Advanced Pancreaticobiliary Endoscopy by Douglas G. Adler

By Douglas G. Adler

This quantity presents a finished advisor to complex endoscopic techniques and strategies. basically eager about Endoscopic Retrograde Cholangiopancreatography (ERCP) and Endoscopic Ultrasound (EUS), the publication additionally explores similar themes equivalent to cholangioscopy, pancreatoscopy, complex pancreaticobiliary imaging, stenting, and endoscopic capability to accomplish soreness keep watch over. The textual content additionally provides a plethora of counsel and tips on tips to practice those strategies thoroughly, emphasizes universal error and the way to prevent them, and contours top of the range video clips illustrating key procedural features for each chapter.
Written via best specialists within the box, Advanced Pancreaticobiliary Endoscopy is a useful source for gastrointestinal endoscopists and fellows drawn to complex endoscopic tactics.

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Extra info for Advanced Pancreaticobiliary Endoscopy

Sample text

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. Gastrointest Endosc. 2007;66(2):283–90. Siegel JH. Precut papillotomy: a method to improve success of ERCP and papillotomy. Endoscopy. 1980;12(3):130–3. Davee T, Garcia JA, Baron TH.

9 %) [68]. Complications were similar between the two groups (5 vs. 7 %) with no differences in the rate of post-procedure pancreatitis (4 %) [68]. The study concluded that based on similar stone clearance rates and complication rates, EPBD with endoscopic sphincterotomy is an effective and safe tool for stone removal when compared to endoscopic sphincterotomy and stone extraction [68]. Originally there was concern for post-procedure pancreatitis due to EPBD causing inflammation/edema around the papilla from mechanical pressure and intramucosal hemorrhage [6].

The through-the-scope lithotripter (Fig. 4a, b) is comprised of an integrated three-layer system with a large basket, inner plastic sheath, and outer metal sheath that is inserted through the accessory channel in the duodenoscope [5, 14]. Initial cannulation of the bile duct and subsequent stone capture are performed by using the plastic sheath and basket [14]. After the stone is captured within the basket, the metal sheath is then gradually advanced to the level of the stone [5, 11]. The handle is then used to apply tension to the wires resulting in tightening of the basket wires by mechanical retraction [14].

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