Download Advanced Pancreaticobiliary Endoscopy by Douglas G. Adler PDF

By Douglas G. Adler

This quantity presents a complete advisor to complex endoscopic methods and methods. essentially thinking about Endoscopic Retrograde Cholangiopancreatography (ERCP) and Endoscopic Ultrasound (EUS), the booklet additionally explores similar subject matters corresponding to cholangioscopy, pancreatoscopy, complicated pancreaticobiliary imaging, stenting, and endoscopic ability to accomplish soreness keep watch over. The textual content additionally offers a plethora of assistance and methods on how one can practice those methods properly, emphasizes universal error and the way to prevent them, and lines top of the range movies illustrating key procedural points for each chapter.
Written by way of most sensible specialists within the box, Advanced Pancreaticobiliary Endoscopy is a useful source for gastrointestinal endoscopists and fellows drawn to complex endoscopic approaches.

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9a). Intrahepatic stones are commonly seen with biliary strictures in the setting of primary sclerosing cholangitis, oriental cholangiohepatitis, parasitic infections, postoperative biliary strictures, and recurrent cholangitis [3, 6, 10, 82–85]. a. secondary sclerosing cholangitis), and cholangiocarcinoma [3]. Therapeutic options for intrahepatic stones include surgical resection (hepatectomy), percutaneous transhepatic catheter drainage, percutaneous cholangioscopy, lithotripsy via cholangioscopy performed percutaneously through a T-tube tract or a transhepatic tract, or via POCS lithotripsy.

1 Representative difficult common bile duct stone. (a) Cholangiogram showing a large, tightly impacted stone in the midcommon bile duct. A balloon catheter and basket could not be advanced proximal to the stone to retrieve it. (b) Cholangioscopic view of laser lithotripsy to fragment the stone from below. (c) A tunnel was created through the stone using holmium laser. (d) A plastic stent was placed through the tunnel with the intention of a repeat procedure few weeks later creatography (MRCP), endoscopic ultrasound (EUS), and endoscopic retrograde cholangiopancreatography (ERCP) results.

2005;39(8):717–21. 38. Goff JS. Long-term experience with the transpancreatic sphincter pre-cut approach to biliary sphincterotomy. Gastrointest Endosc. 1999;50(5):642–5. 39. Goff JS. Common bile duct pre-cut sphincterotomy: transpancreatic sphincter approach. Gastrointest Endosc. 1995;41(5):502–5. 40. Akashi R, Kiyozumi T, Jinnouchi K, Yoshida M, Adachi Y, Sagara K. Pancreatic sphincter precutting to gain selective access to the common bile duct: a series of 172 patients. Endoscopy. 2004;36(5):405–10.

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