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.
Ther Adv Gastrointest Endosc
; 17: 26317745241251708, 2024.
Article
in En
| MEDLINE
| ID: mdl-38800496
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.
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01-internacional
Database:
MEDLINE
Language:
En
Journal:
Ther Adv Gastrointest Endosc
Year:
2024
Document type:
Article
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