Migrated surgical clips in bile duct stone suspected on EUS and verified on ERCP

Post written by Mehul Choksi, MD, DM, from S. L. Raheja Hospital in Mumbai, India. This video describes a patient who presented with primary bile duct stone formation 10 years after laparoscopic cholecystectomy. EUS showed presence of migrated surgical clips within the body of the bile duct stone. The migrated surgical clips actually act as a nidus …

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Managing GI bleeding from a created endoscopic omental patch

Post written by Ashish Sharma, MD, and Robert J. Sealock, MD, from the Department of Gastroenterology & Hepatology at Baylor College of Medicine in Houston, Texas, USA. An 80-year-old male presented to the GI lab for an endoscopic retrograde cholangiopancreatography (ERCP) for gall stone pancreatitis and high probability of choledocholithiasis. He developed an iatrogenic duodenal …

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ERCP in Billroth II gastrectomy patients

Tae Young Park, MD¹ and Tae Jun Song, MD, PhD² report their study "Outcomes of ERCP in Billroth II gastrectomy patients." We investigated the outcomes and risk factors for adverse events for endoscopic retrograde cholangiopancreatography (ERCP) using a cap-fitted forward-viewing endoscope with endoscopic papillary balloon dilation (EPBD) in Billroth II gastrectomy patients. ERCP is difficult …

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ERCP-related perforations

Vivek Kumbhari, MD, from the Department of Medicine, Division of Gastroenterology and Hepatology, Johns Hopkins Medical Institutions, in Baltimore, Maryland, USA discusses this Original Article "Algorithm for the management of ERCP-related perforations." The focus of this study was to assess patient outcomes using a predetermined algorithm based on managing ERCP-related duodenal perforations according to the …

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Type III choledochal cyst and anomalous pancreatobiliary junction

Alexander Schlachterman, MD, from the Division of Gastroenterology, Hepatology and Nutrition at the University of Florida in Gainesville, Florida, USA shares this video case, "Type III choledochal cyst and anomalous pancreatobiliary junction." A 34-year-old male with 2 episodes of acute recurrent pancreatitis was referred for endoscopic retrograde cholangiopancreatography (ERCP) to further evaluate 5 cm intraduodenal dilation …

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Bypassing the bypass

Nikhil A. Kumta, MD from the Division of Gastroenterology and Hepatology at Weill Cornell Medical College in New York, New York, USA presents this video case, "Bypassing the bypass: EUS-directed transgastric ERCP for Roux-en-Y anatomy." Patients with altered anatomy from a Roux-en-Y gastric bypass pose distinct challenges to performing endoscopic retrograde cholangiopancreatography (ERCP). In this …

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