Endoscopy 2005; 37(5): 487-489
DOI: 10.1055/s-2005-861250
Case Report
© Georg Thieme Verlag KG Stuttgart · New York

Endoscopic Ultrasound-Guided Bile Duct Access for Rendezvous ERCP Drainage in the Setting of Intradiverticular Papilla

R.  Lai1 , M.  L.  Freeman1
  • 1Division of Gastroenterology, Hennepin County Medical Center, University of Minnesota, Minneapolis, Minnesota, USA
Further Information

Publication History

Submitted 23 June 2004

Accepted after Revision 3 November 2004

Publication Date:
20 April 2005 (online)

Abstract

Cannulation of an intradiverticular papilla during endoscopic retrograde cholangiopancreatography (ERCP) can be challenging. We present here a technique for endoscopic ultrasound-guided puncture of the common bile duct followed by rendezvous ERCP for biliary drainage through the native intradiverticular papilla.

References

  • 1 Rajnakova A, Goh P MY, Ngoi S S. et al . ERCP in patients with periampullary diverticulum.  Hepatogastroenterology. 2003;  50 625-628
  • 2 Lobo D N, Balfour T W, Iftikhar S Y. Periampullary diverticula: consequences of failed ERCP.  Ann R Coll Surg Engl. 1998;  80 326-331
  • 3 Kirk A P, Summerfield J A. Incidence and significance of juxtapapillary diverticula at endoscopic retrograde cholangiopancreatography.  Digestion. 1980;  20 31-35
  • 4 Chang-Chien C S. Do juxtapapillary diverticula of the duodenum interfere with cannulation at endoscopic retrograde cholangiopancreatography?.  Gastrointest Endosc. 1987;  33 298-300
  • 5 Vaira D, Dowsett J F, Hatfield A RW. et al . Is duodenal diverticulum a risk factor for sphincterotomy?.  Gut. 1989;  30 939-942
  • 6 Tantau M, Person B, Burtin P. et al . Duodenal diverticula and ERCP: a new trick.  Endoscopy. 1996;  28 326
  • 7 Fogel E L, Sherman S, Lehman G A. Increased selective biliary cannulation rates in the setting of periampullary diverticula: main pancreatic duct stent placement followed by pre-cut biliary sphincterotomy.  Gastrointest Endosc. 1998;  47 396-400
  • 8 Sherman S, Hawes R H, Lehman G A. A new approach to performing endoscopic sphincterotomy in the setting of a juxtapapillary duodenal diverticulum.  Gastrointest Endosc. 1991;  37 353-355
  • 9 Fujita N, Noda Y, Kobayashi G. et al . ERCP for intradiverticular papilla: two-devices-in-one-channel method.  Gastrointest Endosc. 1998;  48 517-520
  • 10 Batra S C, Trowers E, Dayemo K. et al . Novel approach to ampullary cannulation.  Gastrointest Endosc. 1996;  44 360-361
  • 11 Kim H J, Kim Y S, Myung S J. et al . A novel approach for cannulation to the ampullar within the diverticulum: double-catheter method.  Endoscopy. 1998;  30 S103-S104
  • 12 Giovannini M, Moutardier V, Pesenti C. et al . Endoscopic ultrasound-guided bilioduodenal anastomosis: a new technique for biliary drainage.  Endoscopy. 2001;  33 898-900
  • 13 Burmester E, Niehaus J, Leineweber T, Huetteroth T. EUS-cholangio-drainage of the bile duct: report of 4 cases.  Gastrointest Endosc. 2003;  57 246-251
  • 14 Mallery S, Matlock J, Freeman M L. EUS-guided rendezvous drainage of obstructed biliary and pancreatic ducts: report of 6 cases.  Gastrointest Endosc. 2004;  59 100-107

R. Lai, M. D.

Division of Gastroenterology · Hennepin County Medical Center

701 Park Avenue South · Minneapolis, MN 55415 · USA

Fax: +1-612-904-4366

Email: laixx008@umn.edu

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