scholarly journals Combined endoscopic ultrasound‐guided hepaticoduodenostomy with percutaneous reverse rendezvous technique for the treatment of isolate right intrahepatic bile duct stricture

2021 ◽  
Author(s):  
Tanyaporn Chantarojanasiri ◽  
Thawee Ratanachu‐ek
Keyword(s):  
Bile Duct ◽  
Endoscopic Ultrasound ◽  
Intrahepatic Bile Duct ◽  
Bile Duct Stricture ◽  
Ultrasound Guided ◽  
Rendezvous Technique ◽  
Duct Stricture

scholarly journals A Proposed Algorithm for Endoscopic Ultrasound-Guided Rendezvous Technique in Failed Biliary Cannulation

2020 ◽  
Vol 9 (12) ◽  
pp. 3879
Author(s):  
Saburo Matsubara ◽  
Keito Nakagawa ◽  
Kentaro Suda ◽  
Takeshi Otsuka ◽  
Hiroyuki Isayama ◽  
...  
Keyword(s):  
Bile Duct ◽  
Endoscopic Ultrasound ◽  
Extrahepatic Bile Duct ◽  
Intrahepatic Bile Duct ◽  
Duodenal Bulb ◽  
Ultrasound Guided ◽  
Biliary Cannulation ◽  
Rendezvous Technique ◽  
Selection Of ◽  
Approach Route

Background: The selection of an approach route in endoscopic ultrasound-guided rendezvous (EUS-RV) for failed biliary cannulation is complicated. We proposed an algorithm for EUS-RV. Methods: We retrospectively evaluated consecutive EUS-RV cases between April 2017 and July 2020. Puncturing the distal extrahepatic bile duct (EHBD) from the duodenal second part (D2) (DEHBD/D2 route) was attempted first. If necessary, puncturing the proximal EHBD from the duodenal bulb (D1) (PEHBD/D1 route), puncturing the left intrahepatic bile duct (IHBD) from the stomach (LIHBD/S route), or puncturing the right IHBD from the D1 (RIHBD/D1 route) were attempted in this order. Results: A total of 16 patients were included. The DEHBD/D2 route was used in 10 (62.5%) patients. The PEHBD/D1 route was attempted in five (31.3%) patients, and the biliary puncture failed in one patient in whom the RIHBD/D1 route was used because of tumor invasion to the left hepatic lobe. The LIHBD/S route was applied in one (6.3%) patient. Successful biliary cannulation was achieved in all patients eventually. The time from the puncture to the guidewire placement in the DEHBD/D2 route (3.5 min) was shorter than that in other methods (14.0 min) (p = 0.014). Adverse events occurred in one (6.3%) patient with moderate pancreatitis. Conclusions: The proposed algorithm might be useful for the selection of an appropriate approach route in EUS-RV.

Endoscopic ultrasound-guided rendezvous technique using an intrahepatic bile duct approach with a “push endoscopic position”

2019 ◽  
Vol 51 (10) ◽  
pp. 1484 ◽  
Author(s):  
Kosuke Minaga ◽  
Keijiro Okada ◽  
Yoshito Uenoyama ◽  
Yukitaka Yamashita
Keyword(s):  
Bile Duct ◽  
Endoscopic Ultrasound ◽  
Intrahepatic Bile Duct ◽  
Ultrasound Guided ◽  
Rendezvous Technique

scholarly journals Endoscopic ultrasound-guided cholangiography and intraluminal needle puncture through a tight subhilar bile duct stricture for biliary stenting following failed ERCP

Endoscopy ◽  
2013 ◽  
Vol 45 (S 02) ◽  
pp. E5-E6
Author(s):  
V. Dhir ◽  
S. Vivekanandarajah ◽  
S. Bhandari ◽  
M. Bapat ◽  
A. Maydeo
Keyword(s):  
Bile Duct ◽  
Endoscopic Ultrasound ◽  
Bile Duct Stricture ◽  
Needle Puncture ◽  
Biliary Stenting ◽  
Ultrasound Guided ◽  
Duct Stricture

scholarly journals Double intrahepatic bile duct puncture: a pitfall during endoscopic ultrasound-guided hepaticogastrostomy

Endoscopy ◽  
2018 ◽  
Vol 50 (08) ◽  
pp. E195-E196
Author(s):  
Takeshi Ogura ◽  
Atsushi Okuda ◽  
Akira Miyano ◽  
Rieko Kamiyama ◽  
Nobu Nishioka ◽  
...  
Keyword(s):  
Bile Duct ◽  
Endoscopic Ultrasound ◽  
Intrahepatic Bile Duct ◽  
Ultrasound Guided

Effect of echoendoscope angle on success of guidewire manipulation during endoscopic ultrasound-guided hepaticogastrostomy

Endoscopy ◽  
2020 ◽  
Author(s):  
Takeshi Ogura ◽  
Nobu Nishioka ◽  
Saori Ueno ◽  
Tadahiro Yamada ◽  
Masanori Yamada ◽  
...  
Keyword(s):  
Bile Duct ◽  
Endoscopic Ultrasound ◽  
Multivariable Analysis ◽  
Intrahepatic Bile Duct ◽  
Roc Curves ◽  
Needle Aspiration ◽  
Ultrasound Guided ◽  
Puncture Site ◽  
Factors Associated ◽  
Fluoroscopic Imaging

Background With endoscopic ultrasound-guided hepaticogastrostomy (EUS-HGS), guidewire manipulation might be a critically limiting step for nonexperts. However, the causes of difficult guidewire manipulation remain unclear. The aim of this study was to evaluate factors associated with successful guidewire manipulation. Methods This retrospective cohort study included consecutive patients who underwent EUS-HGS between October 2018 and October 2019. We measured scope angle between the long and needle axes of the echoendoscope using still fluoroscopic imaging immediately after puncturing the intrahepatic bile duct. Factors associated with successful guidewire insertion were assessed by multivariable analysis using logistic regression. Result The influence of the angle between the fine-needle aspiration (FNA) needle and echoendoscope on failed guidewire insertion was assessed using receiver operating characteristic (ROC) curves. Area under the ROC curve was 0.86 (95 % confidence interval [CI] 0.00 – 0.76), and an angle of 135° offered 88.0 % sensitivity and 82.9 % specificity for predicting successful guidewire insertion. According to multivariable analysis, only angle between the FNA needle and echoendoscope > 135° was independently associated with successful guidewire insertion (odd ratio 0.03, 95 %CI 0.01 – 0.14; P < 0.05), whereas sex, puncture site, and diameter of puncture site were not significant factors. After multivariable analysis, all variables were adjusted using age ≥ 70 or < 70 years, yielding the same results. Conclusion The angle between the FNA needle and echoendoscope might be associated with successful guidewire manipulation during EUS-HGS. Adjusting this angle to 135° before puncturing the intrahepatic bile duct might be helpful in achieving successful guidewire manipulation during EUS-HGS. 

scholarly journals Liver Resection for Intrahepatic Stones

HPB Surgery ◽  
1990 ◽  
Vol 2 (2) ◽  
pp. 145-147 ◽  
Author(s):  
Roland Andersson ◽  
Karl-Göran Tranberg ◽  
Stig Beng-Mark
Keyword(s):  
Liver Resection ◽  
Bile Duct ◽  
Intrahepatic Bile Duct ◽  
Liver Parenchyma ◽  
Long Term Results ◽  
Bile Duct Stricture ◽  
Bile Duct Stones ◽  
Intrahepatic Stones ◽  
Duct Stricture

Intrahepatic stones are difficult to manage, especially when they are associated with bile duct stricture, cholangitis and destruction of liver parenchyma. Suggested modes of treatment include surgical bile duct exploration, endoscopic procedures, transhepatic cholangiolithotomy and liver resection. This paper reports 2 patients in whom liver resection was performed because of intrahepatic ductal stones, bile duct strictures and repeated episodes of cholangitis. Liver resection was uncomplicated and long-term results were satisfactory. Our results support the view that liver resection is indicated in rare instances of intrahepatic bile duct stones associated with bile duct strictures.

scholarly journals A Case of IgG4-related Sclerosing Cholangitis with Intrahepatic Bile Duct Stricture Mimicking Cholangiocarcinoma

2012 ◽  
Vol 45 (2) ◽  
pp. 163-168 ◽  
Author(s):  
Koji Kitada ◽  
Naoto Gotohda ◽  
Daisuke Nobuoka ◽  
Yuichiro Kato ◽  
Takahiro Kinoshita ◽  
...  
Keyword(s):  
Bile Duct ◽  
Sclerosing Cholangitis ◽  
Intrahepatic Bile Duct ◽  
Bile Duct Stricture ◽  
Duct Stricture

Modified Endoscopic Ultrasound-Guided Rendezvous Technique For Faster And Safer Access To Narrow Bile Duct: Feasibility Assessment Study

2021 ◽  
Author(s):  
J Samanta ◽  
G Muktesh ◽  
A Chowdhury ◽  
H Kumar ◽  
V Gupta ◽  
...  
Keyword(s):  
Bile Duct ◽  
Endoscopic Ultrasound ◽  
Ultrasound Guided ◽  
Feasibility Assessment ◽  
Assessment Study ◽  
Rendezvous Technique

scholarly journals Peroral intraductal cholangioscopy-guided laser lithotripsy via endoscopic ultrasound-guided hepaticogastrostomy for intrahepatic bile duct lithiasis

Endoscopy ◽  
2019 ◽  
Vol 51 (06) ◽  
pp. E135-E136
Author(s):  
Adrien Sportes ◽  
Sarah Leblanc ◽  
Benoit Bordacahar ◽  
Maximilien Barret ◽  
Frederic Prat
Keyword(s):  
Bile Duct ◽  
Endoscopic Ultrasound ◽  
Intrahepatic Bile Duct ◽  
Laser Lithotripsy ◽  
Ultrasound Guided
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