EUS-guided biliary rendezvous using a short hydrophilic guidewire.

Journal of Interventional Gastroenterology
V DhirAmit Maydeo

Abstract

BACKGROUND AND STUDY AIMS: EUS-guided rendezvous technique for biliary access requires expert manipulation of the guidewire across the downstream stricture or papilla. Published literature reports usage of the long-wire system to prevent loss of wire during scope exchange. We studied the efficacy of using a short hydrophilic guidewire in EUS-guided rendezvous. PATIENTS AND METHODS: This is a retrospective study conducted in a tertiary care referral centre. 15 patients underwent EUS-guided biliary rendezvous with short wire. EUS-guided transduodenal/transgastric puncture of the biliary system was performed, followed by anterograde placement of a hydrophilic short-wire (260 cm) across the downstream stricture and/or papilla. Retrograde access was then achieved by retrieving the trans-papillary wire, followed by standard ERCP intervention. Main outcome measurements were rates of procedural success and complications. RESULTS: EUS-guided biliary rendezvous was successful in 14 patients (93.3%). Failure was seen in one patient due to a tight malignant biliary stricture. One patient had peri-choledochal bile tracking which did not require any specific treatment. CONCLUSIONS: Short-wire system in EUS-guided biliary rendezvous is hig...Continue Reading

Citations

Sep 27, 2012·Current Gastroenterology Reports·John Baillie
Sep 10, 2013·Current Gastroenterology Reports·Manuel Perez-Miranda, Carlos De la Serna-Higuera
Jan 23, 2015·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Akio KatanumaAmol Bapaye
Aug 15, 2013·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Vinay DhirAmit Maydeo
Apr 1, 2013·United European Gastroenterology Journal·Vinay DhirAmit Maydeo
Apr 27, 2019·Journal of Hepato-biliary-pancreatic Sciences·Hiroyuki IsayamaKazuo Inui
May 17, 2014·Expert Review of Gastroenterology & Hepatology·Vinay DhirAmit Maydeo

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