Abstract
We report herein on the outcomes of endoscopic transpapillary biliary drainage and the effectiveness of the rendezvous method applied for cases in which transpapillary drainage proved difficult. The rendezvous method was performed with the combination of the transpapillary and transhepatic routes. There were 315 initial papilla cases in which bile duct intubation or drainage was needed from February, 2009 until August, 2013. Deep intubation of the bile duct and drainage was adopted for 17 impotent patients. Ten patients underwent precut papillotomy, seven patients underwent percutaneous transhepatic drainage and in all cases the reduction of jaundice was noted without complications. The rendezvous method was performed in 4 cases：a case in which indwelling of the percutaneous SEMS (guide wire) was difficult; a case of internal drainage; a case in which repeated transpapillary treatment was needed; and a case of PTBD dislocation. The rendezvous method, which combines the transpapillary and transhepatic routes, was not limited to only malignant disorders, but could also be performed for benign disease, and it seemed to be a clinically useful method.
