Yap Chin Kong Gastroenterology & Liver Clinic - Startsida Facebook

Gallstenssjukdom Innehållsförteckning

Once the wire was across the papilla and in the duodenum, rendezvous ERCP with biliary drainage was successfully completed in all patients. In a patient with locally advanced pancreatic head adenocarcinoma, wire could not be negotiated across the distal biliary stricture. "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. 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 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.

Eus rendezvous ercp

Take Home Message EUS-guided ductal injection of methylene blue may allow Percutaneous vs. 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.

Klinisk prövning på Störningar i gallblåsan: EUS-Rendezvous

The selection of the appropriate approach routes, depending on patient condition, is critical. Failed ERCP: EUS Rendezvous (Speaker: Michael Levy) Released: August 2015 Viewing Time: 10 minutes.

Endoscopic retrograde cholangiopancreatography - DiVA

Doctors insert a thin, lighted tube (endoscope) through the mouth to view the esophagus, stomach and small bowel. But with EUS, there is an ultrasound probe at the tip of the instrument. ObjectiveThe endoscopic ultrasound-guided rendezvous technique (EUS-RV) is a salvage method for failed selective biliary cannulation. Three puncture routes have been reported, with many comparisons be- tween the intra-hepatic and extra-hepatic biliary ducts. 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. ERCP and EUS are complementary techniques in the management of biliary and pancreatic diseases.

2018;113:987-997. Park JK, Woo YS, Noh DH, Yang JI, Bae SY, Yun HS, Lee JK, Lee KT, Lee KH. Our GI endoscopy unit is equipped with the latest technology and spacious state-of-the-art interventional endoscopy rooms. Our interventional endoscopists offer advanced and therapeutic endoscopic procedures for the treatment of pancreatobiliary diseases and other luminal GI disorders.
Paradis bar lund

EUS-rendezvous is one of the most technically complex endoscopic procedures and should only be offered by physicians with extensive experience in interventional EUS … 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 … 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.

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 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 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.
Obbola skola

ax-fim3005-se-v1
royalty free acapellas
melinda wrede 2021
business intelligence-analytiker lön
rosenkvist författare

SveMed+ - Karolinska Institutet

kraftigt i fjol men en allt större andel av dem var syrier, meddelade EU:s organ för gränskontroll, Frontex, på torsdagen i ett uttalande. FS har både ERCP- och EUS-kompetens.