und schmerzarmes Verfahren. Endoskopie im Rendezvous-Verfahren; Perkutane transhepatische Cholangioskopie (Gallengangsspiegelung über einen schmalen Leberpunktionskanal) Wiederholungs ERCP in „Referral Center“ in 85 % bis 98 % erfolgreich. ▫ Gründe für Scheitern der EUS geführtes Rendezvous mit ERCP.