Endoscopic ultrasound-guided rendezvous techniques for difficult biliary cannulation: Technical review

被引：0
作者：
Iwashita, Takuji [1 ]
Uemura, Shinya [1 ]
Tezuka, Ryuichi [1 ]
Senju, Akihiko [1 ]
Iwata, Shota [1 ]
Ohashi, Yosuke [1 ]
Shimizu, Masahito [1 ]
机构：
[1] Gifu Univ Hosp, Dept Internal Med 1, 1-1 Yanagido, Gifu 5011194, Japan
来源：
DIGESTIVE ENDOSCOPY | 2025年 / 37卷 / 01期
关键词：
cannulation; double guidewire; endoscopic retrograde cholangiopancreatography; endoscopic ultrasound-guided biliary drainage; precut; BILE-DUCT; DRAINAGE; MULTICENTER; PLACEMENT; BENIGN; ACCESS;
D O I：
10.1111/den.14908
中图分类号：
R57 [消化系及腹部疾病];
学科分类号：
摘要：
Endoscopic retrograde cholangiopancreatography (ERCP) is the standard procedure for the diagnosis and treatment of biliary diseases. However, selective biliary cannulation, the essential first step in ERCP, can sometimes fail due to anatomical variations or technical limitations. In these cases, the endoscopic ultrasound-guided rendezvous technique (EUS-RV) offers a valuable salvage option. Nevertheless, it is crucial to be aware of potential adverse events associated with bile duct puncture. To optimize the success rate and safety of EUS-RV, understanding the basic techniques, technical tips for each procedural step, and troubleshooting strategies for potential difficulties is essential. This review article summarizes the clinical outcomes and technical considerations of EUS-RV, including a comprehensive analysis of the current evidence.
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收藏
页码：68 / 76
页数：9
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