BACKGROUND Endoscopic retrograde cholangiopancreatography (ERCP) is a pivotal diagnostic and therapeutic modality for the assessment and management of pancreatic and bile duct disorders. Percutaneous transhepatic biliary drainage (PTBD) is a prevalent and progressively favored primary treatment modality for malignant obstructive jaundice, providing rapid biliary decompression, achieving high technical success rates, and serving as a conduit for subsequent interventions. Rendezvous techniques are

