Modified rendezvous intrahepatic bile duct cannulation technique to pass a PTBD catheter in ERCP

作     者：Tae Hoon Lee Sang-Heum Park Sae Hwan Lee Chang-Kyun Lee Suck-Ho Lee Il-Kwun Chung Hong Soo Kim Sun-Joo Kim 

作者机构：Division of GastroenterologyDepartment of Internal MedicineSoon Chun Hyang University College of MedicineCheonan Hospital23-20 Bongmyung-dongCheonan-siChungcheongnam-do330-721South Korea 

出 版 物：《World Journal of Gastroenterology》 (世界胃肠病学杂志（英文版）)

年 卷 期：2010年第16卷第42期

页      面：5388-5390页

核心收录：

学科分类：1002[医学-临床医学] 10[医学] 

主　　题：Endoscopic retrograde cholangiopancreatography Intrahepatic bile duct Rendezvous technique 

摘      要：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 PTBDassisted 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.