By Douglas G. Adler
This quantity presents a entire consultant to complicated endoscopic methods and methods. basically excited by Endoscopic Retrograde Cholangiopancreatography (ERCP) and Endoscopic Ultrasound (EUS), the e-book additionally explores similar themes equivalent to cholangioscopy, pancreatoscopy, complex pancreaticobiliary imaging, stenting, and endoscopic potential to accomplish discomfort regulate. The textual content additionally offers a plethora of tips and tips on how you can practice those tactics adequately, emphasizes universal errors and the way to prevent them, and lines top of the range video clips illustrating key procedural features for each chapter.
Written via most sensible specialists within the box, Advanced Pancreaticobiliary Endoscopy is a useful source for gastrointestinal endoscopists and fellows attracted to complicated endoscopic techniques.
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Extra resources for Advanced Pancreaticobiliary Endoscopy
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. 2012;25(4):291–302. Harewood GC, Baron TH. An assessment of the learning curve for precut biliary sphincterotomy. Am J Gastroenterol. 2002;97(7):1708–12. Bailey AA, Bourke MJ, Kaffes AJ, Byth K, Lee EY, Williams SJ. Needle-knife sphincterotomy: factors predicting its use and the relationship with post-ERCP pancreatitis (with video).
When treating patients with large common bile duct stones, we adhere to several core principles: 1. G. 1007/978-3-319-26854-5_2 15 16 T. Queen and G. Parasher Fig. 1 Representative difﬁcult common bile duct stone. (a) Cholangiogram showing a large, tightly impacted stone in the midcommon bile duct. A balloon catheter and basket could not be advanced proximal to the stone to retrieve it. (b) Cholangioscopic view of laser lithotripsy to fragment the stone from below. (c) A tunnel was created through the stone using holmium laser.
Direct visualization by POCS is almost always preferred over ﬂuoroscopic guidance in order to avoid damage to the bile duct wall and has largely superseded ﬂuoroscopic guidance alone as a delivery technique. In current practice, EHL without POCS is rarely ever used [6, 23]. Initially, POCS used a mother-daughter scope assembly, in which a thin caliber daughter ﬁberoptic cholangioscope was inserted through the working channel of the mother duodenoscope [10, 24]. The original daughter ﬁberoptic cholangioscopes had technical limitations due to suboptimal image quality, small instrument channel, and lack of water and air irrigation channels [10, 24].