Fully covered SEMSs to dilate persistent pancreatic strictures in chronic pancreatitis

Post written by Andrea Tringali, MD, PhD, from the Digestive Endoscopy Unit, Fondazione Policlinico Universitario Agostino Gemelli - IRCCS, Catholic University, and CERTT, Centre for Endoscopic Research, Therapeutics and Training - Catholic University, Rome, Italy. Pancreatic duct drainage by ERCP and insertion of plastic stents is effective in the treatment of pain related to chronic …

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Recurrent acute pancreatitis in a toddler: a “wormy surprise”

Post written by Zaheer Nabi, MD, DNB, from the Asian Institute of Gastroenterology, Hyderabad, India. The video case describes a 3-year-old child presenting with recurrent episodes of acute pancreatitis. Etiological evaluation revealed multiple calculi in the gallbladder on transabdominal ultrasonography. Expecting a calculus in the bile duct, we performed an endosonography to confirm. Surprisingly, endosonography …

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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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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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Managing acute hemorrhagic pancreatitis

Ji Young Bang, MD, MPH, from the Division of Gastroenterology and Hepatology, Indiana University, in Indianapolis, Indiana, USA presents this video case "Management of acute hemorrhagic pancreatitis after EUS-guided FNA of a pancreatic cyst." Our VideoGIE video describes a case of a patient presenting with acute pancreatitis and a hemorrhagic pancreatic fluid collection (PFC) following EUS-FNA …

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EUS-guided pancreatic duct access and wire placement

Rajeev Attam, MD, from Kaiser Permanente, Downey, in Los Angeles, California, USA presents this video case "EUS-guided pancreatic duct access and wire placement to facilitate dorsal duct cannulation after failed ERCP." A 62-year-old woman was referred to us for management of recurrent pancreatitis in a setting of pancreatic divisum. Imaging confirmed pancreatic divisum and revealed mildly …

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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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Debridement of walled-off pancreatic necrosis

Ryan Law, DO from the Division of Gastroenterology and Hepatology at the Mayo Clinic in Rochester, Minnesota, USA presents this video case "Simultaneous transgastric and transcolonic debridement of walled-off pancreatic necrosis." Our video demonstrates concomitant transgastric and transcolonic debridement of pancreatic necrosis in a patient 4 weeks after an episode of severe acute pancreatitis with …

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