Knudsen Marie Høxbro, Vilmann Peter, Hassan Hazem, Karstensen John Gésdal
Gastroenheden, Endoskopiafdelingen, Herlev Hospital, Herlev Ringvej 75, 2730 Herlev.
Ugeskr Laeger. 2015 Apr 27;177(18).
Endoscopic retrograde cholangiography (ERCP) is currently standard treatment for biliary drainage. Endoscopic ultrasound guided rendezvous (EUS-RV) is a novel method to overcome an unsuccessful biliary drainage procedure. Under endoscopic ultrasound guidance a guidewire is passed via a needle from the stomach or duodenum to the common bile duct and from there on to the duodenum enabling ERCP. With a relatively high rate of success EUS-RV should be considered as an alternative to biliary drainage and surgical intervention.
内镜逆行胰胆管造影术(ERCP)是目前胆道引流的标准治疗方法。内镜超声引导会师术(EUS-RV)是一种克服胆道引流手术失败的新方法。在内镜超声引导下,一根导丝通过针从胃或十二指肠穿入胆总管,再从胆总管穿入十二指肠,从而实现ERCP。由于成功率相对较高,EUS-RV应被视为胆道引流和外科手术的替代方法。