By Douglas G. Adler
This quantity presents a accomplished advisor to complicated endoscopic systems and methods. basically interested by Endoscopic Retrograde Cholangiopancreatography (ERCP) and Endoscopic Ultrasound (EUS), the e-book additionally explores comparable themes reminiscent of cholangioscopy, pancreatoscopy, complicated pancreaticobiliary imaging, stenting, and endoscopic ability to accomplish discomfort keep an eye on. The textual content additionally provides a plethora of assistance and methods on how you can practice those tactics adequately, emphasizes universal error and the way to prevent them, and contours top of the range video clips illustrating key procedural points for each chapter.
Written via best specialists within the box, Advanced Pancreaticobiliary Endoscopy is a useful source for gastrointestinal endoscopists and fellows attracted to complicated endoscopic techniques.
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Additional resources for Advanced Pancreaticobiliary Endoscopy
In a study of six patients with previous Roux-en-Y anastomosis, tract dilation, anterograde balloon sphincteroplasty, and stone extraction were successful in 67 % (four out of six) of the patients . Anterograde sphincteroplasty failed in two patients due to an inability to advance the transhepatic dilation catheters .
2013;37(2):171–6. Elta GH, Barnett JL, Wille RT, et al. Pure cut electrocautery current for sphincterotomy causes less post-procedure pancreatitis than blended current. Gastrointest Endosc. 1998;47:149–53. Stefanidis G, Karamanolis G, Viazis N, et al. A comparative study of postendoscopic sphincterotomy complications with various types of electrosurgical current in patients with choledocholithiasis. Gastrointest Endosc. 2003;57:192–7. Verma D, Kapadia A, Adler DG. Pure versus mixed electrosurgical current for endoscopic biliary sphincterotomy: a meta-analysis of adverse outcomes.
74 % of the patients achieved biliary duct clearance with one endoscopic session. 1 %. One patient had mild post-ERCP pancreatitis and two patients experienced minor bleeding thought to be arising from the bile duct wall. The study concluded that the Ho:YAG LL system was effective and safe in the treatment for patients with difﬁcult to manage biliary stones . Direct Peroral Cholangioscopy-Guided EHL or LL When EHL or LL is required, most centers use the Spyglass direct visualization cholangioscope for guidance during lithotripsy.
Advanced Pancreaticobiliary Endoscopy by Douglas G. Adler