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Usefulness of combined percutaneous-endoscopic rendezvous techniques after failed therapeutic endoscopic retrograde cholangiography in the era of endoscopic ultrasound guided rendezvous
DC Field | Value | Language |
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dc.contributor.author | Yang, MJ | - |
dc.contributor.author | Kim, JH | - |
dc.contributor.author | Hwang, JC | - |
dc.contributor.author | Yoo, BM | - |
dc.contributor.author | Kim, SS | - |
dc.contributor.author | Lim, SG | - |
dc.contributor.author | Won, JH | - |
dc.date.accessioned | 2018-08-24T01:49:21Z | - |
dc.date.available | 2018-08-24T01:49:21Z | - |
dc.date.issued | 2017 | - |
dc.identifier.issn | 0025-7974 | - |
dc.identifier.uri | http://repository.ajou.ac.kr/handle/201003/15985 | - |
dc.description.abstract | The rendezvous approach is a salvage technique after failure of endoscopic retrograde cholangiography (ERC). In certain circumstances, percutaneous-endoscopic rendezvous (PE-RV) is preferred, and endoscopic ultrasound-guided rendezvous (EUS-RV) is difficult to perform. We aimed to evaluate PE-RV outcomes, describe the PE-RV techniques, and identify potential indications for PE-RV over EUS-RV.Retrospective analysis was conducted of a prospectively designed ERC database between January 2005 and December 2016 at a tertiary referral center including cases where PE-RV was used as a salvage procedure after ERC failure.During the study period, PE-RV was performed in 42 cases after failed therapeutic ERC: 15 had a surgically altered enteric anatomy. The technical success rate of PE-RV was 92.9% (39/42), with a therapeutic success rate of 88.1% (37/42). Potential indications for PE-RV over EUS-RV were identified in 23 cases, and either PE-RV or EUS-RV could have effectively been used in 19 cases. Endoscopic bile duct access was successfully achieved with PE-RV in 39 cases with accessible biliary orifice using one of PE-RV cannulation techniques (classic, n = 11: parallel, n = 19: and adjunctive maneuvers, n = 9).PE-RV uses a unique technology and has clinical indications that distinguish it from EUS-RV. Therefore, PE-RV can still be considered a useful salvage technique for the treatment of biliary obstruction after ERC failure. | - |
dc.language.iso | en | - |
dc.subject.MESH | Bile Ducts | - |
dc.subject.MESH | Cholangiopancreatography, Endoscopic Retrograde | - |
dc.subject.MESH | Cholestasis | - |
dc.subject.MESH | Endosonography | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Prospective Studies | - |
dc.subject.MESH | Quality Improvement | - |
dc.subject.MESH | Retrospective Studies | - |
dc.subject.MESH | Salvage Therapy | - |
dc.subject.MESH | Treatment Outcome | - |
dc.subject.MESH | Ultrasonography, Interventional | - |
dc.title | Usefulness of combined percutaneous-endoscopic rendezvous techniques after failed therapeutic endoscopic retrograde cholangiography in the era of endoscopic ultrasound guided rendezvous | - |
dc.type | Article | - |
dc.identifier.pmid | 29310413 | - |
dc.identifier.url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5728814/ | - |
dc.contributor.affiliatedAuthor | 양, 민재 | - |
dc.contributor.affiliatedAuthor | 김, 진홍 | - |
dc.contributor.affiliatedAuthor | 황, 재철 | - |
dc.contributor.affiliatedAuthor | 유, 병무 | - |
dc.contributor.affiliatedAuthor | 김, 순선 | - |
dc.contributor.affiliatedAuthor | 임, 선교 | - |
dc.contributor.affiliatedAuthor | 원, 제환 | - |
dc.type.local | Journal Papers | - |
dc.identifier.doi | 10.1097/MD.0000000000008991 | - |
dc.citation.title | Medicine | - |
dc.citation.volume | 96 | - |
dc.citation.number | 48 | - |
dc.citation.date | 2017 | - |
dc.citation.startPage | e8991 | - |
dc.citation.endPage | e8991 | - |
dc.identifier.bibliographicCitation | Medicine, 96(48). : e8991-e8991, 2017 | - |
dc.identifier.eissn | 1536-5964 | - |
dc.relation.journalid | J000257974 | - |
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