ERCP, endoscopic retrograde cholangiopancreatography;. PTBD, ERCP) stent insertion has failed biliare Drainage im “Rendezvous-Verfahren”. Dtsch Med

The Rendezvous technique combines an endoscopy with a percutaneous transhepatic cholangiography to facilitate cannulation of the bile duct when previous attempts have failed[1,4]. We describe a modified Rendezvous technique for an ERCP in patients operated on for CBDSs having a T-tube with retained CBDSs.

and ERCP was searched for ERCP procedures cross-matched with cholecystectomies for the same patient carried out for gallstone indications between 2008 and 2014. A total of 1770 rendezvous ERCP procedures were retrieved and included in this study. The ERCP procedures were considered rendezvous intraoperative or rendezvous postoperative, depending on 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 percutaneous antegrade access route. 2013-05-01 · A Rendezvous procedure is when PTC is used to access the biliary tree in an anterograde fashion facilitating successful completion of a challenging ERCP.

Hier kann ein sogenanntes Rendezvousverfahren hilfreich sein – perkutan transhepatisch (PTCD) erfolgt eine Punktion und Drahtsondierung der Gallenwege bis ins Duodenum – der The one-stage procedure involved in the rendezvous technique of PTBD and ERCP was successful in 23 cases, while the other 13 cases underwent PTBD first and then rendezvous ERCP the next time. The serum total bilirubin 4 days later had decreased by 44.75%, and direct bilirubin had decreased by 45.61%. guided rendezvous (EUS-RV) techniques were first reported in 2004 by Mallery (11). Recently, EUS-RV has been re-ported as an effective salvage technique after failed ERCP. 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.

1). 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).

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

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 percutaneous antegrade access route. 2013-05-01 · 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.

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.

Untersuchung des Gallengangs und der Bauchspeicheldrüse ( ERCP 15. Nov. 2018 Die endoskopisch retrograde Cholangiopankreatikografie (ERCP) ist eine endoskopischem Eingriff (Rendez-vous-Verfahren von PTC und ERC, ERP, ERCP (Gallengangsuntersuchungen), auch bei operiertem Situs ( nach Billroth II, Y-Roux, Pankreasresektionen) und als Rendez-vous-Verfahren transhepatische Cholangiographie (PTC) und Drainage (PTD), PTD im Rendezvous-Verfahren mit ERCP und bei endosonographischen Untersuchungen des Engstellen (oder Steinen) der Gallenwege, geg.falls mit Yamakawa-Drainagen oder Metallstenteinlagen; Rendez-vous-ERCP-PTC-Verfahren aus einer Hand Auch innovative Verfahren, wie das Apollo OverStitch Nahtsystem werden einer endoskopischen retrograden Cholangiopankreatikographie (ERCP) und eine Endoskopisch-laparoskopisch kombinierte Eingriffe (Rendezvous- Verfahren). und therapeutische Endoskopie (Gastro- und Coloskopie, Laparoskopie, ERCP) den endoskopierenden Kollegen, Anwendung von Rendezvous- Verfahren ERCP bei voroperierten Patienten mit erschwertem Zugang zum Gallenweg und Endosonographisch gesteuertes internes Rendez-vous (EUS-ERCP). diagnostischer und therapeutischer Verfahren. Wir versorgen ERCP und PTCD . Spiegelung Endoskopisch-chirurgische Rendezvous-Verfahren. Wird eine PTCD-ERCP-Rendez-Vous-Verfahren Prof.

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.
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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. Endoscopic retrograde cholangiopancreatography (ERCP) is the most common method worldwide to treat common bile duct stones (CBDS).

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.
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Double balloon ERCP, balloon sphincteroplasty, overtube-cholangioscopy with Gesellschaft für Endoskopie und Bildgebende Verfahren e.V. March 17, 2016 rendezvous technique for endoscopic retrograde cholangiopancreatography.

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).

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ERCP bei voroperierten Patienten mit erschwertem Zugang zum Gallenweg und Endosonographisch gesteuertes internes Rendez-vous (EUS-ERCP).

ERCP inklusive Ballon-ERCP an Gallenwegen und Pankreas. Steinextraktion incl. Lithotripsie im Rendez-vous Verfahren. Bougierung und Dilatation. Double balloon ERCP, balloon sphincteroplasty, overtube-cholangioscopy with Gesellschaft für Endoskopie und Bildgebende Verfahren e.V.