Year 2025 / Volume 117 / Number 10
Letter
Endoscopic ultrasound-guided rendezvous technique for the treatment of choledocholithiasis with difficult cannulation

591

DOI: 10.17235/reed.2023.10056/2023

Wei Zhang, Sen-Lin Hou, Li-Chao Zhang,

Abstract
It is not uncommon to encounter difficult cannulation during endoscopic retrograde cholangiopancreatography (ERCP), most of which can be performed by double-guide wire, pre-cut and other techniques. Endoscopic ultrasound-guided biliary drainage (EUS-BD) can be used as a remedial solution for ERCP failure. This article provides a very well experience in ERCP combine with EUS-RV technique in cases where the duodenal papilla is located above the medial diverticulum. At the same time, some skills of EUS-RV are provided for endoscopists.
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References
1. Mora Soler AM, Álvarez Delgado A, Piñero Pérez MC, et al. Endoscopic ultrasound-guided choledochoduodenostomy after a failed or impossible ERCP. Revista Española de Enfermedades Digestivas 2018;110.
2. Dhir V, Bhandari S, Bapat M, et al. Comparison of EUS-guided rendezvous and precut papillotomy techniques for biliary access (with videos). Gastrointestinal Endoscopy 2012;75:354-359.
3. van der Merwe SW, van Wanrooij RLJ, Bronswijk M, et al. Therapeutic endoscopic ultrasound: European Society of Gastrointestinal Endoscopy (ESGE) Guideline. Endoscopy 2021;54:185-205.
4. Li D-F, Zhou C-H, Wang L-S, et al. Is ERCP-BD or EUS-BD the preferred decompression modality for malignant distal biliary obstruction? A meta-analysis of randomized controlled trials. Revista Española de Enfermedades Digestivas 2019;111.
5. Teoh AYB, Dhir V, Kida M, et al. Consensus guidelines on the optimal management in interventional EUS procedures: results from the Asian EUS group RAND/UCLA expert panel. Gut 2018;67:1209-1228.
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Zhang W, Hou S, Zhang L. Endoscopic ultrasound-guided rendezvous technique for the treatment of choledocholithiasis with difficult cannulation. 10056/2023


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Publication history

Received: 03/11/2023

Accepted: 04/11/2023

Online First: 20/11/2023

Published: 10/10/2025

Article Online First time: 17 days

Article editing time: 707 days


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