Year 2025 / Volume 117 / Number 10
Letter
Endoscopic ultrasound guided rendez-vous technique performed for stent implantation

610-611

DOI: 10.17235/reed.2025.11060/2025

Yongzhan Zhao, Longwei Fang, Yuxi Zhang, Tingting Yu, Lichao Zhang, Senlin Hou,

Abstract
When Endoscopic retrograde cholangiopancreatography (ERCP) fails in patients with obstructive jaundice, EUS-guided rendezvous technique (EUS-RV) becomes an alternative treatment. For the EUS-RV, we can puncture the intrahepatic bile duct (IHBD) and the extrahepatic bile duct (EHBD). Puncturing the EHBD needs through duodenum, the puncture site can be divided into via the proximal duodenum (D1) and via the second portion of the duodenum (D2). Puncturing the IHBD will difficult to perform at the patients whose IHBD is not dilated. For these patients, puncturing EHBD becomes an unavoidable choice. Generally, the closer the puncture point is to the duodenal papilla, the more difficult it is to implant the stent. Therefore, we innovatively adopted the method that concomitantly withdrawing the guidewire during stent deployment.
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References
[1] DHIR V, ARTIFON E L A, GUPTA K, et al. Multicenter study on endoscopic ultrasound-guided expandable biliary metal stent placement: Choice of access route, direction of stent insertion, and drainage route [J]. Digestive Endoscopy, 2014, 26(3): 430-5.
[2] TSUCHIYA T, ITOI T, SOFUNI A, et al. Endoscopic ultrasonography-guided rendezvous technique [J]. Dig Endosc, 2016, 28 Suppl 1: 96-101.
[3] KHASHAB M A, VALESHABAD A K, MODAYIL R, et al. EUS-guided biliary drainage by using a standardized approach for malignant biliary obstruction: rendezvous versus direct transluminal techniques (with videos) [J]. Gastrointestinal Endoscopy, 2013, 78(5): 734-41.
[4] Zhang W, Hou SL, Zhang LC. EUS-guided Rendezvous technique for the treatment of choledocholithiasis with difficult cannulation. Rev Esp Enferm Dig. 2023 Nov 20. doi: 10.17235/reed.2023.10056/2023.
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Zhao Y, Fang L, Zhang Y, Yu T, Zhang L, Hou S, et all. Endoscopic ultrasound guided rendez-vous technique performed for stent implantation . 11060/2025


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Publication history

Received: 09/01/2025

Accepted: 17/02/2025

Online First: 11/03/2025

Published: 10/10/2025

Article Online First time: 61 days

Article editing time: 274 days


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