16 Feb 2019 experienced hands, EUS-BD might even replace ERCP as the first-line procedure in specific situations Biliary drainage; Rendez-vous; Hepaticogastrostomy; Choledochoduodenostomy Failed ERCP or PTC. 11. 91 %.

PTC combined with ERCP for rendezvous techniques provides a non-surgical treatment for complex biliary strictures. 1 Endoscopic therapy shares an equal long-term success rate in comparison with primary surgery and hence is the preferred approach for the management of benign biliary stricture. 2

Results: IEUC was successfully performed in 23 patients, with a transgastric-transhepatic (intrahepatic) approach in 13 cases and transenteric-transcholedochal (extrahepatic) approach in 10 cases. Preventative strategies for PPP minimize these events. To efficiently access the biliary tree and minimize inadvertent trauma to the pancreatic duct, we have begun utilizing an Antegrade Wire, Rendezvous Cannulation (AWRC) technique in patients undergoing laparoscopic cholecystectomy (LC) with an indication for ERCP. Fig. 3 Rendezvous type 3: A 27 year old female patient had undergone resection of an echinococcus cyst in the center of the liver (segment IV). Postoperatively, a biliary abscess and cholangitis occurred a and a percutaneous drainage was placed into the abscess. Injection of contrast via this drainage catheter demonstrated communication with the right-sided biliary system and the common bile with conventional ERCP with an incidence ranging from 3-10% for PEP [5].

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Undersökning och behandling av gallvägarna – ERCP. Med ERCP kan läkaren undersöka och behandla gallvägarna och bukspottkörteln. ERCP är en form av röntgen och görs med hjälp av en böjlig slang, ett endoskop. Endoskopet leds genom munnen och ner till tarmen. ERCP används bland annat för att undersöka och behandla gallsten.

Komplikationer som kan uppstå vid inläggning av PTC-dränage är blödning, galläckage, sepsis, pancreatit och cholangit.

Percutaneous transcystic cholangioscopy-assisted rendezvous ERCP in a hostile abdomen Linda Y. Zhang, MBBS,1 Thomas M. Runge, MD,1,2 Yervant Ichkhanian, MD,1 Vivek Kumbhari, MD, PhD,1 Mouen A. Khashab, MD1 A 74-year-old man with a history of perforated peptic ulcer disease treated with Billroth II partial gastrectomy

2006-05-01 Background: Percutaneous transhepatic cholangiography (PTC) assisted endoscopic retrograde cholangiopancreatography (ERCP) usually requires two separate sessions. There are no reports to support performing the procedures in a single session. Aim: The purpose of this study was to assess the feasibility and safety of the ERCP rendezvous technique via PTC in a single session for patients with 2012-11-07 PTC Rendezvous with Parallel cannulation is straightforward and effective, especially in cases of long standing cholestasis leading to edema at the stricturous site preventing antegrade cannulation.

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.

About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features Press Copyright Contact us Creators 2012-11-07 · The basic PTC and ERCP techniques were the same as the guidewire technique. During PTC, a guidewire was introduced along the PTBD catheter until it advanced over the major ampulla into the duodenum, which was followed by removal of the PTBD catheter. PTC is usually performed for evaluation of patients who are found to have biliary duct dilation on ultrasonography or other imaging tests and who are not candidates for endoscopic retrograde cholangiopancreatography (ERCP). Percutaneous transhepatic cholangiography (PTHC or PTC), percutaneous hepatic cholangiogram, or percutaneous transhepatic cholangiography and drainage (PTCD) is a radiological technique used to visualize the anatomy of the biliary tract.

assist with an endoscopic biliary procedure (e.g., rendezvous procedure), percutaneous, including diagnostic cholangiography when performed, imaging  1 Apr 2016 Do not submit 47541 when a pre-existing catheter is accessed to perform the rendezvous procedure. When done via an existing access, submit  21 Dec 2016 Percutaneous approach (PTC) have been used to facilitate ERCP via transpapillary guidewire passage (rendez-vous technique), with ERCP  Percutaneous transhepatic cholangiography (PTHC or PTC), percutaneous hepatic to exclude extra hepatic bile duct obstruction, prior to biliary drainage procedure.
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01/01/2004.

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. BACKGROUND: Biliary access at ERCP rendezvous is usually achieved by withdrawing a wire passed antegrade via the accessory channel of the duodenoscope, which is then used for over-the-wire cannulation.
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2013-11-01

INTERVENTION: A transpapillary drain was placed at PTC in 13 patients.