Lars Enochsson - Umeå universitet

Peroperativ hantering av koledokussten vid kolecystektomi

1 Endoscopic retrograde cholangiopancreatography is a minimally invasive procedure used for the evaluation and management of biliary injuries. 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 formation. The combined technique increases the success rate of biliary tract cannulation and thus facilitates the diagnosis and treatment of biliary tract disorders, choledocholithiasis in particular.14, 15 This is a report of our experience with the rendezvous technique in patients with choledocholithiasis.

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Rendezvous should only be attempted after unsuccessful ERCP by an experienced endoscopist with documented high cannulation rates and skill with advanced cannulation techniques. 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 … 2001-10-01 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 2013-11-01 Stent implantation using the rendezvous technique of PTBD and ERCP is a new and feasible method to treat obstructive jaundice after initially unsuccessful ERCP. This … The Transgastric rendezvous technique for ERCP clearance of CBD stones has not been described in the literature elsewhere. With a growing part of the western population undergoing GBY the number of patients with gallstones in CBD will increase. The Transgastric Rendezvous approach should be considered in these between ERCP and the rendezvous technique is that, in the latter, the steps of the endoscopic procedure are re- duced and facilitated because the surgeon helps the en- 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 … Endoscopic management with endoscopic retrograde cholangiopancreatography (ERCP) has been found to be successful; however, if selective cannulation of the PD is unsuccessful, an endoscopic ultrasound-guided rendezvous procedure can help in bridging PD leaks, provided the duct is dilated.

The … Laparoendoscopic Rendezvous Versus Preoperative ERCP and Laparoscopic Cholecystectomy for the Management of Cholecysto-Choledocholithiasis Annals of Surgery, Vol. 255, No. 3 Intraoperative Endoscopic Sphincterotomy Using Rendezvous Technique for Choledocholithiasis with Peripapillary Duodenal Diverticula : A Case Report Laparoscopic assisted ERCP (Rendezvous technique)fordifficult cannulation of the papilla (e.g peripapillary diverticulum; Vater papilla opening in the third Laparoendoscopic rendezvous ERCP and laparoscopic cholecystectomy (LC+ERCP/LERV) is considered an optimal approach for concomitant gallstone and common bile duct stone, but this procedure could be failed due to some technical challenges.

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Rev Esp Enferm Dig. 2013;105: 561---4. 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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Therapeutic ERCP requires deep cannulation, and although the success rate of deep cannulation is high (97%-98.5%) with advanced techniques such as wire-guided cannulation, precutting procedures, and guide wire placement in the pan- 2006-04-01 Background and aim: The rendezvous postoperative endoscopic retrograde cholangiopancreatography (ERCP) technique has been introduced as a modification of the single-session rendezvous intraoperative ERCP procedure in the management of concurrent common bile duct stones during cholecystectomy. The sequential ap- tween the rendezvous technique and ERCP regarding the proach for the treatment of gallbladder and CBD stones incidence of iatrogenic hyperamilasemia and hyperli- has been considered the gold standard for a long pasemia that are well-recognized side effects of standard time.10–12 The “best practice” has never been clearly de- ERCP related to pancreatic damage. 2012-11-07 Rendezvous technique for treatment of complete common bile duct transection after multiple hepatobiliary surgeries.

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 technique. In conclusion, we demonstrate that percutaneous trans-cystic 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). DISCLOSURE Rendezvous cannulation technique reduces post-ERCP pancreatitis: a prospective nationwide study of 12,718 ERCP procedures The American journal of gastroenterology, 2013 Urban Arnelo OBJECTIVES: The aim of this study was to investigate if intraoperative rendezvous cannulation reduces the risk of post-endoscopic retrograde cholangiopancreatography (ERCP) pancreatitis (PEP) becau Laparoendoscopic rendezvous ERCP and laparoscopic cholecystectomy (LC+ERCP/LERV) is considered an optimal approach for concomitant gallstone and common bile duct stone, but this procedure could be failed due to some technical challenges. We describe a modified technique which was adopted in 32 consecutive cases and yielded good results.
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Stent implantation using the rendezvous technique of PTBD and ERCP is a new and feasible method to treat obstructive jaundice after initially unsuccessful ERCP.

The wire is time consuming to maneuver and may be damaged during withdrawal. Endoscopic retrograde cholangiopancreatography (ERCP) is the standard technique for relief of biliary diseases.
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In conclusion, we demonstrate that percutaneous trans-cystic 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).