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.

IF 3 Q2 GASTROENTEROLOGY & HEPATOLOGY
Therapeutic Advances in Gastrointestinal Endoscopy Pub Date : 2024-05-23 eCollection Date: 2024-01-01 DOI:10.1177/26317745241251708
Vasileios Oikonomou, Andrew Macpherson, Reiner Wiest, Ioannis Kapoglou
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引用次数: 0

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.

经内镜超声经胃胆管入路的超薄内镜稳定交会内镜逆行胆管造影:用于重症胰腺炎伴胆管炎和主要乳头无法进入的连续性梗阻性黄疸。
通过标准内镜逆行胆管造影方法进行胆道插管失败后,基于内镜超声的会合内镜逆行胆管造影(EUS-RV-ERC)是一种有效的替代方法。在这种情况下,具有挑战性的因素之一是导丝的管理。在这里,我们提出了一种方法,即使用纤细的内窥镜来稳定导丝,并优化通过经腹途径进行 EUS-RV-ERC 患者的导丝操作。该方法是在一名患有严重酒精性胰腺炎的患者身上实施的,该患者的十二指肠因外源性压迫和炎症而严重狭窄,并伴有东京 III 级胆管炎。
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来源期刊
CiteScore
4.80
自引率
0.00%
发文量
8
审稿时长
13 weeks
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