Post written by Prabhleen Chahal, MD, FACG, FASGE, and C. Roberto Simons-Linares, MD, MSc, from the Gastroenterology and Hepatology Department, Digestive Disease Institute, Cleveland Clinic Foundation, Cleveland, Ohio, USA. We present a case of a delayed spontaneously migrated lumen-apposing metal stent (LAMS) that was placed in a patient with a history of Roux-en-Y gastric bypass …
Tag: ERCP
Editor’s Choice: GEA vs MAC in high-risk patients undergoing ERCP
GIE Associate Editor, Dr. Sharmila Anandasabapathy, highlights this article from the April issue “A randomized controlled trial evaluating general endotracheal anesthesia versus monitored anesthesia care and the incidence of sedation-related adverse events during ERCP in high-risk patients” by Zachary L. Smith, DO, et al. This is one of the few studies which compare, via a randomized …
Continue reading Editor’s Choice: GEA vs MAC in high-risk patients undergoing ERCP
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 …
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 …
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 …
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 …
EUS-directed transgastric ERCP
Post written by Antonio Mendoza Ladd, MD, from the Department of Medicine, Division of Gastroenterology, Texas Tech University Health Sciences Center at El Paso, El Paso, Texas, USA. This is a case of a patient with impending ascending cholangitis secondary to choledocolithiasis in the setting of a Roux-en-Y anatomy. Given her surgical anatomy, we discussed …
