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

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