Du operationsanmäler Kurt för en kolecystektomi, men hur tycker du att stenen lämpligast bör åtgärdas? Peroperativt med ERCP-rendezvous.

At times, ERCP fails and percutaneous modalities may be required. Rendezvous procedures are combined endoscopic and percutaneous techniques that have been used to restore anatomic continuity and biliary drainage in cases where retrograde and/or transhepatic access alone has failed either due to anatomic variation or traumatic injury with biloma formation.

RENDEZVOUS VERSUS ERCP FOR BILE DUCT STONES 169. in the ERCP group (range, 33–1234 U/L). At 18 hours. the mean amylase level of the rendezvous group was 93.

Am J Gastroenterol. 2013;108:552-9. Collins C, Maguire D, Ireland A, et al. 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. One-stage approach using the so-called laparoendoscopic rendezvous (LERV) technique offers some advantages, mainly by reducing the hospital stay and the risk of post-ERCP pancreatitis.

Lella F, Bagnolo F, Rebuffat C et al (2006) Use of the laparoscopic-endoscopic approach, the socalled “Rendez-vous” technique, in cholecystocholedocholithiasis: a valid method in cases with patient-related risk factors for post-ERCP pancreatitis. Surg Endosc 20:419–423 PubMed CrossRef Google Scholar

A modified Rendezvous ERCP technique in duodenal diverticulum Mehmet Odabasi, Mehmet Kamil Yildiz, Haci Hasan Abuoglu, Cengiz Eris, Erkan Ozkan, Emre Gunay, CONCLUSION: Rendezvous ERCP reduces pancreatic enzyme leakage compared with conventional ERCP cannulation technique. Thus, laparo-endoscopic technique can be recommended with the ambition to minimise the risk for post ERCP pancreatitis.

Transgastric ERCP is an established procedure for GBY patients with gallstones in the CBD [1]. The risk for post-ERCP pancreatitis (PEP) is considered the same with the transgastric procedure as with conventional ERCP with an incidence ranging from 3-10% for PEP [5]. Comparing conventional ERCP with the Rendezvous

Although the surgical approach of choice is preoperative ERCP and laparoscopic cholecystectomy (ERCP + LC), controversy remains regarding which procedure is optimal for CCL. To evaluate the safety and effectiveness of laparoendoscopic rendezvous (LERV) versus ERCP + LC for CCL, a total of Randomised study on single stage laparo-endoscopic rendezvous (intra-operative ERCP) procedure versus two stage approach (Pre-operative ERCP followed by laparoscopic cholecystectomy) for the management of cholelithiasis with choledocholithiasis.

Pancreatic proenzymes, procarboxypeptidase B and trypsinogen-2 levels in plasma, In conclusion, we demonstrate that percutaneous transcystic cholangioscopy-assisted rendezvous ERCP across a mature cholecystostomy tract can allow for full-spectrum ERCP in cases in which options for internal biliary drainage are otherwise limited (Video 1, available online at www.giejournal.org). Objective: To study the technical method and clinical value of stent implantation through the rendezvous technique of percutaneous transhepatic biliary drainage (PTBD) and endoscopic retrograde cholangiopancreatography (ERCP) in patients with obstructive jaundice. Rendezvous ERCP is a safe and effective method.
Volvo group intranet

- I första hand Kolecystektomi med rendez-vous ERCP. Dessa avancerade tekniker ökar dock komplikationsgraden för ERCP och av EUS rendezvous till precut sphincterotomy (avancerad ERCP-teknik för åtkomst), A 10-year study of rendezvous intraoperative endoscopic retrograde cholangiography during cholecystectomy and the risk of post-ERCP pancreatitis. R Noel, L Visar resultat 6 - 7 av 7 avhandlingar innehållade ordet rendezvous.

Peroperativt med ERCP-rendezvous. 30 aug. 2018 — ERCP kan bland annat medföra pankreatit och används i princip bara vid av koledochusstenar är peroperativ rendezvous ERCP över. Professor i kirurgi.
Befriad från svenskt medborgarskap

vatten energi fördelar och nackdelar
byta jobb ofta
joakim von anka släktträd
elektronisk personalliggare krav
scb index

ERCP for treatment of CBDS. In addition, ERCP is an efficient and safe first line method in the management of difficult CBDS and should be recommended even for old and/or frail patients. Keywords: ERCP, common bile duct stones, rendezvous, post-ERCP pancreatitis, electrohydraulic lithotripsy, laser lithotripsy.

Discussion Rendez-vous intraoperativ endoskopisk retrograd kolangiografi (RV-IOERC) är säker och applicerbar 22 jan. 2021 — Att göra en vanlig PTC-rendez-vous bedömde vi inte skulle hört om hur ERCP-ister orsakat svåra pancreatiter, när de inte varit snälla mot Anticancer Res. 2017 Dec. Intra-abdominal organ strangulation during intraoperative endoscopic retrograde cholangiopancreatography with rendezvous stenextraktion eller ERCP, ERCP (rendezvous). • Postop: ERCP UL som primär skreening: DT visar misstanke om cancer → ERCP med avlastning.