Advances in ERCP, An Issue of Gastrointestinal Endoscopy Clinics

Adam Slivka

Description

The Guest Editors have assembled key opinion leaders to provide state of the art articles on this important update on ERCP. A chapter on cannulation techniques and sphincterotomy will highlight recent literature on wire-guided cannulation, use of papillotomes, when and if to precut for entry and the use of smart circuitry for papillotomy. A chapter on surgically altered anatomy will highlight the increasing occurrence of biliary tract disease in patient’s s/p gastric bypass for obesity along with other surgery and the use of balloon enteroscopes, overtubes and intraoperative procedures A chapter on EUS assisted biliary and pancreatic access will highlight the growing experience with these combine techniques. There is growing literature on preventing post-ercp pancreatitis which is changing the standard of care and Joe Elmunzer is the best person to highlight this. Stu Sherman will review advances in the management of bile duct stones and when to intervene in gallstone pancreatitis. Peter Cotton just published a landmark study on SOD that will change the standard of care and will review the state of the science on this disease as it relates to both biliary tract and pancreatic disease. The management of benign biliary strictures and leaks is evolving with the introduction of covered metal stents and Jacques Deviere is at the forefront. Amrita Sethi will discuss diagnosis of biliary malignancy highlighting the use of FISH, molecular markers and enhanced imaging such as pCLE. Michele Kahaleh will review recent experience with biliary tumor ablation using RFA probes and PDT. Alan Barkun helps endoscopists determine when to use plastic stents, metal stents, and covered stents and when to drain one, two or three segments of liver in patients with malignant biliary obstruction. George Papachristo and Dhiraj Yadav will review most recent data on endoscopic therapy for acute recurrent and smoldering acute pancreatitis. Nagy Reddy will provide on update on endotherapy for painful chronic pancreatitis. Finally, Raj Shah will update on advances in pancreatoscopy and cholangioscopy including the use of ultra slim per-oral scopes and new digital mother/baby scopes.

Sujets

• Médecine
• Spécialités médicales
• Internal Medicine
• Medical

Informations

• Publié par: Elsevier
• Date de parution: 07 janvier 2016
• Nombre de lectures: 0
• EAN13: 9780323400855
• Langue: English
• Poids de l'ouvrage: 3 Mo

Extrait

Advances in ERCP
Gastrointestinal Endoscopy Clinics Of North America
Editor
Adam Slivka, MD, PhD
University of Pittsburgh Medical Center, M-Level C-Wing, Presbyterian University Hospital, Pittsburgh, PA, USA
Cosulting Editor
Charles J. Lightdale

www.giendo.theclinics.com

October 2015 Volume 25 Number 4
Table of Contents
Cover image
Title page
Copyright
Contributors
Consulting Editor
Editor
Authors
Forthcoming Issues
Forthcoming Issues
Recent Issues
Foreword. Advances in Therapeutic Endoscopic Retrograde Cholangiopancreatography: Benefits Far Outweigh the Small Risks
References
Preface. Advances in Endoscopic Retrograde Cholangiopancreatography
Difficult Biliary Access: Advanced Cannulation and Sphincterotomy Technique
Key points
Introduction
Guidewire-assisted cannulation
Pancreatic duct techniques
Precut sphincterotomy
Transpancreatic septotomy
Additional variations on precut
Comparing techniques
Intradiverticular papilla
Devices
Summary
References
Endoscopic Retrograde Cholangiopancreatography in Surgically Altered Anatomy
Key points
Introduction
Terminology
Preparation for endoscopic retrograde cholangiopancreatography: a checklist for the endoscopist
Endoscopic retrograde cholangiopancreatography in altered bowel anatomy without alteration of biliopancreatic anatomy
Endoscopic retrograde cholangiopancreatography in altered bowel anatomy with alteration of biliopancreatic anatomy
Adverse events related to endoscopic retrograde cholangiopancreatography in surgically altered anatomy
Summary
Acknowledgments
References
Endoscopic Retrograde Cholangiopancreatography for the Management of Common Bile Duct Stones and Gallstone Pancreatitis
Key points
Symptomatic choledocholithiasis and biliary pancreatitis: When to image, intervene, or observe
Standard endoscopic techniques for stone extraction and difficult bile duct stones
Biliary endoprosthesis
Endoscopic balloon papillary dilation
Lithotripsy
Cholangioscopy
Discussion: Algorithm for the management of choledocholithiasis
References
Diagnosing Biliary Malignancy
Key points
Introduction
Causes of biliary strictures
Laboratory evaluation
Imaging evaluation
Endoscopic retrograde cholangiopancreatography
Fluorescence in situ hybridization
Endoscopic ultrasonography: fine-needle aspiration
Intraductal ultrasonography
Cholangioscopy
Confocal laser endomicroscopy
Cholangiocarcinoma in primary sclerosing cholangitis
Summary
References
Stenting in Malignant Biliary Obstruction
Key points
Introduction
Who should undergo biliary drainage?
Biliary drainage for unresectable distal biliary lesions
Biliary drainage of hilar lesions: mapping and minimizing risk of endoscopic drainage
Prophylactic antibiotics
Available technologies for biliary drainage
The use of sphincterotomy
Insertion of stents above versus across the sphincter of Oddi
Plastic stents versus self-expandable metal stents
Hilar neoplasms: special considerations
Side-by-side method versus stent-in-stent method
Percutaneous drainage and the choice of approach: endoscopic versus radiological
Recurrent biliary obstruction after initial drainage
Cholycystitis and cholangitis
Recent innovations
Summary
References
Benign Biliary Strictures and Leaks
Key points
Introduction
Postoperative biliary strictures and leaks
Biliary strictures secondary to chronic pancreatitis
Biliary strictures due to primary sclerosing cholangitis
Autoimmune cholangiopathy
Summary
References
Preventing Postendoscopic Retrograde Cholangiopancreatography Pancreatitis
Key points
Overview
Patient selection
Recognizing patients at increased risk for postendoscopic retrograde cholangiopancreatography pancreatitis
Procedure technique
Prophylactic pancreatic stent placement
Pharmacoprevention
References
Endoscopic Treatment of Recurrent Acute Pancreatitis and Smoldering Acute Pancreatitis
Key points
Introduction
Recurrent acute pancreatitis
Smoldering acute pancreatitis
Summary
References
Sphincter of Oddi Dysfunction
Key points
Introduction
Defining sphincter of Oddi dysfunction
Diagnostic evaluation
Treatment and predictors of response
Challenges and future considerations
Summary
References
Pancreatic Endotherapy for Chronic Pancreatitis
Key points
Introduction
Indications and contraindications of pancreatic endotherapy
Technique/Procedure
Complications
Outcomes
References
Innovations in Intraductal Endoscopy: Cholangioscopy and Pancreatoscopy
Key points
Introduction: nature of the problem
Indications/Contraindications
Technique/Procedure preparation
Techniques to improve visualization
Device insertion suggestions
Complications and management
Postoperative care
Reporting, follow-up, and clinical implications
Outcomes
Current controversies/future considerations
Summary
References
Biliary Tumor Ablation with Photodynamic Therapy and Radiofrequency Ablation
Key points
Introduction
Photodynamic therapy
Radiofrequency ablation
Summary
References
Endoscopic Ultrasound-Assisted Pancreaticobiliary Access
Key points
Introduction
Equipment required
Patient considerations for endoscopic ultrasound-guided anterograde cholangiopancreatography
Technical procedural steps
Outcomes
Endoscopic ultrasound-guided pancreatic duct drainage
Standardized algorithm for endoscopic ultrasound-guided bile duct drainage
Lumen-apposing transluminal stent
Extended drainage indications
Summary
References
Copyright
ELSEVIER
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GASTROINTESTINAL ENDOSCOPY CLINICS OF NORTH AMERICA Volume 25, Number 4
October 2015 ISSN 1052-5157, ISBN-13: 978-0-323-40084-8
Editor: Kerry Holland
Developmental Editor: Donald Mumford
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