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World J Gastroenterol. Aug 7, 2022; 28(29): 3803-3813
Published online Aug 7, 2022. doi: 10.3748/wjg.v28.i29.3803
Endoscopic salvage therapy after failed biliary cannulation using advanced techniques: A concise review
Yung-Kuan Tsou, Kuang-Tse Pan, Mu Hsien Lee, Cheng-Hui Lin
Yung-Kuan Tsou, Mu Hsien Lee, Cheng-Hui Lin, Department of Gastroenterology and Hepatology, Chang Gung Memorial Hospital, Taoyuan 333, Taiwan
Yung-Kuan Tsou, Kuang-Tse Pan, Mu Hsien Lee, Cheng-Hui Lin, Department of Medicine, Chang Gung University, Taoyuan 333, Taiwan
Kuang-Tse Pan, Department of Medical Imaging and Intervention, Chang Gung Memorial Hospital, Taoyuan 333, Taiwan
Author contributions: Tsou YK conceptualized and designed the review and wrote the manuscript; Pan KT was responsible for the data acquisition/analysis of the percutaneous-transhepatic-endoscopic rendezvous procedures; Lee MH was responsible for the data acquisition/analysis of the endoscopic ultrasound-assisted or guided procedures; Lin CH contributed to revising and validating the manuscript.
Conflict-of-interest statement: There is no conflict of interest associated with any of the authors contributing their efforts to this manuscript.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Cheng-Hui Lin, MD, Doctor, Department of Gastroenterology and Hepatology, Chang Gung Memorial Hospital, No. 5 Fu-Shin Street, Kweishan, Taoyuan 333, Taiwan. linchehui@adm.cgmh.org.tw
Received: February 13, 2022
Peer-review started: February 13, 2022
First decision: April 5, 2022
Revised: April 15, 2022
Accepted: July 5, 2022
Article in press: July 5, 2022
Published online: August 7, 2022
Core Tip

Core Tip: Three endoscopic salvage therapies are available for endoscopic retrograde cholangiopancreatography (ERCP) cannulation failure, but consensus is lacking. This review found that interval ERCP had an overall success rate of 76.3% and an adverse event rate of 7.5%. Percutaneous-transhepatic-endoscopic rendezvous procedure (PTE-RV) had an overall success rate of 88.7% and an adverse event rate of 13.2%. Endoscopic ultrasound-assisted rendezvous procedures (EUS-RV) had an overall success rate of 82%-86.1% and an adverse event rate of 13%-15.6%. Interval ERCP may be preferred, but EUS-RV may also be considered if a local expert is available. PTE-RV is reserved for patients requiring urgent biliary drainage.