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- Title
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.
- Authors
Oikonomou, Vasileios; Macpherson, Andrew; Wiest, Reiner; Kapoglou, Ioannis
- Abstract
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.
- Subjects
ENDOSCOPES; JAUNDICE; CHOLANGITIS; ENDOSCOPIC ultrasonography; PANCREATIC duct; TREATMENT effectiveness; PANCREATITIS; ENDOSCOPIC gastrointestinal surgery; ENDOSCOPIC retrograde cholangiopancreatography; BILE ducts
- Publication
Therapeutic Advances in Gastrointestinal Endoscopy, 2024, p1
- ISSN
2631-7745
- Publication type
Article
- DOI
10.1177/26317745241251708