By Douglas G. Adler
This quantity offers a complete advisor to complicated endoscopic techniques and strategies. basically fascinated by Endoscopic Retrograde Cholangiopancreatography (ERCP) and Endoscopic Ultrasound (EUS), the booklet additionally explores similar issues equivalent to cholangioscopy, pancreatoscopy, complex pancreaticobiliary imaging, stenting, and endoscopic skill to accomplish discomfort keep watch over. The textual content additionally offers a plethora of counsel and methods on find out how to practice those techniques thoroughly, emphasizes universal errors and the way to prevent them, and contours top of the range movies illustrating key procedural facets for each chapter.
Written through best specialists within the box, Advanced Pancreaticobiliary Endoscopy is a useful source for gastrointestinal endoscopists and fellows attracted to complex endoscopic approaches.
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Extra resources for Advanced Pancreaticobiliary Endoscopy
McSherry et al. classiﬁed Mirizzi syndrome T. Queen and G. Parasher into two variants based on ERCP ﬁndings [6, 78]. Type I Mirizzi syndrome involves external compression of the common hepatic duct or common bile duct by a stone impacted in the cystic duct or Hartmann’s pouch (Fig. 8a, b). Type I is subdivided into type IA (cystic duct still present) or type IB (cystic duct obliterated). Type II–IV variants of Mirizzi syndrome results when a stone erodes into the cystic duct wall and produces a cholecysto-choledochal ﬁstula into the common hepatic duct or common bile duct.
Stones should be pushed above the dilation balloon under ﬂuoroscopic guidance prior to inﬂation of the balloon . Following balloon sphincteroplasty, stone 2 Endoscopic Management of Large and Difficult Common Bile duct Stones 25 Fig. 7 (a) Endoscopic view of EPBD with a 12 mm CRE balloon. (b) Patulous biliary oriﬁce following EPBD. (c) Fluoroscopic view of basket removal of large stone following EPBD. (d) Endoscopic image demonstrating retrieval of large stone fragments after EPBD extraction balloons or retrieval baskets can be used to remove stones through the generous distal CBD and ampullary oriﬁce (Fig.
Gastrointest Endosc. 2003;57:192–7. Verma D, Kapadia A, Adler DG. Pure versus mixed electrosurgical current for endoscopic biliary sphincterotomy: a meta-analysis of adverse outcomes. Gastrointest Endosc. 2007;66(2):283–90. Siegel JH. Precut papillotomy: a method to improve success of ERCP and papillotomy. Endoscopy. 1980;12(3):130–3. Davee T, Garcia JA, Baron TH. Precut sphincterotomy for selective biliary duct cannulation during endoscopic retrograde cholangiopancreatography. Ann Gastroenterol.