Bile Duct Cannulation Guided by a Percutaneous Transhepatic Biliary Drainage (PTBD) Tube: Modified Rendezvous Procedure / 대한소화기내시경학회지
Korean Journal of Gastrointestinal Endoscopy
;
: 138-142, 2007.
Article
Dans Coréen
| WPRIM
| ID: wpr-19681
ABSTRACT
BACKGROUND/AIMS:
To describe a simple and useful modification of the rendezvous technique using a PTBD tube as guidance.METHODS:
From January 2005 to August 2006, a total of 436 ERCPs were performed. A diagnosis of choledocholithiasis was made in 235 cases. Deep cannulation of the bile duct using standard techniques was unsuccessful in 27 patients (11.5%). A precut papillotomy led to successful cannulation in 16 out of these 27 patients (59.3%). The remaining 11 patients (40.7%) underwent PTBD with the tube tip placed in the second portion of the duodenum. Bile duct cannulation was attempted with the guidance of a PTBD tube in 9 cases. In the other 2 cases, the transduodenal approach was impossible due to a previous Billroth II operation.RESULTS:
Bile duct cannulation guided by a PTBD tube, which is also known as a modified rendezvous procedure, was successful in 9 out of 11 patients (81.8%). Deep cannulation of the bile duct was achieved in 100% of patients, who could be treated by endoscopy. There were 7 cases of transient hyperamylasemia (77.8%) but no procedure-related major complications or mortality.CONCLUSIONS:
Bile duct cannulation guided by a PTBD tube in patients with choledocholithiasis can be recommended when ERCP is unsuccessful using the standard technique.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Bile
/
Conduits biliaires
/
Cathétérisme
/
Gastroentérostomie
/
Drainage
/
Mortalité
/
Cholangiopancréatographie rétrograde endoscopique
/
Hyperamylasémie
/
Lithiase cholédocienne
/
Diagnostic
Type d'étude:
Etude diagnostique
/
Guide de pratique
/
Étude pronostique
Limites du sujet:
Humains
langue:
Coréen
Texte intégral:
Korean Journal of Gastrointestinal Endoscopy
Année:
2007
Type:
Article
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