Post written by Chukwunonso Ezeani, MD, from Baton Rouge General Medical Center, Baton Rouge, Louisiana, USA. This is a case of an 88-year-old woman with a history of cholecystectomy 30 years prior who presented with acute-onset right upper quadrant pain, nausea, and vomiting. Laboratory and imaging data were consistent with choledocholithiasis, with the bile duct measuring …
Tag: ERCP
Long-term prognosis and risk factors associated with post-ERCP pneumobilia in patients with common bile duct stones
Post written by Enqiang Linghu, MD, from the Department of Gastroenterology, The First Medical Center of Chinese PLA General Hospital, Beijing, China. This investigation comprehensively assesses the long-term outcomes of patients experiencing post-ERCP pneumobilia and identifies the risk factors associated with post-ERCP pneumobilia. Post-ERCP pneumobilia is not uncommon, and its occurrence often indicates disruption of the …
EUS-directed transenteric ERCP with giant intrahepatic stone lithotripsy after a LAMS-in-LAMS rescue in response to a misdeployment
Post written by Giuseppe Vanella, MD, from the Pancreatobiliary Endoscopy and Endosonography Division, IRCCS San Raffaele Scientific Institute, Milan, Italy. Our video case shares a compelling demonstration of EUS-directed transenteric ERCP (EDEE) in managing complex biliary adverse events in a patient with surgically altered anatomy. An 80-year-old woman with a history of Roux-en-Y hepaticojejunostomy presented with …
ChatGPT for advice on common GI endoscopic procedures: the promise and the peril
Post written by Daniel Yan Zheng Lim, MRCP, MTech, from Duke-NUS Medical School, Department of Gastroenterology and Hepatology, Singapore General Hospital, and Data Science and Artificial Intelligence Laboratory, Singapore General Hospital, Singapore. This study examines the ability of ChatGPT to answer common questions about endoscopic procedures that patients might pose. ChatGPT is an advanced artificial intelligence …
Continue reading ChatGPT for advice on common GI endoscopic procedures: the promise and the peril
Successful retrieval of a retained fractured ERCP guidewire in the pancreatic duct
Post written by Jorge D. Machicado, MD, MPH, from the Division of Gastroenterology and Hepatology, University of Michigan, Ann Arbor, Michigan, USA. In this video, we describe a case of a guidewire that fractured in the pancreatic duct during ERCP and different tools used for its successful removal. This occurred during attempts at placing a plastic …
Continue reading Successful retrieval of a retained fractured ERCP guidewire in the pancreatic duct
Endoscopic repair of surgically transected bile duct using overlapping covered metal stents
Post written by Thomas Tielleman, MD, from the University of Texas Southwestern Medical Center, Dallas, Texas, USA. This is a case of a 48-year-old man who underwent cholecystectomy complicated by hemoperitoneum requiring take-backs to the operating room. A complete bile duct transection ultimately complicated the surgeries. Cholangiography from ERCP and percutaneous transhepatic cholangiography confirmed a large …
EUS-guided enteroenterostomy to facilitate peroral altered anatomy ERCP
Post written by Romik P. Srivastava, MD, from the Medical University of South Carolina, Charleston, South Carolina, USA. In our video series, we present 4 cases of patients with non—gastric bypass altered anatomy who required complex ERCP. To facilitate peroral ERCP using a therapeutic gastroscope or duodenoscope, we created an EUS-guided enteroenterostomy in order to shorten …
Continue reading EUS-guided enteroenterostomy to facilitate peroral altered anatomy ERCP
Two clues make a proof: EUS-directed transgastric ERCP in twice-surgically altered anatomy—Roux-en-Y gastric bypass conversion of a sleeve gastrectomy
Post written by Giuseppe Vanella, MD, from the Pancreatobiliary Endoscopy and Endosonography Division, IRCCS San Raffaele Institute, Milan, Italy. In the realm of endoscopy, the advent of lumen-apposing metal stents (LAMSs) has paved the way for innovative solutions to challenges once considered insurmountable. One such breakthrough is the technique known as EUS-directed transgastric ERCP (EDGE), which …
Clip-and-line traction method for difficult ERCP cannulation due to choledochocoele
Post written by Mark Henrik Bonnichsen, MBBS (Hon), from the Department of Gastroenterology and Hepatology, Singapore General Hospital, Singapore. We describe a case of a 77-year-old woman who underwent ERCP for choledocholithiasis and surveillance MRCP for an intraductal papillary mucinous neoplasm. MRCP also showed an incidental choledochocoele. At ERCP, the choledochocoele made visualization of the …
Continue reading Clip-and-line traction method for difficult ERCP cannulation due to choledochocoele
Clinical outcomes and learning curve for ERCP during advanced endoscopy training: a comparison of supine versus prone positioning
Post written by Danny Issa, MD, from UCLA, Los Angeles, California, USA. This study explores the clinical outcomes of ERCP in the supine versus prone patient position when performed by a trainee. Studies have reported variable outcomes of ERCP in each position. In the United States, the majority of ERCPs are performed in prone positions. Nevertheless, …
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