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
ERCP
ERCP
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
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,
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
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
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
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
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
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
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
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.
DEGEA-live: Hygiene im Rahmen der ERCP
Im Rahmen der ERCP spielt die Hygiene eine wichtige Rolle, um ein Arbeiten unter keimarmen Kautelen und eine sichere Aufbereitung zu gewährleisten. Es erwarten Sie
Sicherheit in der ERCP: Welche Argumente gibt es noch für den Langdraht?
Interessante Vorträge und Diskussionen rund um das Thema Kurzdrahtsystem mit PD Dr. med. Christian Bojarski und Jorgert Kishta von der Charité Berlin, Campus Benjamin Franklin,
DGE-BV online: FOKUS ERCP – LOGISTIK UND PERFORMANCE
Axel Eickhoff, Nils Andersen, Alexander Meining und Guido Schachschal werden unter der Moderation von Ulrike Denzer und Ulrich Rosien die aktuellen Themen Green Endoscopy, Einmal-Duodenoskopie
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
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
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
DEGEA live Training: Hygiene in der ERCP
In diesem DEGEA „Pflege führt Regie“ Training diskutieren Experten aus Deutschland, Österreich und der Schweiz über relevante Hygiene und Sicherheitsaspekte während einer ERCP. Es wurde
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
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
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
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
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
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.
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.
5. degea live – Pflege führt Regie – 22.05.19 – Thema: ERCP
5. degea live – Pflege führt Regie – 22.05.19 – Thema: ERCP
Degea Lehrvideo – Tischvarianten zur ERCP
„Tischvarianten zur ERCP Die ERCP erfordert die Vorbereitung eines sterilen Instrumententisches, um während des Eingriffs ein Arbeiten unter keimarmen Kautelen zu ermöglichen. Es werden 3
Degea Lehrvideo – Lagerung zur ERCP
„Lagerung zur ERCP Die fachgerechte Lagerung zur ERCP dient der Patientensicherheit, verhindert unnötiges Umlagern und steigert den Untersuchungskomfort. 3 verschiedene Lagerungsmöglichkeiten werden gezeigt.“
EUS-gesteuerte Gallengangdrainage statt konventionellem Stenting via ERCP?
Die endosonographische gesteuerte Punktion des Gallengangsystems mit anschließender Stenteinlage zur Therapie bei malignen Verschlussikterus hat sich mittlerweile zu einem „Renner“ der interventionellen Endoskopie entwickelt.
Challenges of EUS-FNA of an Uncinate Pancreatic Mass
This video demonstrates the challenges associated with EUS-guided FNA of a pancreatic uncinate mass.
Endoskopische Papillektomie intraduktaler Befall
Endoskopische Papillektomie intraduktaler Befall
Endoskopische Papillektomie mit Blutung
Endoskopische Papillektomie mit Blutung ECN 2018
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
Y-Roux-Anatomie nach Magenresektion
Lars Aabakken aus Oslo erklärt diesmal im Rahmen seiner Reihe „Lars explains Anatomy“ die Anatomie und endoskopischen Schwierigkeiten nach einer kompletten oder subtotalen Gastrektomie mit
Sedierung in der Endoskopie: Besser durch Anästhesisten als durch Gastroenterologen?
In den Deutsch-sprachigen Ländern (wie auch in Skandinavien) erfolgten die Mehrzahl der (zumeist diagnostischen) Endoskopien, in den sechziger und siebziger Jahren des vergangen Jahrhunderts, unsediert.
Zweifel an der Wirksamkeit von NSAR gegen die Post-ERCP-Pankreatitis ?
Der Einsatz von nicht-steroidalen Antirheumatika (NSAR) wie zum Beispiel Indometacin oder Diclofenac zur Prävention der post-ERCP-Pankreatitis (PEP) wurde durch zahlreiche Studien weltweit belegt obwohl nicht