title: Stent implantation through rendezvous technique of PTBD and ERCP: the treatment of obstructive jaundice.
abstract: OBJECTIVE
  To study the technical method and clinical value of stent implantation through the rendezvous technique of percutaneous transhepatic biliary drainage (PTBD) and endoscopic retrograde cholangiopancreatography (ERCP) in patients with obstructive jaundice.
  
  
  METHODS
  Thirty-six patients with obstructive jaundice underwent the rendezvous technique of PTBD and ERCP after initially unsuccessful ERCP.
  
  
  RESULTS
  The procedure of 36 cases were all successful. Sixteen cases underwent PTBD drainage from the bile duct through the right lobe approach and in 20 cases the left lobe approach was used. The one-stage procedure involved in the rendezvous technique of PTBD and ERCP was successful in 23 cases, while the other 13 cases underwent PTBD first and then rendezvous ERCP the next time. The serum total bilirubin 4 days later had decreased by 44.75%, and direct bilirubin had decreased by 45.61%. The main complication was infection of the bile duct.
  
  
  CONCLUSIONS
  Stent implantation using the rendezvous technique of PTBD and ERCP is a new and feasible method to treat obstructive jaundice after initially unsuccessful ERCP. This may be of considerable value in clinical practice.
authors.affiliation: Department of Gastroenterology of PLA General Hospital, Beijing, China. liuyingdi301@sina.com
authors.forename: Ying Di
authors.initials: YD
authors.lastname: Liu
authors.forename: Zhi Qiang
authors.initials: ZQ
authors.lastname: Wang
authors.forename: Xiang Dong
authors.initials: XD
authors.lastname: Wang
authors.forename: Yun Sheng
authors.initials: YS
authors.lastname: Yang
authors.forename: En Qiang
authors.initials: EQ
authors.lastname: Linghu
authors.forename: Wei Feng
authors.initials: WF
authors.lastname: Wang
authors.forename: Wen
authors.initials: W
authors.lastname: Li
authors.forename: Feng Chun
authors.initials: FC
authors.lastname: Cai
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001663:Bilirubin / Q000097:blood; D002760:Cholangiopancreatography, Endoscopic Retrograde / Q000009:adverse effects / Q000379:methods*; D002779:Cholestasis / Q000097:blood / Q000000981:diagnostic imaging / Q000601:surgery*; D004322:Drainage / Q000379:methods*; D005260:Female; D006801:Humans; D041781:Jaundice, Obstructive / Q000097:blood / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D019919:Prosthesis Implantation / Q000009:adverse effects / Q000379:methods*; D015607:Stents
chemical_list: D001663:Bilirubin