Over-the-wire snare-assisted stent exchange in endoscopic retrograde cholangiopancreatography

Post written by Fateh Bazerbachi, MD, from CentraCare, Interventional Endoscopy Program, St. Cloud Hospital, St. Cloud, Minnesota, USA. Endoscopic retrograde cholangiopancreatography allows ductal stenting to alleviate symptomatic biliary or pancreatic duct strictures, and this is achieved through prosthesis placement over a guidewire. There may be a need for stent exchange during future procedures and, in …

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Use of a double-lumen cytology brush catheter to allow double-guidewire technique for endoscopic interventions

Post written by Kavel H. Visrodia, MD, from the Division of Gastroenterology, Massachusetts General Hospital, Boston, Massachusetts. In this video case series, we describe 3 distinct cases in which the use of a double-lumen cytology brush catheter to place 2 guidewires facilitated successful endoscopic interventions. The first is a case of an endoscopic retrograde cholangiopancreatography …

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Novel combination of a 0.018-inch guidewire, dedicated thin dilator, and 22-gauge needle for EUS-guided hepaticogastrostomy

Post written by Yoshihide Kanno, MD, from the Department of Gastroenterology, Sendai City Medical Center, Sendai, Japan. We presented a case of a patient with a surgically altered gastrointestinal anatomy who underwent EUS-guided hepaticogastrostomy (EUS-HGS) using a combination of a newly developed 0.018-inch guidewire, a dedicated thin dilator, and a 22-gauge needle. We often encounter …

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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 …

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