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Therapeutic and Advanced ERCP, An Issue of Gastrointestinal Endoscopy Clinics - E-Book

Therapeutic and Advanced ERCP, An Issue of Gastrointestinal Endoscopy Clinics - E-Book

Michel Kahaleh

(2011)

Additional Information

Abstract

Dr. Kahaleh's expertise as the Chief of Advanced Endoscopy at Weill Cornell Medical Center has allowed him to gather top experts to write state-of-the art reviews devoted to therapeutic ERCP. Articles address therapeutic ERCP and instrumentation; advanced cannulation technique and precut; stone burden in the bile and pancreatic duct; the available platforms for choledochopancreatoscopy; ERCP and Biliary Imaging; ERCP for sampling and tissues acquisition; ERCP and Intraductal ablation therapies; ERCP for distal malignant stricture; management of benign biliary stricture; treatment of common bile duct injuries after surgery; EUS guided ERCP; prevention of post-ERCP pancreatitis, and legal Matters related to ERCP.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Gastrointestinal Endoscopy Clinics of North America: Therapeutic and Advanced ERCP i
Copyright Page ii
Table of Contents vii
Contributors iii
GASTROINTESTINAL ENDOSCOPY CLINICS OF NORTH AMERICA xi
Foreword: Therapeutic and Advanced ERCP Is Rapidly Progressing xiii
Preface: Therapeutic and Advanced Endoscopic Retrograde Cholangiopancreatography xv
Chapter 1. Therapeutic Endoscopic Retrograde Cholangiopancreatography and Instrumentation 401
INTRODUCTION 401
BILIARY TRACT DISEASES 402
PANCREATIC DISEASES 405
SHORT-WIRE AND LONG-WIRE ERCP DEVICE PLATFORMS 406
SUMMARY 413
REFERENCES 413
Chapter 2. Advanced Cannulation Technique and Precut 417
INTRODUCTION 417
STRAIGHT CATHETERS VERSUS PAPILLOTOMES 419
STANDARD CANNULATION TECHNIQUE 419
GUIDE WIRE–ASSISTED CANNULATION 423
GUIDE WIRE–ASSISTED BILIARY ACCESS 423
ELECTROCAUTERY WITH THE NEEDLE KNIFE 426
FISTULOTOMY 427
NKP: FOR EXPERTS ONLY? 427
OPTIONS AFTER FAILED ENDOSCOPIC BILE DUCT ACCESS 428
MODIFICATIONS OF STANDARD BILIARY ACCESS TECHNIQUES 429
BILIARY ACCESS IN THE SETTING OF DIFFICULT ANATOMY 430
ACKNOWLEDGMENTS 433
REFERENCES 433
Chapter 3. Endoscopic Retrograde Cholangiopancreatography for Stone Burden in the Bile and Pancreatic Ducts 435
BILE DUCT STONES 435
PANCREATIC DUCT STONES 441
SUMMARY 446
ACKNOWLEDGMENTS 446
REFERENCES 446
Chapter 4. Endoscopic Retrograde Cholangioscopy and Advanced Biliary Imaging 451
INTRODUCTION 451
CHOLANGIOSCOPY 452
CHOLANGIOSCOPY WITH VISUAL ENHANCEMENT 453
CONFOCAL ENDOMICROSCOPY 456
INTRADUCTAL ULTRASONOGRAPHY 457
OPTICAL COHERENCE TOMOGRAPHY 458
SUMMARY 458
REFERENCES 458
Chapter 5. Sampling at ERCP for Cyto- and Histopathologicical Examination 461
INDICATIONS 461
SAMPLE PROCUREMENT AND PREPARATION 462
SAMPLE PROCESSING AND INTERPRETATION 469
PARTICULAR DISEASES 471
HOW TO REACH A HIGH SENSITIVITY FOR CANCER DIAGNOSIS AT ERCP 472
REFERENCES 473
Chapter 6. Endoscopic Retrograde Cholangiopancreatography for Distal Malignant Biliary Stricture 479
INTRODUCTION 479
RESECTABLE MALIGNANT BILIARY OBSTRUCTION: PLASTIC, METAL, OR NO STENT? 480
UNRESECTABLE MALIGNANT DISTAL BILIARY OBSTRUCTION: COVERED OR UNCOVERED? 480
WHAT IS MISSING FROM THE COVERING MEMBRANE OF CURRENT CMS? 481
MECHANICAL PROPERTIES: ARE ALL SEMS THE SAME? 482
WHAT CAN WE DO TO PREVENT SEMS COMPLICATIONS? 482
SEMS WITH ADDITIONAL FUNCTION 484
VARIOUS APPROACHES TO BETTER BILIARY DRAINAGE 484
FUTURE PERSPECTIVE 485
REFERENCES 485
Chapter 7. Endoscopic Ultrasonography-Guided Endoscopic Retrograde Cholangiopancreatography: Endosonographic Cholangiopancreatography 491
INTRODUCTION 491
BACKGROUND 492
METHODS OF ESCP PROCEDURES 493
EUS-GUIDED PANCREATIC ACCESS AND DRAINAGE 500
CREATION OF TRANSMURAL FISTULOUS TRACT IN ESCP 501
SUMMARY OF PUBLISHED LITERATURE 502
ROLE OF ESCP IN CLINICAL PRACTICE 505
SUMMARY 506
REFERENCES 507
Chapter 8. Endoscopic Management of Benign Biliary Strictures 511
INTRODUCTION 511
GENERAL PRINCIPLES 512
ERCP 514
CHOLANGIOSCOPY 518
INTRADUCTAL ULTRASOUND 519
CONFOCAL LASER ENDOMICROSCOPY 519
MANAGEMENT OF SPECIFIC DISORDERS 520
CHRONIC PANCREATITIS 524
PSC 526
IGG4 CHOLANGIOPATHY 527
HIV CHOLANGIOPATHY 527
OTHER CAUSES OF BENIGN BILIARY STRICTURES 528
BILIARY-ENTERIC STRICTURES 529
SUMMARY 529
ACKNOWLEDGMENTS 529
SUPPLEMENTARY DATA 529
REFERENCES 529
Chapter 9. Treatment of Common Bile Duct Injuries After Surgery 539
CLASSIFICATION 539
ENDOSCOPIC MANAGEMENT CONSIDERATIONS 540
BILIARY FISTULA 543
STENOSIS OF BILIARY DUCT 545
SPECIAL CONSIDERATIONS FOR LIVER TRANSPLANTATION 549
SUMMARY 550
REFERENCES 551
Chapter 10. Metal Stents for Hilar Lesions 555
INTRODUCTION 555
BILIARY STENTS 556
TECHNIQUE 557
COMPLICATIONS 562
SUMMARY 563
ACKNOWLEDGMENTS 563
REFERENCES 563
Chapter 11. Complications of Endoscopic Retrograde Cholangiopancreatography: Avoidance and Management 567
OVERVIEW 567
CONSENSUS-BASED DEFINITIONS OF COMPLICATIONS AND OTHER NEGATIVE OUTCOMES 568
VARIATIONS IN COMPLICATION RATES BETWEEN STUDIES 568
COMPLICATIONS OF DIAGNOSTIC AND THERAPEUTIC ERCP 570
POST-ERCP PANCREATITIS 571
POSTSPHINCTEROTOMY HEMORRHAGE 579
PERFORATION 580
CHOLANGITIS AND CHOLECYSTITIS 582
LONG-TERM CONSEQUENCES OF SPHINCTEROTOMY 582
ENDOSCOPISTS’ EXPERIENCE AND COMPLICATIONS OF ERCP 583
REFERENCES 584
Chapter 12. Endoscopic Retrograde Cholangiopancreatography: Maximizing Benefits and Minimizing Risks 587
DOING THE RIGHT THING 588
DOING IT RIGHT 589
SUMMARY 597
REFERENCES 597
Index 601