ERCP

ERCP

ASGE Journal Scan | Pancreas

Both Balloon Enteroscopy ERCP and EUS-Guided Antegrade Treatment Are Reasonable Options for Choledocholithiasis After Roux-en-Y Gastrectomy

Managing choledocholithiasis in patients after Roux-en-Y gastrectomy is challenging, and with no excluded stomach, endoscopic ultrasound (EUS)-guided transmural lumen-apposing metal stent placement is significantly more

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ASGE Journal Scan | Pancreas

Performance of Published Criteria in Predicting Choledocholithiasis in Practice

Choledocholithiasis can be identified through multiple means, including a right upper quadrant ultrasound, endoscopic ultrasound (EUS), endoscopic retrograde cholangiography (ERCP), magnetic resonance cholangiopancreatography (MRCP), and

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ASGE Journal Scan | EUS

Is Upfront EUS-Guided Biliary Drainage a Wise Option in Patients With Malignant Distal Biliary Obstruction?

Traditionally, malignant biliary obstruction is relieved by placing a transpapillary stent during endoscopic retrograde cholangioscopy (ERCP). Pancreatitis is a possible adverse event of ERCP. Additionally,

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ASGE Journal Scan | Pancreas

Large Single-Use Duodenoscope Experience Shows High Success and Low Crossover Rates

Single-use duodenoscopes were developed to eliminate the risk of duodenoscope-associated transmission of infections. However, there are concerns that the performance of single-use duodenoscopes may not

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ASGE Journal Scan | Pancreas

Lessons Learned After Post-ERCP Mortality

ERCP is a vital endoscopic procedure for the management of pancreatobiliary disease but is associated with serious adverse events, including mortality. Although a central tenet

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ASGE Journal Scan | Pancreas

Primary EUS Choledochoduodenostomy Is Safe and Efficacious in Malignant Biliary Obstruction

Palliation of malignant biliary obstruction is required to facilitate oncologic therapy and relief of symptoms. Although this is almost always performed with ERCP, biliary cannulation

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ASGE Journal Scan | Pancreas

Consensus Guidelines Recommend Monitored Anesthesia Care for Most ERCPs

Adequate patient sedation is essential for the successful completion of ERCP; however, delivery methods of anesthesia vary between providers, with most endoscopists favoring deep sedation

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ASGE Journal Scan | Pancreas

Papillary Morphology Predicts Difficult Biliary Cannulation

Successful and safe ERCP requires the endoscopist to cannulate the duct of interest successfully and efficiently. Although operator skill clearly influences procedure success, there is

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ASGE Journal Scan | Stomach and Small Bowel

Can We Improve Quality in ERCP and EUS?

ERCP and EUS are essential in treating a variety of disease entities. Metrics exist to measure performance quality, but data are necessary to improve quality

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ASGE Journal Scan | Pancreas

True Rate of Post-ERCP Pancreatitis: Do Randomized Trials Provide the Answer?

Pancreatitis after ERCP is one of the most common and morbid adverse events following any gastrointestinal endoscopy procedure. It is imperative that the consent process

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ASGE Journal Scan | EUS

Prevention of Cholecystitis in Patients Undergoing ERCP for Malignant Distal Biliary Obstruction Involving the Cystic Duct: A Novel Technique

Cholecystitis following biliary drainage with a self-expandable metallic stent (SEMS) in patients with distal malignant biliary obstruction (MBO) and cystic duct orifice involvement is significant.

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ASGE Journal Scan | Colon

U.S. GI Endoscopy Volumes: Biggest Change Is Increases in Upper Endoscopic Ultrasound

This article uses data from multiple sources to estimate gastrointestinal, liver, and pancreatic health care expenditures, ambulatory visits, and hospitalizations, as well as endoscopic procedural

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ASGE Journal Scan | Pancreas

Incision Improves Success and Safety for Difficult Biliary Access Compared With Wire- or Stent-Guided Entry

A variety of techniques have been described for achieving deep biliary cannulation, a necessary prelude to most endoscopic retrograde cholangiographic (ERCP) procedures. The rate of

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ASGE Journal Scan | Pancreas

BILE Criteria to Assess ERCP Need in Cholangitis May Be More Sensitive, Less Cumbersome Than Others

Biliary obstruction with associated cholangitis usually is managed with the use of endoscopic retrograde cholangiopancreatography (ERCP) for stone extraction or stent decompression of the bile

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ASGE Journal Scan | Pancreas

Better, but Insufficient Results From Duodenoscope Reprocessing With Double Wash and High-Level Disinfection or Liquid Chemical Sterilization

The potential for interpatient transmission of infections by contaminated duodenoscopes is a significant concern in the practice of ERCP. Pending further understanding and development of

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ASGE Journal Scan | Pancreas

Updated Criteria for Prediction of Choledocholithiasis Add Specificity

A variety of recommendations have been proposed for predicting choledocholithiasis based upon presenting signs, symptoms, initial laboratory studies, and imaging. In this retrospective study, the

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ASGE Journal Scan | Pancreas

Further Evidence Supporting Early, Primary Use of Precut Sphincterotomy for Duct Access

Deep access to the bile duct or the pancreatic duct is required in order to complete all subsequent therapeutic ERCP maneuvers. Precut sphincterotomy (PCS) refers

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ASGE Journal Scan | Pancreas

First Single-Use Duodenoscope Measures up in Direct Comparison for Low-Complexity Procedures

The development of single-use (disposable) endoscopes is one approach to eliminating infection transmission between sequential patients during endoscopy. This single-center study randomized patients undergoing endoscopic

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ASGE Journal Scan | Pancreatobiliary System and Liver

Discovering Adverse Events By Phone – the Sweet Spot is 7 Days After ERCP

Identification of adverse events following gastrointestinal endoscopy can be challenging due to patient reticence to present for mild to moderate problems and dispersed follow-up among

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ASGE Journal Scan | Pancreatobiliary System and Liver

When Draining Walled-Off Pancreatic Necrosis, Attention to Disconnected Pancreatic Duct Syndrome Guides Terminal Steps in Therap

Internal drainage using large-caliber lumen-apposing metal stents (LAMS) is now a dominant therapy for acute fluid collections and walled-off pancreatic necrosis associated with acute pancreatitis.

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ASGE Journal Scan | PANCREATOBILIARY

Single-Use Duodenoscope Functionality Excellent in Early Studies

Bret T. Petersen, MD, FASGE, reviewing Muthusamy VR, et al. Clin Gastroenterol Hepatol 2019 Nov 6 and Ross A, et al. Gastrointest Endosc 2020 Feb.

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Endosonography | Teaching Videos

Challenges of EUS-FNA of an Uncinate Pancreatic Mass

This video demonstrates the challenges associated with EUS-guided FNA of a pancreatic uncinate mass.

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ERCP | Teaching Videos | Upper GI tract

Lars explains Anatomy – Gastric Bypass

Die Anzahl an durchgeführten Adipositas-OPs steigt weltweit. Für jeden Endoskopiker ist es wichtig die Anatomie nach einer Magen-Bypass-OP zu kennen um evtl. Komplikationen nach diesen

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ERCP | Teaching Videos | Upper GI tract

Roux-en-Y anatomy after gastric resection

This video illustrates the altered anatomy resulting after the type of gastric resection that is carried out for gastric carcinoma, for example. Bowel continuity is

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ERCP | Literature

Sedation in endoscopy: better administered by the anesthetist than the gastroenterologist?

In the German-speaking countries (and also in Scandinavia), the majority of endoscopic procedures (usually diagnostic) that were carried out in the 1960s and 1970s were

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ERCP | Literature | Pancreas

NSAIDs against post-ERCP pancreatitis – any doubts ?

The application of non-steroidal anti-inflammatory drugs (NSAIDs) such as indometacin or diclofenac to prevent post-ERCP pancreatitis (PEP) has been examined in several randomized trials throughout

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