Slim-endoscope-stabilized rendezvous endoscopic retrograde cholangiography endoscopic ultrasound transgastric bile duct access: utilization for severe pancreatitis with consecutive obstructive jaundice with cholangitis and inaccessible major papilla

Autor:	Vasileios Oikonomou, Andrew Macpherson, Reiner Wiest, Ioannis Kapoglou
Jazyk:	angličtina
Rok vydání:	2024
Předmět:	Diseases of the digestive system. Gastroenterology RC799-869
Zdroj:	Therapeutic Advances in Gastrointestinal Endoscopy, Vol 17 (2024)
Druh dokumentu:	article
ISSN:	2631-7745 26317745
DOI:	10.1177/26317745241251708
Popis:	After failed biliary cannulation via standard endoscopic retrograde cholangiography approach, endoscopic-ultrasound-based rendezvous-endoscopic retrograde cholangiography (EUS-RV-ERC) is a valid alternative. One of the challenging factors in this setting is the management of the guidewire. Here, we propose a method, where a slim endoscope is used to stabilize the guidewire and optimize wire manipulation in a patient who underwent EUS-RV-ERC via a transgastric approach. This was executed in a patient suffering from severe alcoholic pancreatitis presented with a severely narrowed duodenum due to extrinsic compression and inflammation in the setting of cholangitis Tokyo Grade III.
Databáze:	Directory of Open Access Journals
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