EUS-guided hepaticogastrostomy using a rendezvous technique to treat left intrahepatic duct stones in a patient with recurrent pyogenic cholangitis

Post written by Michael Lajin, MD, from SHARP Health, San Diego, California, USA. A 51-year-old male presented with abdominal pain due to recurrent pyogenic cholangitis. MRCP showed severe intrahepatic ductal dilatation involving the lateral segment of the left liver lobe with multiple intraductal stones. A transpapillary cholangioscope was unable to reach the targeted peripheral ducts.   …

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Video demonstration of rendezvous technique

Mavrogenis Georgios, MD, from the Department of Gastroenterology at the Grand Hôpital de Charleroi in Charleroi, Belgium presents this video demonstration of a rendezvous technique for the treatment of malignant esophagorespiratory fistula. This video case demonstrates the rendezvous technique in 2 difficult cases of complex esophageal stenosis with multiple fistulae. The rendezvous technique needs the …

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Rendezvous versus direct transluminal techniques for malignant biliary obstruction

Payal Saxena, MD, from Johns Hopkins University in Baltimore, Maryland writes about her Original Article titled "EUS-guided biliary drainage by using a standardized approach for malignant biliary obstruction: rendezvous versus direct transluminal techniques (with videos)" from the November issue.  The aim of this study was to assess outcomes of EUS-guided biliary drainage (EGBD) performed using …

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