Tag: ERCP

Eversion of an inverted papilla via EUS-guided rendezvous

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Post written by Rishad Khan, MD, from the Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, Thomas M. Runge, MD, MPH, from the Division of Gastroenterology, Central Ohio VA, Columbus, Ohio, and Samuel Han, MD, MS, the Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA. A 45-year-old patient with cholecystitis and choledocholithiasis with a prohibitively high surgical risk …

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EUS-directed transduodenal ERCP in concomitant gastric outlet and biliary obstruction

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Post written by William F. Abel, MD, from Carilion Clinic, Virginia Tech, Roanoke, Virginia, USA. Concomitant gastric outlet and biliary obstruction presents a unique challenge, as severe underlying illness often limits surgical treatment options. Our study details an observational experience to both relieve the gastric outlet obstruction and allow for biliary stenting as well as anticipated future …

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Editor’s Choice: Impact of difficult biliary cannulation on post-ERCP pancreatitis: secondary analysis of the stent versus indomethacin trial dataset

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GIE Associate Editor Shivangi T. Kothari, MD, FACG, FASGE, highlights this article from the March issue: “Impact of difficult biliary cannulation on post-ERCP pancreatitis: secondary analysis of the stent versus indomethacin trial dataset” by Samuel Han, MD, MS, et al. Post-ERCP pancreatitis (PEP) remains one of the most unpredictable, humbling, and challenging adverse events of ERCP. This study highlights …

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Impact of difficult biliary cannulation on post-ERCP pancreatitis: secondary analysis of the stent versus indomethacin trial dataset

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Post written by Georgios Papachristou, MD, PhD, from the Division of Gastroenterology, Hepatology, and Nutrition, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA. This was a secondary data analysis of the stent versus indomethacin (SVI) trial, a recently completed, National Institutes of Health—funded, multicenter, randomized controlled trial including 20 centers in the United States …

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Role of endoscopy in pregnancy: a review

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Post written by Hadie Razjouyan, MD, MPH, and GIE Senior Associate Editor Jennifer L. Maranki, MD, MSc, FASGE, from the Division of Gastroenterology and Hepatology, Penn State Health, Hershey, Pennsylvania, USA. The focus of our study was the role, considerations, and safety of endoscopy in pregnant patients. Gastroenterologists are frequently consulted in the care of pregnant patients who present …

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Contaminated duodenoscopes in ERCP: sensitivity of detection and risk of underdetection

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Post written by Koen van der Ploeg, MD, MSc, from the Department of Gastroenterology and Hepatology and the Department of Medical Microbiology and Infectious Diseases, Erasmus University Medical Center, Rotterdam, The Netherlands. Endoscopes are exposed to a high load of GI flora during endoscopic procedures. Consequently, an extensive reprocessing protocol, including high-level disinfection, is performed after each …

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Endoscope traction technique to facilitate over-the-wire biliary cannulation during EUS-guided rendezvous

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Post written by Ahmed Altonbary, MD, FRCP, FESGE, from Mansoura Specialized Medical Hospital, Mansoura University, Mansoura, Egypt. We describe the "endoscope traction" technique to facilitate over-the-wire biliary cannulation during EUS-guided rendezvous, an effective salvage technique for failed biliary cannulation during ERCP. Technically challenging steps in this technique include biliary puncture, guidewire manipulation, and biliary cannulation using the …

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EUS- versus ERCP-guided biliary drainage for malignant biliary obstruction: a systematic review and meta-analysis of randomized controlled trials

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Post written by Eduardo Cerchi Barbosa from the Department of Medicine, Evangelical University of Goiás, Anápolis, Brazil, and Gilmara Coelho Meine, MD, MSc, from the Division of Gastroenterology, Department of Internal Medicine, Feevale University, Novo Hamburgo, Brazil. Periampullary cancers carry a poor prognosis and often result in malignant biliary obstruction (MBO). Despite technological advances, few cases are resectable at the …

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Fixation of the proximal flange of a lumen-apposing metal stent using a through-the-scope endoscopic suturing system to prevent stent migration in single-session EUS-directed transgastric ERCP: a pilot study

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Post written by Hafiz Muzaffar Akbar Khan, MD, from the Division of Gastroenterology and Azhar Hussain, MBBS, from the Division of Medicine, State University of New York Upstate Medical University, Syracuse, New York, USA. The aim of our study was to evaluate and describe safe and effective use of a through-the-scope endoscopic suturing system for anchoring …

Continue reading Fixation of the proximal flange of a lumen-apposing metal stent using a through-the-scope endoscopic suturing system to prevent stent migration in single-session EUS-directed transgastric ERCP: a pilot study

Clinical predictive value of renalase in post-ERCP pancreatitis

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Post written by Thiruvengadam Muniraj, MD, from the Department of Medicine, Yale University School of Medicine, New Haven, Connecticut, USA. Post-ERCP pancreatitis (PEP) is the most common adverse event after ERCP. Despite adoption of several strategies such as rectal indomethacin, pancreatic duct stent placement, and aggressive fluid administration, incidence of PEP remains substantial. Identifying patients who are likely to develop …

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