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  Indian J Med Microbiol
 

Figure 1: EUS-guided rendezvous approach in a patient with acute recurrent idiopathic pancreatitis with ductal stenosis in the pancreatic head; (a) linear ultrasound endoscope is used to identify the major pancreatic duct with the tip of the echoendoscope positioned in the antrum; (b) under combined fluoroscopic and EUS guidance, access into the main pancreatic duct is achieved using a 19-gauge fine aspiration needle and a pancreatogram is performed; (c) the guidewire passes the stenosis, penetrates the papilla, and travels into the duodenum. A rendezvous technique is then performed by exchanging the EUS scope for a duodenoscope and “conventional” pancreatic endotherapy is performed

Figure 1: EUS-guided rendezvous approach in a patient with acute recurrent idiopathic pancreatitis with ductal stenosis in the pancreatic head; (a) linear ultrasound endoscope is used to identify the major pancreatic duct with the tip of the echoendoscope positioned in the antrum; (b) under combined fluoroscopic and EUS guidance, access into the main pancreatic duct is achieved using a 19-gauge fine aspiration needle and a pancreatogram is performed; (c) the guidewire passes the stenosis, penetrates the papilla, and travels into the duodenum. A rendezvous technique is then performed by exchanging the EUS scope for a duodenoscope and “conventional” pancreatic endotherapy is performed