Kentaro Ishii, MD, from the Department of Gastroenterology and Hepatology, Tokyo Medical University, in Tokyo, Japan discusses this Original Article, "Balloon enteroscopy–assisted ERCP in patients with Roux-en-Y gastrectomy and intact papillae (with videos)." Balloon enteroscopy (BE)-assisted ERCP has provided a marked improvement in the success rate of reaching the papilla and consecutive ERCP procedures in …
Tag: ERCP
ERCP for patients with postsurgical anatomy
Matheus Cavalcante Franco, MD, MSc, from the Cancer Institute of São Paulo, University of São Paulo, in São Paulo, Brazil shares this VideoGIE case, "ERCP with balloon-overtube–assisted enteroscopy in postsurgical anatomy." We reported a video case of a 59-year-old man, with past surgical history of partial gastrectomy with Roux-en-Y anastomosis due to peptic ulcer complication. …
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Therapeutic ERCP in patients with cirrhosis
Ali Siddiqui, MD, from the Division of Gastroenterology and Hepatology, Jefferson University School of Medicine, in Philadelphia, Pennsylvania, USA discusses this Original Article, "Efficacy and safety of therapeutic ERCP in patients with cirrhosis: a large multicenter study." We performed a multicenter study to evaluate outcomes, efficacy, and safety of ERCP in patients with cirrhosis. We …
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Editor’s Choice: Balloon enteroscopy–assisted ERCP
Associate Editor Dr. John Saltzman highlights this article “Balloon enteroscopy–assisted ERCP in patients with Roux-en-Y gastrectomy and intact papillae (with videos)” by Ishii et al as February’s Editor’s Choice. Performing ERCP in patients with Roux-en-Y gastric bypass (RYGB) is an increasingly common clinical scenario for advanced endoscopists. The anatomy poses unique challenges including reaching the ampulla …
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Suture material in the CBD causing recurrent stones
Omair Atiq, MD, and Deepak Agrawal, MD, from the Department of Internal Medicine, Division of Digestive and Liver Diseases, University of Texas Southwestern Medical Center, in Dallas, Texas, USA, share this VideoGIE case, "Suture material in the common bile duct causing recurrent stones." We presented a case of an elderly female with recurrent episodes of …
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Editor’s Choice- When trainees reach competency in performing ERCP
Associate Editor, Douglas Adler, MD, highlights this article from the June issue of GIE--"When trainees reach competency in performing ERCP: a systematic review" by Drs Neal Shahidi, George Ou, Jennifer Telford, and Robert Enns. The article critically assesses papers that have looked at ERCP training and outcomes and shows that the more rigorously you define …
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Comparing outcomes of 2 nonanatomic EUS-guided BD routes after failed ERCP
Everson L.A. Artifon, MD, FASGE from the Department of Surgery at the University of Sao Paulo in Sao Paulo, Brazil discusses his Original Article "Hepaticogastrostomy or choledochoduodenostomy for distal malignant biliary obstruction after failed ERCP: Is there any difference?" The study demonstrated that both hepaticogastrostomy (HG) and choledochoduodenostomy (CDT) are feasible to create an EUS-guided fistula …
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ERCP or EUS-BD for malignant distal CBD obstruction
Vinay Dhir, MD from the Department of Endoscopy and Endosonography, Baldota Institute of Digestive Sciences in Mumbai, India discusses his Original Article "Multicenter comparative evaluation of endoscopic placement of expandable metal stents for malignant distal common bile duct obstruction by ERCP or EUS-guided approach." ERCP is the procedure of choice for relief of jaundice due …
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Bypassing the bypass
Nikhil A. Kumta, MD from the Division of Gastroenterology and Hepatology at Weill Cornell Medical College in New York, New York, USA presents this video case, "Bypassing the bypass: EUS-directed transgastric ERCP for Roux-en-Y anatomy." Patients with altered anatomy from a Roux-en-Y gastric bypass pose distinct challenges to performing endoscopic retrograde cholangiopancreatography (ERCP). In this …
Post-ERCP pancreatitis
Yousuke Nakai, MD, PhD from the Department of Gastroenterology, Graduate School of Medicine at The University of Tokyo in Tokyo, Japan discusses his Original Article, "Risk factors for post-ERCP pancreatitis in wire-guided cannulation for therapeutic biliary ERCP." This study was an analysis of risk factors for post-ERCP pancreatitis (PEP) in wire-guided cannulation (WGC) for therapeutic …
