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Related Experiment Video

Updated: May 22, 2026

Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
07:44

Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction

Published on: March 25, 2022

Endoscopic ultrasonography-guided biliary drainage: rendezvous technique.

Takuji Iwashita1, John G Lee

  • 1Division of Gastroenterology and Hepatology, H.H. Chao Comprehensive Digestive Disease Center, University of California, Irvine Medical Center, 101 The City Drive, Building 22C, First Floor, Orange, CA 92868, USA.

Gastrointestinal Endoscopy Clinics of North America
|May 29, 2012
PubMed
Summary

Endoscopic ultrasonography-guided rendezvous (EUS-RV) offers a safe and feasible alternative for difficult biliary cannulation during ERCP. This technique serves as a valuable salvage option when standard methods fail, potentially avoiding surgical interventions.

Related Concept Videos

Endoscopic Procedures V: ERCP01:26

Endoscopic Procedures V: ERCP

Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...

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Area of Science:

  • Gastroenterology
  • Interventional Endoscopy
  • Biliary Tract Interventions

Background:

  • Deep biliary cannulation in ERCP has a high but imperfect success rate, even with aggressive approaches.
  • Failed cannulation can necessitate alternative, more invasive procedures.
  • Linear-array echoendoscopes have enabled new endoscopic techniques.

Purpose of the Study:

  • To review the current literature on the endoscopic ultrasonography-guided rendezvous (EUS-RV) technique.
  • To establish EUS-RV as a salvage method for failed biliary cannulation in ERCP.
  • To evaluate the feasibility and safety of EUS-RV.

Main Methods:

  • Systematic review of current literature on EUS-RV for ERCP.
  • Analysis of studies reporting on EUS-RV success rates, safety, and outcomes.

Related Experiment Videos

Last Updated: May 22, 2026

Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
07:44

Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction

Published on: March 25, 2022

  • Comparison of EUS-RV with percutaneous and surgical salvage options.

    • Main Results:

    • EUS-RV is a feasible and safe technique for managing difficult biliary cannulation.
    • The technique has emerged as a viable alternative to percutaneous or surgical approaches.
    • Successful EUS-RV can prevent the need for more invasive procedures.

    Conclusions:

    • EUS-RV should be considered a primary alternative to percutaneous or surgical interventions for failed ERCP biliary cannulation.
    • Availability of percutaneous salvage and skilled endoscopists for both ERCP and EUS are crucial.
    • Minimizing potential complications requires careful patient selection and experienced personnel.