Endoscopic ultrasonography-guided rendezvous technique

Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society
Takayoshi TsuchiyaShuntaro Mukai

Abstract

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. From the previous 15 articles that included 382 EUS-RV cases, the overall success rate of EUS-RV is 81 % with a complication rate of 10 %. In EUS-RV, the bile duct is punctured under EUS guidance and a guidewire is advanced into the duodenum via the papilla. The EUS scope is then switched to a duodenoscope and inserted into the bile duct over the guidewire exiting the papilla, or the guidewire is grasped with forceps and passed through the working channel; the catheter can then be inserted through the papilla over the wire. There are three puncture routes for EUS-RV: transgastric puncture of the intrahepatic bile duct (IHBD), transduodenal puncture of the extrahepatic bile duct (EHBD) via the proximal duodenum (D1), and transduodenal puncture of the EHBD via the second portion of the duodenum (D2). The puncture route for each patient should be selected based on the patient condition. GW selection for EUS-RV is critical, a hydrophilic GW is useful for this procedure. Although EUS-RV is now performed relatively rou...Continue Reading

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Citations

Jun 19, 2016·Gastrointestinal Endoscopy·Ryosuke TonozukaShuntaro Mukai
Apr 21, 2017·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Takayoshi TsuchiyaTakao Itoi
Apr 17, 2018·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Yousuke NakaiKazuhiko Koike
Nov 21, 2017·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Maya SuguroTakao Itoi
Mar 15, 2019·Clinical Endoscopy·Yousuke NakaiKazuhiko Koike
Apr 27, 2019·Journal of Hepato-biliary-pancreatic Sciences·Hiroyuki IsayamaKazuo Inui
Jan 12, 2019·Saudi Journal of Gastroenterology : Official Journal of the Saudi Gastroenterology Association·Yousuke NakaiKazuhiko Koike
Oct 7, 2017·Scandinavian Journal of Gastroenterology·Tsuyoshi HamadaHiroyuki Isayama
Mar 25, 2020·World Journal of Gastroenterology : WJG·Kosuke MinagaMasatoshi Kudo
Dec 3, 2020·Journal of Clinical Medicine·Saburo MatsubaraSumiko Nagoshi
Aug 14, 2019·Gastrointestinal Endoscopy·Marvin RyouVivek Kumbhari
Aug 12, 2021·The British Journal of Radiology·Mamoru TakenakaMasatoshi Kudo
Aug 19, 2021·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Hyung Ku Chon, Tae Hyeon Kim
Jun 10, 2021·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Mamoru TakenakaMasatoshi Kudo

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