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PTC and PTC-ERCP Rendezvous Procedures

  • Jörg G. AlbertEmail author
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Abstract

ERC-PTC rendezvous techniques are used as a salvage technique after failed ERC or anticipating a complex intervention that might not be resolved by ERC alone. A main advantage of PTC over ERCP is the opportunity to drain obstructed bile duct segments externally, even if the obstructing stricture is not passed by the draining catheter, as PTC uses a percutaneous antegrade access route. In patients with multiple and large bile duct stones and severe comorbidity, PTCD and/or PTC-ERC rendezvous might be an alternative in multistep approaches through the established percutaneous access. This combined procedure may resolve difficult to treat bile duct obstruction and/or infection. With a tailored approach, the interventionalists are able to drain externally or internally and may excellently treat infected bilioma with downstream bile duct obstruction. An experienced, dedicated team is required.

Keywords

Percutaneous transhepatic cholangiodrainage Rendezvous procedures Endoscopic retrograde cholangiopancreatography ERCP PTCD 

Abbreviations

CT

Computed tomography

ERC

Endoscopic retrograde cholangiography

ERCP

Endoscopic retrograde cholangiopancreatography

ESGE

European Society of Gastrointestinal Endoscopy

EUS-CD

Endoscopic ultrasound cholangiodrainage

MRCP

Magnetic resonance cholangiopancreatography

MRI

Magnetic resonance imaging

PTCD

Percutaneous transhepatic cholangiodrainage

US

Percutaneous ultrasound

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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.Hepatologie und EndokrinologieAbteilung für Gastroenterologie, Robert-Bosch-KrankenhausAuerbachstraßeGermany

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