Modified rendezvous intrahepatic bile duct cannulation technique to pass a PTBD catheter in ERCP
- Abstract
- The rendezvous procedure combines an endoscopic technique with percutaneous transhepatic biliary drainage (PTBD). When a selective common bile duct cannulation fails, PTBD allows successful drainage and retrograde access for subsequent rendezvous techniques. Traditionally, rendezvous procedures such as the PTBD-assisted over-the-wire cannulation method, or the parallel cannulation technique, may be available when a bile duct cannot be selectively cannulated. When selective intrahepatic bile duct (IHD) cannulation fails, this modified rendezvous technique may be a feasible alternative. We report the case of a modified rendezvous technique, in which the guidewire was retrogradely passed into the IHD through the C2 catheter after end-to-end contact between the tips of the sphincterotome and the C2 catheter at the ampulla's orifice, in a 39-year-old man who had been diagnosed with gallbladder carcinoma with a metastatic right IHD obstruction. Clinically this procedure may be a feasible and timesaving technique. (C) 2010 Baishideng. All rights reserved.
- All Author(s)
- T. H. Lee
; S. H. Park
; S. H. Lee
; C. K. Lee
; I. K. Chung
; H. S. Kim
; S. J. Kim
- Issued Date
- 2010
- Type
- Article
- Keyword
- Endoscopic retrograde cholangiopancreatography; Intrahepatic bile duct; Rendezvous technique
- Publisher
- Baishideng Publishing Group
- ISSN
- 1007-9327
; 2219-2840
- Citation Title
- World Journal of Gastroenterology
- Citation Volume
- 16
- Citation Number
- 42
- Citation Start Page
- 5388
- Citation End Page
- 5390
- Language(ISO)
- eng
- DOI
- 10.3748/wjg.v16.i42.5388
- URI
- http://schca-ir.schmc.ac.kr/handle/2022.oak/1984
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