In vivo diagnosis of intraductal papillary mucinous neoplasm with per-oral pancreatoscopy–guided confocal laser endomicroscopy

Post written by Yuki Tanisaka, MD, PhD, from the Department of Gastroenterology, Saitama Medical University International Medical Center, Saitama, Japan. Our patient was a 79-year-old man in whom computed tomography indicated expansion of the main pancreatic duct. Endoscopic ultrasound (EUS) showed expansion of the entire pancreatic duct but could not detect the villous protrusions. Endoscopic …

Continue reading In vivo diagnosis of intraductal papillary mucinous neoplasm with per-oral pancreatoscopy–guided confocal laser endomicroscopy

Successful liver-directed gene delivery by ERCP-guided hydrodynamic injection

Post written by Vivek Kumbhari, MD, from the Department of Medicine and Division of Gastroenterology and Hepatology, The Johns Hopkins Medical Institutions, Baltimore, Maryland, USA. The success of gene-targeted therapy depends on 2 fundamental steps; the first being the intracellular delivery and the second is the genetic modification of the target cells. The first step …

Continue reading Successful liver-directed gene delivery by ERCP-guided hydrodynamic injection

Excavation of a fossilized biliary stent

Post written by Brian S. Lim, MD, MCR, FASGE, from the School of Medicine, University of California, and the Department of Gastroenterology, Kaiser Permanente Riverside Medical Center, Riverside, California, USA. A 60-year-old male presented with right lower-quadrant pain and fever. CT (computed tomography) abdomen showed acute appendicitis, but also an incidental biliary stent. The atient …

Continue reading Excavation of a fossilized biliary stent

Comparing EUS-GG-ERCP and e-ERCP in patients with RYGB

Post written by Majidah Bukhari, MBBS, MD, FRCPC, from the Department of Medicine and Division of Gastroenterology and Hepatology, The Johns Hopkins Medical Institutions, Baltimore, Maryland, USA, and King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia. Roux-en-Y gastric bypass (RYGB) remains one of the most commonly performed bariatric surgeries worldwide. ERCP in patients with …

Continue reading Comparing EUS-GG-ERCP and e-ERCP in patients with RYGB

Efficacy of EUS-guided and ERCP-guided biliary drainage for malignant biliary obstruction

Post written by Young Sik Woo, MD and Kwang Hyuck Lee, MD, from the Division of Gastroenterology, Department of Medicine, Kangnam Sacred Heart Hospital, Hallym University College of Medicine, and the Division of Gastroenterology, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. The standard treatment of obstructive jaundice has been …

Continue reading Efficacy of EUS-guided and ERCP-guided biliary drainage for malignant biliary obstruction

Use of flashing light to warn against radiation exposure

Post written by Bing Hu, MD, from the Department of Gastroenterology, West China Hospital, Sichuan University, Chengdu, Sichuan, China. Our study focuses on whether a flashing warning light adopted as a behavioral intervention for performers reduces fluoroscopy time (FT) and radiation exposure during ERCP. ERCP is widely used in the diagnosis and treatment of biliary …

Continue reading Use of flashing light to warn against radiation exposure

Fifty years of ERCP: a personal review

Content contributed by Peter B. Cotton, MD, FRCS, FRCP, from the Digestive Disease Center, Medical University of South Carolina, Charleston, South Carolina, USA.   The focus of this article is on how endoscopic retrograde cholangiopancreatography (ERCP) started, how it has evolved over a 50-year period, and the current challenges related to it. Writing this article …

Continue reading Fifty years of ERCP: a personal review