Evidence map›Paper›PMID 40007646›Full record

ArticleEndoscopy international open2025

EUS-guided rendezvous is a viable salvage technique for failed billiary cannulation in patients with Roux-en-Y gastric bypass undergoing BAE-ERCP.

Kambiz Kadkhodayan, Sagar Pathak, Saurabh Chandan, Abdullah Abassi, Artur Viana, Maham Hayat, Mustafa A Arain, Natalie Cosgrove, Deepanshu Jain, Dennis Yang and 2 more

Abstract read
In one paragraph

Article in Endoscopy international open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Kambiz KadkhodayanCenter for Interventional Endoscopy, AdventHealth Orlando, Orlando, United States.ORCID 0000-0002-1279-2960
Sagar PathakCenter for Interventional Endoscopy, AdventHealth Orlando, Orlando, United States.
Saurabh ChandanCenter for Interventional Endoscopy, AdventHealth Orlando, Orlando, United States.
Abdullah AbassiCenter for Interventional Endoscopy, AdventHealth Orlando, Orlando, United States.
Artur VianaCenter for Interventional Endoscopy, AdventHealth Orlando, Orlando, United States.
Maham HayatCenter for Interventional Endoscopy, AdventHealth Orlando, Orlando, United States.
Mustafa A ArainCenter for Interventional Endoscopy, AdventHealth Orlando, Orlando, United States.
Natalie CosgroveCenter for Interventional Endoscopy, AdventHealth Orlando, Orlando, United States.
Deepanshu JainCenter for Interventional Endoscopy, AdventHealth Orlando, Orlando, United States.
Dennis YangCenter for Interventional Endoscopy, AdventHealth Orlando, Orlando, United States.
Muhammad Khalid HasanCenter for Interventional Endoscopy, AdventHealth Orlando, Orlando, United States.
Shayan IraniGastroenterology and Hepatology, Virginia Mason Medical Center, Seattle, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and study aims: Biliary cannulation via balloon-assisted-ERCP (BAE-ERCP) can be challenging. Patients with Roux-en-Y gastric bypass (RYGB) have among the lowest reported BAE-ERCP success rates when compared with other types of surgically altered anatomy. We explored the role of EUS-guided rendezvous (EUS-RV) as a rescue technique when BAE-ERCP fails. Patients and methods: Consecutive patients with RYGB underwent BAE-ERCP for both benign and malignant indications. Among them, patients in whom BAE-ERCP failed despite use of conventional advanced biliary cannulation techniques underwent EUS-RV if the ampulla could be reached. Results: Forty-three consecutive patients with RYGB underwent BAE-ERCP. The procedure was successful in 30 patients (69.7%). Among the 13 patients with failed ERCP, EUS-RV was performed in five. Technical success was achieved in all five patients (100%), thereby increasing the overall BAE-ERCP success to 35 patients (81.3%). There were no major procedure-related adverse events on immediate and 3-month follow-up. Average total procedure time for failed BAE-ERCP followed by EUS-RV was 129 minutes (range 47-205 minutes). Conclusions: EUS-RV in patients with RYGB has high technical and clinical success and can be a viable alternative to more invasive options when BAE-ERCP fails using traditional cannulation techniques.

Indexed as

Biliary tractEndoscopic ultrasonographyERC topicsIntervention EUSPancreatobiliary (ERCP/PTCD)

Identifiers

PMID40007646
PMCPMC11855226

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.