Post written by Michael Lajin, MD, from Sharp HealthCare, La Mesa, California, USA. In this case series, we present 3 patients who underwent EUS-directed transenteric ERCP (EDEE) (2 with Roux-en-Y hepaticojejunostomy [RYHJ] and 1 with Roux-en-Y distal gastrectomy) to treat biliary strictures or stones or to replace percutaneous transhepatic biliary drainage (PTBD) with endoscopic stent …
Tag: ERCP
Risk factors for bleeding after endoscopic retrograde cholangiopancreatography: a systematic review and meta-analysis
Post written by Aamir Saeed, MD, from the University of Tennessee Health Sciences Center, Memphis, Tennessee, and Faisal Kamal, MD, from the Division of Gastroenterology and Hepatology, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA. We conducted a systematic review and meta-analysis to evaluate the predictors of post-ERCP bleeding. We also performed subgroup analyses to identify …
Enhanced endoscopic papilla visualization for endoscopic retrograde cholangiopancreatography under indocyanine green: proof of concept in a preclinical model
Post written by Ariosto Hernández-Lara, MD, MSc, from the Institute of Image-Guided Surgery, Angeles Health System, Strasbourg, France. In this video, we present proof of concept of indocyanine green (ICG)-guided ERCP in a 30-kg pig that underwent duodenoscopy with a therapeutic colonoscope to reach the pig’s papilla and maintain insufflation while receiving 0.1 mg/kg ICG …
Through-the-scope fully covered self-expandable metal stent with biflanged ends for ampullary access in severe duodenal obstruction
Post written by Rahul Karna, MD, and Stuart K. Amateau, MD, PhD, FASGE, FACG, AGAF, from the University of Minnesota Medical Center, Minneapolis, Minnesota, USA. Our article highlights a case of an 80-year-old white woman who presented for evaluation of biliary obstruction in the setting of indeterminate gastric outlet obstruction. The accompanying video demonstrates use …
Therapeutic endoscopic ultrasound with a novel adaptable endoscopic ultrasound probe and vision system
Post written by Carlos Robles-Medranda, MD, FASGE, AGAF, from the Instituto Ecuatoriano de Enfermedades Digestivas and Endoscopy Net, Guayaquil, Ecuador. This video presents our early clinical experience with the EndoSound Vision System (Portland, Ore, USA), a compact, portable, disposable EUS probe that clips onto a flexible upper GI endoscope while preserving the working channel. We demonstrate device …
Comparative safety and efficacy of remimazolam versus propofol for endoscopic retrograde cholangiopancreatography with the patient under deep sedation: a multicenter randomized controlled trial
Post written by Sung Yong Han, MD, PhD, from the Department of Internal Medicine and Biomedical Research Institute, Pusan National University Hospital and Pusan National University School of Medicine, Busan, Jae Hee Cho, MD, PhD, from the Division of Gastroenterology, Department of Internal Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, and Dongwook Oh, MD, PhD, from the Division of …
Usability of a novel cholangiopancreatoscope for tumor detection and stone management
Post written by Shuji Mitsuhashi, MBBS, Chinmay Guralwar, MBBS, and Vinay Chandrasekhara, MD, from the Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA. This video demonstrates the use of a novel single-use peroral cholangiopancreatoscopy system (Dragonfly Endoscopy Inc, Englewood, Colo, USA) for diagnostic and therapeutic pancreatobiliary interventions during ERCP. The cases highlight direct visualization of indeterminate biliary strictures, intraductal tumor evaluation with …
Efficacy of splinting tube-assisted duodenoscope insertion in patients with an inaccessible major papilla: a single-center retrospective study (with video)
Post written by Kento Shionoya, MD, PhD, Kenjiro Yamamoto, MD, PhD, and Takao Itoi, MD, PhD, from the Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan. Selective biliary cannulation during ERCP can be particularly challenging when the major papilla is difficult to access because of deformity, tortuosity, or anatomical constraints in the upper GI tract. In such situations, reaching the papilla …
Burden and cost of post–endoscopic retrograde cholangiopancreatography pancreatitis among commercially insured people undergoing endoscopic retrograde cholangiopancreatography
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 …
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 …
