Post written by Arjun Chatterjee, MD, from the Department of Internal Medicine, Cleveland Clinic Foundation, Cleveland, Ohio, USA. A 61-year-old man presented with intermittent right-upper-quadrant pain, nausea, and vomiting. A CT scan of his abdomen revealed choledocholithiasis and large cholelithiasis. His medical and surgical history included severe obesity, Roux-en-Y gastric bypass, bowel perforation with extensive resection, …
Tag: ERCP
Helix tack for lumen-apposing metal stent fixation in single-session EUS-directed transgastric ERCP
Post written by Kambiz S. Kadkhodayan, MD, from the Center for Interventional Endoscopy, AdventHealth, Orlando, Florida, USA. We describe the use of a helix tack system to anchor the proximal flange of a lumen-apposing metal stent (LAMS) to the gastric pouch during a single-session EUS-directed transgastric ERCP (SS-EDGE). This video case also describes a reverse …
Performance of single-use duodenoscopes for ERCP: a systematic review and meta-analysis
Post written by Harishankar Gopakumar, MD, FACP, from the Division of Gastroenterology, Hepatology and Nutrition, University of Illinois College of Medicine at Peoria, Peoria, Illinois, USA. This study is a systematic review and meta-analysis of the performance characteristics, safety profile, and overall endoscopist satisfaction with single-use fully disposable duodenoscopes. Transmission of exogenous pathogens during ERCP using …
With a little help from my friends: percutaneously assisted internalization of a biliary drain
Post written by Jad AbiMansour, MD, from the Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA. We present the use of a preexisting percutaneous transhepatic biliary drain to distend the left biliary system and facilitate the completion of EUS-guided hepaticogastrostomy (EUS-HG), successfully internalizing the drain. This case highlights a multidisciplinary, collaborative approach and a …
Cognitive ERCP: decision making during successful retrieval of proximally migrated biliary stent
Post written by Arjun Chatterjee, MD, from the Department of Internal Medicine, Cleveland Clinic Foundation, Cleveland, Ohio, USA. A 56-year-old man presented with painless jaundice. A CT scan reported a pancreatic mass, and he underwent ERCP at an outside facility with the placement of a plastic biliary stent through distal biliary stricture and EUS-guided biopsy of …
Comparison of technical failures and patient-related adverse events associated with 3 widely used mechanical lithotripters for ERCP: insights from the U.S. Food and Drug Administration Manufacturer and User Facility Device Experience database
Post written by Douglas G. Adler, MD, FACG, AGAF, FASGE, from the Center for Advanced Therapeutic Endoscopy, Centura Health, Denver, Colorado, USA, and incoming GIE Editor-in-Chief. We analyzed the U.S. Food and Drug Administration’s Manufacturer and User Facility Device Experience (MAUDE) database for all reports of patient-related adverse events and device failures associated with the 3 …
Incidence of sedation-related adverse events during ERCP with anesthesia assistance: a multicenter observational study
Post written by Linda C. Cummings, MD, from the Division of Gastroenterology and Liver Disease, Department of Medicine, University Hospitals Cleveland Medical Center, and the Department of Medicine, Case Western Reserve University School of Medicine, Case Western Reserve University, Cleveland, Ohio, USA. Our study used anesthetic case data from a multicenter consortium to compare 2 …
Cholangiocarcinoma obscured by a large paraesophageal hernia causing traction compression of the common hepatic duct ultimately diagnosed with percutaneous cholangioscopy
Post written by Sooraj Tejaswi, MD, MSPH, from UC Davis School of Medicine, Sacramento, California, USA. We describe a multidisciplinary approach to obstructive jaundice due to 2 concurrent etiologies. A 75-year-old man was transferred from an outside hospital for unresolving jaundice and elevated CA 19-9, despite a functioning percutaneous biliary drain (PBD) placed for biliary …
Efficacy and factors affecting procedure results of short-type single-balloon enteroscopy–assisted ERCP for altered anatomy: a multicenter cohort in Japan
Post written by Yuki Tanisaka, MD, PhD, from the Department of Gastroenterology, Saitama Medical University International Medical Center, Saitama, Japan. ERCP is considered challenging in patients with surgically altered anatomy. Procedural outcomes using a conventional endoscope have not been satisfactory. A short-type single-balloon enteroscopy (short SBE)–assisted ERCP has been reported as useful in patients with …
Endoscopic-mediated, biliary hydrodynamic injection mediating clinically relevant levels of gene delivery in pig liver
Post written by Robert L. Kruse, MD, PhD, from the Department of Pathology, The Johns Hopkins University School of Medicine, Baltimore, Maryland, USA. Viral-based approaches predominate the field of gene therapy for rare diseases but suffer many limitations including anti-vector immune responses and high cost of manufacturing. Our study focused on developing a novel nonviral …
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