Modified Rendezvous Technique for Biliary Cannulation

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The rendezvous technique involving insertion of a guidewire in a percutaneous transhepatic gallbladder drainage tube for biliary access in a case of difficult biliary cannulation

Endoscopic retrograde cholangiopancreatography (ERCP) is a diagnostic method and treatment approach for biliary diseases. However, biliary cannulation can be difficult in some cases. We performed ERCP in a 97-year-old woman with abdominal pain resulting from acute cholangitis caused by choledocholithiasis and observed difficult biliary cannulation. Eventually, the patient was successfully treat...

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Percutaneous transhepatic biliojejunal rendezvous technique for biliary obstruction with Billroth II anatomy.

technique for biliary obstruction with Billroth II anatomy A 92-year-old man underwent a Billroth II procedure with isoperistaltic anastomosis for a distal gastric cancer and cholecystectomy for gallstones. On the second postoperative day, the patient began to develop signs of jaundice. A computed tomography (CT) scan showed iatrogenic common bile duct occlusion. The patient underwent an urgent...

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Wire-guided cannulation over a pancreatic stent versus double guidewire technique in patients with difficult biliary cannulation

BACKGROUND In cases of difficult bile duct cannulation, the use of wire-guided cannulation over a pancreatic stent (WGC-PS) or the double guidewire technique (DGT) may facilitate biliary cannulation. The aim of this study was to compare the outcomes of WGC-PS and DGT in patients with difficult biliary cannulation. METHODS We conducted a retrospective cohort study of all endoscopic retrograde ...

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Endoscopic retrograde cholangiopancreatography with rendezvous cannulation reduces pancreatic injury.

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-control designed study. Eighty-one patients were subjecte...

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The "cushion cannulation" technique.

A:Although there are published descriptions of hemodialysis cannulation techniques, best practices have not been determined (Brouwer, 2005). There is a paucity of detailed information regarding appropriate or optimal positioning of the access arm. The first author uses a “cushion cannulation” technique where the nurse sits on a stool with a firm cushion in the lap, over the knees. The patient e...

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ژورنال

عنوان ژورنال: Endoscopy

سال: 2002

ISSN: 0013-726X,1438-8812

DOI: 10.1055/s-2002-35304