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

Oikonomou, Vasileios; Macpherson, Andrew; Wiest, Reiner; Kapoglou, Ioannis (2024). Slim-endoscope-stabilized rendezvous endoscopic retrograde cholangiography via endoscopic ultrasound transgastric bile duct access: utilization for severe pancreatitis with consecutive obstructive jaundice with cholangitis and inaccessible major papilla. Therapeutic advances in gastrointestinal endoscopy, 17(26317745241251708) SAGE Publications 10.1177/26317745241251708

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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.

Item Type:

Journal Article (Further Contribution)

Division/Institute:

04 Faculty of Medicine > Department of Gastro-intestinal, Liver and Lung Disorders (DMLL) > Clinic of Visceral Surgery and Medicine > Gastroenterology
04 Faculty of Medicine > Department of Gastro-intestinal, Liver and Lung Disorders (DMLL) > Clinic of Visceral Surgery and Medicine

UniBE Contributor:

Oikonomou, Vasileios, Macpherson, Andrew, Wiest, Reiner, Kapoglou, Ioannis

Subjects:

600 Technology > 610 Medicine & health

ISSN:

2631-7745

Publisher:

SAGE Publications

Language:

English

Submitter:

Pubmed Import

Date Deposited:

30 May 2024 15:51

Last Modified:

31 May 2024 15:29

Publisher DOI:

10.1177/26317745241251708

PubMed ID:

38800496

Uncontrolled Keywords:

case report cholangitis jaundice pancreatitis rendezvous ERCP

BORIS DOI:

10.48350/197143

URI:

https://boris.unibe.ch/id/eprint/197143

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