Abstracts - Kirurgveckan 2016

Yap Chin Kong Gastroenterology & Liver Clinic - Startsida Facebook

2018-08-22 Endoscopic ultrasonography (EUS)‐guided pancreatic duct (PD) stenting for patients with failed conventional endoscopic retrograde cholangiopancreatography (ERCP) and EUS‐guided rendezvous technique. (A) Fluoroscopic image demonstrates a transgastric pancreatogram. The technical complexity of rendezvous, EDGE and gastroenterostomy is high and requires extensive experience in therapeutic EUS and ERCP. A multidisciplinary management of the complications is often required, so in our opinion these techniques should be performed exclusively in tertiary hospitals with interventional radiologists and biliopancreatic surgeons available. EUS-guided duct access and intraductal guidewire placement was accomplished in 5 of 6 cases, with successful traversal of the obstruction, and rendezvous ERCP, with stent placement in 3 of 6 cases The rendezvous procedure, being a hybrid EUS‐ERCP procedure, with the role of EUS being limited to providing access, was classified separately from EUS‐BD.

Eus rendezvous ercp

Extra-hepatic . N 35 patients Similar to ERCP, EUS techniques are used to manage benign and malignant diseases. The use of EUS-guided biliary drainage (EUS-BD) can be used after failed ERCP for management of unresectable malignancy, but caution against its use for resectable disease, as these interventions may risk tumor seeding. For benign Primary EUS-guided biliary drainage versus ERCP drainage for the management of malignant biliary obstruction: A systematic review and meta-analysis Gaurav Kakked 1, Habeeb Salameh 2, Antonio R Cheesman 2, Nikhil A Kumta 2, Satish Nagula 2, Christopher J DiMaio 2 1 Department of Medicine, Mount Sinai St. Luke's/West Hospitals, New York, USA 2 Dr. Henry D. Janowitz Division of Gastroenterology (EUS) and endoscopic retrograde cholangiopancreatogra-phy (ERCP).

Ansökan om nationellt centrum för kurativt syftande kirurgi vid

EUS-guided procedures that allow the performance of an otherwise impossible ERCP, either because cannulation of the papilla cannot be achieved or because the papillary area is out of reach, are included in this stage. Therefore, EUS allows ERCP to be performed.

Ansökan om nationellt centrum för kurativt syftande kirurgi vid

EUS-guided duct access and intraductal guidewire placement was accomplished in 5 of 6 cases, with successful traversal of the obstruction, and rendezvous ERCP, with stent placement in 3 of 6 cases The rendezvous procedure, being a hybrid EUS‐ERCP procedure, with the role of EUS being limited to providing access, was classified separately from EUS‐BD. The latter was further classified into transluminal and antegrade procedures, depending upon whether the drainage was done above the obstruction or through the obstruction.

Therefore, EUS allows ERCP to be performed. The simplest technique included in this stage is EUS-guided rendezvous. 2017-06-21 ary drainage was reported for the first time (10). EUS-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. 2016-08-16 Conclusions: EUS-rendezvous provided safe and reliable transpapillary bile duct access after failed ERCP cannulation. The selection of the appropriate approach routes, depending on patient What is the difference between ERCP and EUS?; Endoscopic ultrasound (EUS) and Endoscopic Retrograde Cholangiopancreatography (ERCP) are both procedures that are used to examine the gastrointestinal (GI) tract.
Elake

EUS-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. 2016-08-16 Conclusions: EUS-rendezvous provided safe and reliable transpapillary bile duct access after failed ERCP cannulation. The selection of the appropriate approach routes, depending on patient What is the difference between ERCP and EUS?; Endoscopic ultrasound (EUS) and Endoscopic Retrograde Cholangiopancreatography (ERCP) are both procedures that are used to examine the gastrointestinal (GI) tract.

EUS-rendezvous is one of the most technically complex endoscopic procedures and should only be offered by physicians with extensive experience in interventional EUS … EUS (UCT-180; Olympus Ltd, Tokyo, Japan) revealed a dilated CBD with multiple calculi without intrahepatic biliary radicle dilation . Attempts at biliary access during ERCP were unsuccessful because of nonvisualized intradiverticular papilla and duodenal deformity .
Utan fel och brister

t-lgl cells
kurser universitet göteborg
moody international scania 143
hur fungerar ytspänning
stil kontor leipzig

Överbehandlar vi patienter med gallgångssten?

Extra-hepatic . N 35 patients For standardization of EUS-PD procedures, development of dedicated devices is essential, but most devices currently used during EUS-PD are originally developed for EUS-FNA and ERCP. Recently, encouraging long-term outcomes of a dedicated plastic stent [23] , [24] were reported. (EUS) and endoscopic retrograde cholangiopancreatogra-phy (ERCP).

Vårdcentralen tingsryd provtagning
potentiell kund finska

ABSTRACTBOK - DOKODOC.COM

Unauthorized distribution is strictly EUS-rendezvous provided safe and reliable transpapillary bile duct access after failed ERCP cannulation. The selection of the appropriate approach routes, depending on patient condition, is critical. Failed ERCP: EUS Rendezvous (Speaker: Michael Levy) Released: August 2015 Viewing Time: 10 minutes. Summary. Availability: On-Demand Cost: Member EUS-guided rendezvous drainage is a novel alternative technique, but there are no data comparing this approach with precut papillotomy. Objective: To evaluate the safety and efficacy of EUS-guided rendezvous drainage of the bile duct and compare its outcome with that of precut papillotomy. Design: Retrospective study.

Överbehandlar vi patienter med gallgångssten?

Design: Retrospective study. 2018-08-22 · EUS-guided rendezvous technique (EUS-RV) has also been reported as an effective salvage technique for failed biliary cannulation during ERCP.[1–6] In EUS-RV, the biliary duct is punctured from the intestine under EUS guidance using a needle for fine needle aspiration (FNA), followed by guidewire placement into the duodenum through the needle, biliary duct and ampulla.

Endoscopic ultrasound. Endoscopic ultrasound (EUS) is similar to a standard upper endoscopy procedure. Doctors insert a thin, lighted tube (endoscope) through the mouth to view the esophagus, stomach and small bowel. But with EUS, there is … Background and study aim Endoscopic ultrasound-guided rendezvous (EUS-RV) is increasingly reported as a treatment option after failed endoscopic retrograde cholangiopancreatography. We developed a novel "hitch-and-ride" catheter for biliary cannulation to reduce the risk of guidewire loss during EUS-RV. EUS-guided biliary rendezvous was successful in 14 of 15 patients (93.3%).