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 …
Tag: ERCP
EUS- versus ERCP-guided biliary drainage for malignant biliary obstruction: a systematic review and meta-analysis of randomized controlled trials
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 …
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
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 …
Clinical predictive value of renalase in post-ERCP pancreatitis
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 …
Continue reading Clinical predictive value of renalase in post-ERCP pancreatitis
Cholangioscopy as a rescue for a post-cholecystectomy adherent stone formed around a migrated surgical clip in the common bile duct
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 …
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 …
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