Read e-book online Advanced Pancreaticobiliary Endoscopy PDF

By Douglas G. Adler

This quantity offers a complete advisor to complex endoscopic techniques and strategies. essentially occupied with Endoscopic Retrograde Cholangiopancreatography (ERCP) and Endoscopic Ultrasound (EUS), the publication additionally explores comparable themes reminiscent of cholangioscopy, pancreatoscopy, complex pancreaticobiliary imaging, stenting, and endoscopic ability to accomplish ache keep watch over. The textual content additionally offers a plethora of counsel and methods on tips to practice those methods effectively, emphasizes universal blunders and the way to prevent them, and contours prime quality movies illustrating key procedural features 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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B) Fluoroscopic images showing ERCP with cholangioscope-guided laser lithotripsy for intrahepatic stones. (c) After multiple session of laser lithotripsy, the duct has been cleared of stones limb can be difficult due to the side-view optics inherent to duodenoscopes [93]. Several techniques have been proposed to help facilitate successful endoscopy in this situation. Applying external compression and changing the position of the patient (often from prone to left lateral decubitus position) may be helpful when advancing the endoscope [93].

The use of an overtube to prevent looping often helps to increase the chance of successful DPOC procedure. 3 % of the patients (10 of 12 patients) [47]. , the feasibility and success rate of DPOC using an ultraslim anchored via an intraductal balloon was assessed and compared to the use of the traditional guidewire method [45]. In this study, 21 patients, including 3 patients in whom guidewire-based access approaches failed, underwent intraductal balloon-guided DPOC. 025-in. diameter guidewire was placed into a branch of the intrahepatic duct after biliary sphincterotomy.

This is followed by advancement of the ultraslim scope over the guidewire under direct endoscopic and fluoroscopic visualization [24]. The ultraslim scope is advanced through the stomach and duodenum and into the ampulla of Vater [24]. Looping of the ultraslim scope can occur even when the guidewire is in place. The use of an overtube to prevent looping often helps to increase the chance of successful DPOC procedure. 3 % of the patients (10 of 12 patients) [47]. , the feasibility and success rate of DPOC using an ultraslim anchored via an intraductal balloon was assessed and compared to the use of the traditional guidewire method [45].

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