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.

When compared with preoperative ERCP with ES followed by LC, the laparoendoscopic rendezvous technique allows a higher rate of CBD stones clearance, a shorter hospital stay, and a reduction in

Aufgrund der sehr peripheren Lage erschien eine transpapilläre Stentversorgung nicht sinnvoll. Nach perkutanem Einführen einer 18F Schleuse in das Biliom, konnte mittels einer Fasszange der transpapillär eingeführte Draht gegriffen und perkutan ausgeleitet werden (ERCP-PTCD-Rendezvous vice versa). Der Begriff „Rendezvous“ wird in der Endoskopie vielfältig verwendet. Gemeinsam ist allen Verfahren, dass man sich trifft, z. B. in Form eines perkutan in den Gallengang gelegten Drahtes, der endoskopisch aufgenommen wird. In diesem Artikel werden schwerpunktmäßig Rendezvous-Verfahren zwischen Endoskopiker und Chirurg dargestellt. Introduction.

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1Aichi Cancer Center Hospital, Department of Gastroenterology, Japan and 2Aichi Cancer Center Hospital, Department of Endoscopy, Japan 2013-09-28 · CONCLUSION: Rendezvous ERCP reduces pancreatic enzyme leakage compared with conventional ERCP cannulation technique. Thus, laparo-endoscopic technique can be recommended with the ambition to minimise the risk for post ERCP pancreatitis. PMCID: PMC3785624 PMID: 24106403 [Indexed for MEDLINE] Publication Types: Research Support, Non-U.S. Gov't; MeSH terms Endoskopische Rendezvous Verfahren . Perkutan gesteuertes Rendez-vous (PTCD-ERCP) Endosonographisch gesteuertes internes Rendez-vous (EUS-ERCP) Endosonographie.

Vol. 19, no 36, p. 6026-6034 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).

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

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 A rendezvous procedure refers to the combination of endoscopic, percutaneous and/or surgical approaches to achieve a goal through 2 points of the body that cannot be achieved via one. This method is often used for patients with hepatobiliary dysfunction, when ERCP or PTBD alone are not sufficient for achieving desired outcomes.

The ERCP procedures were considered rendezvous intraoperative or rendezvous postoperative, depending on whether the ERCP procedure was carried out during or after completing the cholecystectomy. Results. There were 1205 and 565 ERCP procedures in the rendezvous intraoperative and the rendezvous postoperative groups, respectively.

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 such as pseudocyst drainage. with conventional ERCP with an incidence ranging from 3-10% for PEP [5]. Comparing conventional ERCP with the Rendezvous technique indicates that the rendezvous technique reduces the risk of PEP [5].

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. 1).
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Den teoretiska fördelen med metoden är att ERCP-kanyleringen sker över en ledare nedlagd via ductus cysticus. Rendezvous ERCP is a safe and effective method. Even though intraoperative rendezvous ERCP is the preferred method, postoperative rendezvous ERCP constitutes an acceptable alternative where ERCP resources are lacking or limited. Place, publisher, year, edition, pages Springer, 2019.

2013, 19(36).
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bildgebende Verfahren nach der Art der Biopsie (1-465.9 ff.) Biopsie an Inkl.: Darstellung der Gallen- und Pankreaswege (ERCP) Hinw.: Das Einlegen von Drainagen oder Prothesen (im Rendezvous-Verfahren) ist gesondert zu kodieren &n

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. Complications included moderate pancreatitis with retroperitoneal air after percutaneous rendezvous access in 1 patient, and fever in 1 patient.