New methods of teaching the axis in ERCP: Can I write my name?

Post written by Ivo Boškoski, MD, PhD, from the Fondazione Policlinico Gemelli, Rome, Italy, and IHU, Istitut de Chirurgie Guidée par l’Image, Strasbourg, France. This is a unique video case in which we used the Boškoski-Costamagna ERCP trainer, a duodenoscope and a specially designed pen, to write the word ERCP. This video shows to young …

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Post-ERCP pancreatitis in chronic pancreatitis

Post written by Zhuan Liao, MD, from the Department of Gastroenterology, Digestive Endoscopy Center, Changhai Hospital, Shanghai, China. The purpose of this study is to determine the incidence of post-ERCP pancreatitis (PEP) and risk factors at different clinical stages of chronic pancreatitis (CP) based on the M-ANNHEIM classification system. Therapeutic ERCP procedures are commonly used …

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Migrated surgical clips in bile duct stone suspected on EUS and verified on ERCP

Post written by Mehul Choksi, MD, DM, from S. L. Raheja Hospital in Mumbai, India. This video describes a patient who presented with primary bile duct stone formation 10 years after laparoscopic cholecystectomy. EUS showed presence of migrated surgical clips within the body of the bile duct stone. The migrated surgical clips actually act as a nidus …

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Managing GI bleeding from a created endoscopic omental patch

Post written by Ashish Sharma, MD, and Robert J. Sealock, MD, from the Department of Gastroenterology & Hepatology at Baylor College of Medicine in Houston, Texas, USA. An 80-year-old male presented to the GI lab for an endoscopic retrograde cholangiopancreatography (ERCP) for gall stone pancreatitis and high probability of choledocholithiasis. He developed an iatrogenic duodenal …

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ERCP development in the largest developing country: a national survey from China in 2013

Lei Xin, Liang-Hao Hu, and Zhao-Shen Li from Changhai Hospital, The Second Military Medical University, Shanghai, China describe their article published in the October issue of GIE. This study evaluated the ERCP development in the largest developing country, China, between 2006 and 2012, when the ERCP volume in developed countries decreased. In developed countries, the …

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EUS-guided pancreatic drainage for recurrent pancreatitis

Amy Tyberg, MD, from the Division of Gastroenterology and Hepatology, Weil Cornell Medical College, Cornell University, in New York, New York, USA presents this video case "EUS-guided pancreatic drainage for recurrent pancreatitis." This case describes a 71-year-old female with recurrent pancreatitis and a tight pancreatic duct (PD) stricture that was unable to be crossed during …

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EUS after failed ERCP

Joan B. Gornals, MD, PhD, from the Endoscopy Unit, Department of Digestive Diseases, Hospital Universitari de Bellvitge-IDIBELL, in Barcelona, Spain discusses this New Methods article "EUS-guided methylene blue cholangiopancreatography for benign biliopancreatic diseases after failed ERCP." The goal of this study was to describe and provide a new technique associated with interventional endoscopic ultrasound in …

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ERCP in Billroth II gastrectomy patients

Tae Young Park, MD¹ and Tae Jun Song, MD, PhD² report their study "Outcomes of ERCP in Billroth II gastrectomy patients." We investigated the outcomes and risk factors for adverse events for endoscopic retrograde cholangiopancreatography (ERCP) using a cap-fitted forward-viewing endoscope with endoscopic papillary balloon dilation (EPBD) in Billroth II gastrectomy patients. ERCP is difficult …

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ERCP-related perforations

Vivek Kumbhari, MD, from the Department of Medicine, Division of Gastroenterology and Hepatology, Johns Hopkins Medical Institutions, in Baltimore, Maryland, USA discusses this Original Article "Algorithm for the management of ERCP-related perforations." The focus of this study was to assess patient outcomes using a predetermined algorithm based on managing ERCP-related duodenal perforations according to the …

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Type III choledochal cyst and anomalous pancreatobiliary junction

Alexander Schlachterman, MD, from the Division of Gastroenterology, Hepatology and Nutrition at the University of Florida in Gainesville, Florida, USA shares this video case, "Type III choledochal cyst and anomalous pancreatobiliary junction." A 34-year-old male with 2 episodes of acute recurrent pancreatitis was referred for endoscopic retrograde cholangiopancreatography (ERCP) to further evaluate 5 cm intraduodenal dilation …

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