Post written by Anna Tavakkoli, MD, from the University of Texas Southwestern, Dallas, Texas, USA. Endoscopic retrograde cholangiopancreatography (ERCP) is the primary therapeutic procedure for a number of pancreaticobiliary diseases. The most common adverse event associated with ERCP is post-ERCP pancreatitis (PEP). Studies estimate that PEP can occur in 10% to 15% of patients, and …
Tag: ERCP
Management of an inadvertent insertion of a biliary plastic stent into the portal vein: a dreaded ERCP adverse event
Post written by Rashid Abdel-Razeq, MD, and Hassan Siddiki, MD, MS, MEd, from Cleveland Clinic Foundation, Cleveland, Ohio, USA. This article describes a case of an inadvertent biliary stent insertion into the portal vein. A multidisciplinary hybrid endoscopic and percutaneous approach successfully removed the stent and closed the biliovascular fistula without surgical intervention. It was important to showcase this video …
Risk of post–endoscopic retrograde cholangiopancreatography pancreatitis due to placement of biliary self-expandable metal stents: a single-center retrospective study
Post written by Bashar Qumseya, MD, MPH, FASGE, from the University of Florida, Gainesville, Florida, USA. This study focuses on the risk of post-ERCP pancreatitis (PEP) in patients who receive self-expandable metal stents (SEMSs) compared with plastic biliary stents at the time of ERCP. We observed several patients who underwent PEP with seemingly no other …
Endoscopic repair of Strasberg type D bile duct injury following laparoscopic cholecystectomy: an unconventional approach
Post written by Ahmad Abdulraheem, MD, and Angela Koomson, MD, from the Department of Medicine, MedStar Georgetown Washington Hospital Center, and Abdalla Khouqeer, MD, Ahmad Al-Dwairy, MD, and Walid Chalhoub, MD, from the Gastroenterology Section, Department of Medicine, MedStar Georgetown University Hospital, Washington, District of Columbia, USA. The video describes a case of severe bile duct injury managed solely with ERCP. The patient presented with acute cholecystitis due to …
Superiority of linear-array EUS over MRCP in diagnosing pancreas divisum: evidence from a multicenter retrospective study in Oriental cohorts (with video)
Post written by Jianbo Ni, MD, Yuqing Mao, MD, and Baiwen Li, MD, PhD, from the Department of Gastroenterology, Shanghai General Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China. Our multicenter study demonstrates that linear-array EUS (L-EUS) outperformed MRCP in diagnosing pancreas divisum (PD), particularly in symptomatic patients. With a sensitivity of 90.8% and an area under the receiver operating …
Percutaneous cholangioscopy-assisted rendezvous endoscopic retrograde cholangiography technique for a difficult postliver transplant anastomotic stricture
Post written by Pankaj Singh, DM Gastroenterology, Vikas Singla, DM Gastroenterology, and Akash Goel, DNB Gastroenterology, from the Centre of Gastroenterology, Hepatology and Endoscopy, Max Super Specialty Hospital, New Delhi, India. Postliver transplant anastomotic site strictures are one of the common adverse events following liver transplants. It is imperative to achieve adequate biliary drainage in such cases to preserve graft function. …
The evolution of single-use duodenoscope utilization at a large-volume endoscopic retrograde cholangiopancreatography tertiary care center
Post written by Yervant Ichkhanian, MD, and Mark A. Gromski, MD, from the Indiana University School of Medicine, Indianapolis, Indiana, USA. Duodenoscope-related infections—especially those involving multidrug-resistant organisms—have driven innovation in endoscopic technology. This study, conducted at a high-volume tertiary care center, explores the evolving integration of single-use duodenoscopes into routine endoscopic retrograde cholangiopancreatography (ERCP) practice. The goal was to examine, over …
Single-session endoscopic retrograde cholangiopancreatography and endoscopic ultrasound—guided gallbladder drainage for management of biliary obstruction and gallbladder disease
Post written by Christina Gainey, MD, from the University of North Carolina, Chapel Hill, North Carolina, USA. We wanted to study the feasibility, safety, and effectiveness of performing endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic ultrasound (EUS)—guided gallbladder drainage (EUS-GBD) in a single session to provide definitive management of biliary obstruction and prevent future biliary adverse events without …
A lifetime of pushing boundaries: thinking outside the box to endoscopically treat complex gastrointestinal diseases
Post written by Todd H. Baron, MD, MASGE, from the University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA, and Phillip S. Ge, MD, FASGE, from the University of Texas MD Anderson Cancer Center, Houston, Texas, USA. Please join iGIE in celebrating the career of Dr Todd Baron, a legendary pioneer who dared to break rules to …
Management of ERCP-related perforation: a large multicenter study
Post written by Tomoya Emori, MD, PhD, from Wakayama Rosai Hospital, Wakayama, Japan. This study retrospectively evaluated the characteristics and clinical outcomes of patients with ERCP-related duodenal perforations according to the mechanism of injury. Perforation is a rare but serious adverse event associated with ERCP. There is no consensus to guide clinicians in the management of ERCP-related …
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