Slim-endoscopy-stabilized (SOS)-rendezvous-ERC via EUS-transgastric bile duct access: Utilization for severe pancreatitis with consecutive obstructive jaundice and inaccessible major papilla

Abstract

After failed biliary cannulation via standard ERC-approach EUS-based rendezvous-ERC (EUS-RV-ERC) is a valid alternative. One of the challenging factors in this setting is the management of the guidewire. Here we propose a method, where a slim endoscope is used to stabilize the guidewire and optimize wire manipulation in a patient who underwent EUS-RV-ERC via a transgastric approach.