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 …
Tag: ERCP
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 …
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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Balloon enteroscopy–assisted ERCP
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 …
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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