Fiberoptic endoscopy designed for duodenal observation and cannulation of VATER'S AMPULLA, in order to visualize the pancreatic and biliary duct system by retrograde injection of contrast media. Endoscopic (Vater) papillotomy (SPHINCTEROTOMY, ENDOSCOPIC) may be performed during this procedure.
Non-invasive diagnostic technique for visualizing the PANCREATIC DUCTS and BILE DUCTS without the use of injected CONTRAST MEDIA or x-ray. MRI scans provide excellent sensitivity for duct dilatation, biliary stricture, and intraductal abnormalities.
Presence or formation of GALLSTONES in the COMMON BILE DUCT.
Incision of Oddi's sphincter or Vater's ampulla performed by inserting a sphincterotome through an endoscope (DUODENOSCOPE) often following retrograde cholangiography (CHOLANGIOPANCREATOGRAPHY, ENDOSCOPIC RETROGRADE). Endoscopic treatment by sphincterotomy is the preferred method of treatment for patients with retained or recurrent bile duct stones post-cholecystectomy, and for poor-surgical-risk patients that have the gallbladder still present.
INFLAMMATION of the PANCREAS. Pancreatitis is classified as acute unless there are computed tomographic or endoscopic retrograde cholangiopancreatographic findings of CHRONIC PANCREATITIS (International Symposium on Acute Pancreatitis, Atlanta, 1992). The two most common forms of acute pancreatitis are ALCOHOLIC PANCREATITIS and gallstone pancreatitis.
Diseases in any part of the BILIARY TRACT including the BILE DUCTS and the GALLBLADDER.
Ducts that collect PANCREATIC JUICE from the PANCREAS and supply it to the DUODENUM.
A condition with abnormally elevated level of AMYLASES in the serum. Hyperamylasemia due to PANCREATITIS or other causes may be differentiated by identifying the amylase isoenzymes.
The largest bile duct. It is formed by the junction of the CYSTIC DUCT and the COMMON HEPATIC DUCT.
Diseases of the COMMON BILE DUCT including the AMPULLA OF VATER and the SPHINCTER OF ODDI.
Solid crystalline precipitates in the BILIARY TRACT, usually formed in the GALLBLADDER, resulting in the condition of CHOLELITHIASIS. Gallstones, derived from the BILE, consist mainly of calcium, cholesterol, or bilirubin.
Inflammation of the biliary ductal system (BILE DUCTS); intrahepatic, extrahepatic, or both.
Pathological processes of the PANCREAS.
Diseases in any part of the ductal system of the BILIARY TRACT from the smallest BILE CANALICULI to the largest COMMON BILE DUCT.
An imaging test of the BILIARY TRACT in which a contrast dye (RADIOPAQUE MEDIA) is injected into the BILE DUCT and x-ray pictures are taken.
Jaundice, the condition with yellowish staining of the skin and mucous membranes, that is due to impaired BILE flow in the BILIARY TRACT, such as INTRAHEPATIC CHOLESTASIS, or EXTRAHEPATIC CHOLESTASIS.
Excision of the gallbladder through an abdominal incision using a laparoscope.
Abnormal passage in any organ of the biliary tract or between biliary organs and other organs.
Organic or functional motility disorder involving the SPHINCTER OF ODDI and associated with biliary COLIC. Pathological changes are most often seen in the COMMON BILE DUCT sphincter, and less commonly the PANCREATIC DUCT sphincter.
A dilation of the duodenal papilla that is the opening of the juncture of the COMMON BILE DUCT and the MAIN PANCREATIC DUCT, also known as the hepatopancreatic ampulla.
Impairment of bile flow due to obstruction in small bile ducts (INTRAHEPATIC CHOLESTASIS) or obstruction in large bile ducts (EXTRAHEPATIC CHOLESTASIS).
Impairment of bile flow in the large BILE DUCTS by mechanical obstruction or stricture due to benign or malignant processes.
The sphincter of the hepatopancreatic ampulla within the duodenal papilla. The COMMON BILE DUCT and main pancreatic duct pass through this sphincter.
A congenital anatomic malformation of a bile duct, including cystic dilatation of the extrahepatic bile duct or the large intrahepatic bile duct. Classification is based on the site and type of dilatation. Type I is most common.
Surgical formation of an opening (stoma) into the COMMON BILE DUCT for drainage or for direct communication with a site in the small intestine, primarily the DUODENUM or JEJUNUM.
Presence or formation of GALLSTONES in the BILIARY TRACT, usually in the gallbladder (CHOLECYSTOLITHIASIS) or the common bile duct (CHOLEDOCHOLITHIASIS).
The channels that collect and transport the bile secretion from the BILE CANALICULI, the smallest branch of the BILIARY TRACT in the LIVER, through the bile ductules, the bile ducts out the liver, and to the GALLBLADDER for storage.
Ultrasonography of internal organs using an ultrasound transducer sometimes mounted on a fiberoptic endoscope. In endosonography the transducer converts electronic signals into acoustic pulses or continuous waves and acts also as a receiver to detect reflected pulses from within the organ. An audiovisual-electronic interface converts the detected or processed echo signals, which pass through the electronics of the instrument, into a form that the technologist can evaluate. The procedure should not be confused with ENDOSCOPY which employs a special instrument called an endoscope. The "endo-" of endosonography refers to the examination of tissue within hollow organs, with reference to the usual ultrasonography procedure which is performed externally or transcutaneously.
Surgical removal of the GALLBLADDER.
A serine proteinase inhibitor used therapeutically in the treatment of pancreatitis, disseminated intravascular coagulation (DIC), and as a regional anticoagulant for hemodialysis. The drug inhibits the hydrolytic effects of thrombin, plasmin, and kallikrein, but not of chymotrypsin and aprotinin.
Abdominal symptoms after removal of the GALLBLADDER. The common postoperative symptoms are often the same as those present before the operation, such as COLIC, bloating, NAUSEA, and VOMITING. There is pain on palpation of the right upper quadrant and sometimes JAUNDICE. The term is often used, inaccurately, to describe such postoperative symptoms not due to gallbladder removal.
The removal of fluids or discharges from the body, such as from a wound, sore, or cavity.
The duct that is connected to the GALLBLADDER and allows the emptying of bile into the COMMON BILE DUCT.
Instruments for the visual examination of the interior of the gastrointestinal tract.
Tumor or cancer of the COMMON BILE DUCT including the AMPULLA OF VATER and the SPHINCTER OF ODDI.
Endoscopy of the small intestines accomplished while advancing the endoscope into the intestines from the stomach by alternating the inflation of two balloons, one on an innertube of the endoscope and the other on an overtube.
Diseases of the GALLBLADDER. They generally involve the impairment of BILE flow, GALLSTONES in the BILIARY TRACT, infections, neoplasms, or other diseases.
The BILE DUCTS and the GALLBLADDER.
Tumors or cancer of the BILE DUCTS.
Complication of CHOLELITHIASIS characterized by OBSTRUCTIVE JAUNDICE; abdominal pain, and fever.
INFLAMMATION of the PANCREAS that is characterized by recurring or persistent ABDOMINAL PAIN with or without STEATORRHEA or DIABETES MELLITUS. It is characterized by the irregular destruction of the pancreatic parenchyma which may be focal, segmental, or diffuse.
Predominantly extrahepatic bile duct which is formed by the junction of the right and left hepatic ducts, which are predominantly intrahepatic, and, in turn, joins the cystic duct to form the common bile duct.
Procedures of applying ENDOSCOPES for disease diagnosis and treatment. Endoscopy involves passing an optical instrument through a small incision in the skin i.e., percutaneous; or through a natural orifice and along natural body pathways such as the digestive tract; and/or through an incision in the wall of a tubular structure or organ, i.e. transluminal, to examine or perform surgery on the interior parts of the body.
Tumors or cancer of the PANCREAS. Depending on the types of ISLET CELLS present in the tumors, various hormones can be secreted: GLUCAGON from PANCREATIC ALPHA CELLS; INSULIN from PANCREATIC BETA CELLS; and SOMATOSTATIN from the SOMATOSTATIN-SECRETING CELLS. Most are malignant except the insulin-producing tumors (INSULINOMA).
A subspecialty of internal medicine concerned with the study of the physiology and diseases of the digestive system and related structures (esophagus, liver, gallbladder, and pancreas).
The condition of an anatomical structure's being constricted beyond normal dimensions.
Cyst-like space not lined by EPITHELIUM and contained within the PANCREAS. Pancreatic pseudocysts account for most of the cystic collections in the pancreas and are often associated with chronic PANCREATITIS.
A group of amylolytic enzymes that cleave starch, glycogen, and related alpha-1,4-glucans. (Stedman, 25th ed) EC 3.2.1.-.
A nodular organ in the ABDOMEN that contains a mixture of ENDOCRINE GLANDS and EXOCRINE GLANDS. The small endocrine portion consists of the ISLETS OF LANGERHANS secreting a number of hormones into the blood stream. The large exocrine portion (EXOCRINE PANCREAS) is a compound acinar gland that secretes several digestive enzymes into the pancreatic ductal system that empties into the DUODENUM.
A clinical manifestation of HYPERBILIRUBINEMIA, characterized by the yellowish staining of the SKIN; MUCOUS MEMBRANE; and SCLERA. Clinical jaundice usually is a sign of LIVER dysfunction.
A Y-shaped surgical anastomosis of any part of the digestive system which includes the small intestine as the eventual drainage site.
Use or insertion of a tubular device into a duct, blood vessel, hollow organ, or body cavity for injecting or withdrawing fluids for diagnostic or therapeutic purposes. It differs from INTUBATION in that the tube here is used to restore or maintain patency in obstructions.
A condition characterized by the formation of CALCULI and concretions in the hollow organs or ducts of the body. They occur most often in the gallbladder, kidney, and lower urinary tract.
Any surgical procedure performed on the biliary tract.
Endoscopic examination, therapy or surgery of the digestive tract.
Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.
Tumors or cancer in the BILIARY TRACT including the BILE DUCTS and the GALLBLADDER.
Passages within the liver for the conveyance of bile. Includes right and left hepatic ducts even though these may join outside the liver to form the common hepatic duct.
Tumors or cancer of the gallbladder.
A nontoxic radiopharmaceutical that is used in RADIONUCLIDE IMAGING for the clinical evaluation of hepatobiliary disorders in humans.
Pathological conditions in the DUODENUM region of the small intestine (INTESTINE, SMALL).
Surgical formation of an opening through the ABDOMINAL WALL into the JEJUNUM, usually for enteral hyperalimentation.
A benign neoplasm of muscle (usually smooth muscle) with glandular elements. It occurs most frequently in the uterus and uterine ligaments. (Stedman, 25th ed)
A motility disorder characterized by biliary COLIC, absence of GALLSTONES, and an abnormal GALLBLADDER ejection fraction. It is caused by gallbladder dyskinesia and/or SPHINCTER OF ODDI DYSFUNCTION.
A malignant tumor arising from the epithelium of the BILE DUCTS.
An abnormal concretion occurring mostly in the urinary and biliary tracts, usually composed of mineral salts. Also called stones.
Instruments for the visual examination of interior structures of the body. There are rigid endoscopes and flexible fiberoptic endoscopes for various types of viewing in ENDOSCOPY.
Endoscopic examination, therapy or surgery of the luminal surface of the duodenum.
Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series.
The act of blowing a powder, vapor, or gas into any body cavity for experimental, diagnostic, or therapeutic purposes.
Diseases in any part of the GASTROINTESTINAL TRACT or the accessory organs (LIVER; BILIARY TRACT; PANCREAS).
Sensation of discomfort, distress, or agony in the abdominal region.
Abnormal passage communicating with the PANCREAS.
An involuntary or voluntary pause in breathing, sometimes accompanied by loss of consciousness.
Tomography using x-ray transmission and a computer algorithm to reconstruct the image.
Drug-induced depression of consciousness during which patients cannot be easily aroused but respond purposely following repeated painful stimulation. The ability to independently maintain ventilatory function may be impaired. (From: American Society of Anesthesiologists Practice Guidelines)
Disease having a short and relatively severe course.
Antimuscarinic quaternary ammonium derivative of scopolamine used to treat cramps in gastrointestinal, urinary, uterine, and biliary tracts, and to facilitate radiologic visualization of the gastrointestinal tract.
Devices that provide support for tubular structures that are being anastomosed or for body cavities during skin grafting.
Neoplasms containing cyst-like formations or producing mucin or serum.
Chronic inflammatory disease of the BILIARY TRACT. It is characterized by fibrosis and hardening of the intrahepatic and extrahepatic biliary ductal systems leading to bile duct strictures, CHOLESTASIS, and eventual BILIARY CIRRHOSIS.
Tests based on the biochemistry and physiology of the exocrine pancreas and involving analysis of blood, duodenal contents, feces, or urine for products of pancreatic secretion.
An adenocarcinoma containing finger-like processes of vascular connective tissue covered by neoplastic epithelium, projecting into cysts or the cavity of glands or follicles. It occurs most frequently in the ovary and thyroid gland. (Stedman, 25th ed)
Presence or formation of GALLSTONES in the GALLBLADDER.
Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery.
A clinical syndrome with intermittent abdominal pain characterized by sudden onset and cessation that is commonly seen in infants. It is usually associated with obstruction of the INTESTINES; of the CYSTIC DUCT; or of the URINARY TRACT.
Inflammation of the GALLBLADDER; generally caused by impairment of BILE flow, GALLSTONES in the BILIARY TRACT, infections, or other diseases.
A benign neoplasm of the ovary.
Hemorrhage in or through the BILIARY TRACT due to trauma, inflammation, CHOLELITHIASIS, vascular disease, or neoplasms.
The excision of the head of the pancreas and the encircling loop of the duodenum to which it is connected.
Progressive destruction or the absence of all or part of the extrahepatic BILE DUCTS, resulting in the complete obstruction of BILE flow. Usually, biliary atresia is found in infants and accounts for one third of the neonatal cholestatic JAUNDICE.
Acute inflammation of the GALLBLADDER wall. It is characterized by the presence of ABDOMINAL PAIN; FEVER; and LEUKOCYTOSIS. Gallstone obstruction of the CYSTIC DUCT is present in approximately 90% of the cases.
The shortest and widest portion of the SMALL INTESTINE adjacent to the PYLORUS of the STOMACH. It is named for having the length equal to about the width of 12 fingers.
Passages external to the liver for the conveyance of bile. These include the COMMON BILE DUCT and the common hepatic duct (HEPATIC DUCT, COMMON).
A true cyst of the PANCREAS, distinguished from the much more common PANCREATIC PSEUDOCYST by possessing a lining of mucous EPITHELIUM. Pancreatic cysts are categorized as congenital, retention, neoplastic, parasitic, enterogenous, or dermoid. Congenital cysts occur more frequently as solitary cysts but may be multiple. Retention cysts are gross enlargements of PANCREATIC DUCTS secondary to ductal obstruction. (From Bockus Gastroenterology, 4th ed, p4145)
The fold of peritoneum by which the COLON is attached to the posterior ABDOMINAL WALL.
The destruction of a calculus of the kidney, ureter, bladder, or gallbladder by physical forces, including crushing with a lithotriptor through a catheter. Focused percutaneous ultrasound and focused hydraulic shock waves may be used without surgery. Lithotripsy does not include the dissolving of stones by acids or litholysis. Lithotripsy by laser is LITHOTRIPSY, LASER.
The insertion of drugs into the rectum, usually for confused or incompetent patients, like children, infants, and the very old or comatose.
Care given during the period prior to undergoing surgery when psychological and physical preparations are made according to the special needs of the individual patient. This period spans the time between admission to the hospital to the time the surgery begins. (From Dictionary of Health Services Management, 2d ed)
The observation, either continuously or at intervals, of the levels of radiation in a given area, generally for the purpose of assuring that they have not exceeded prescribed amounts or, in case of radiation already present in the area, assuring that the levels have returned to those meeting acceptable safety standards.
The condition of an anatomical structure's being dilated beyond normal dimensions.
A pouch or sac developed from a tubular or saccular organ, such as the GASTROINTESTINAL TRACT.
The visualization of deep structures of the body by recording the reflections or echoes of ultrasonic pulses directed into the tissues. Use of ultrasound for imaging or diagnostic purposes employs frequencies ranging from 1.6 to 10 megahertz.
A drug-induced depression of consciousness during which patients respond purposefully to verbal commands, either alone or accompanied by light tactile stimulation. No interventions are required to maintain a patent airway. (From: American Society of Anesthesiologists Practice Guidelines)
An emulsifying agent produced in the LIVER and secreted into the DUODENUM. Its composition includes BILE ACIDS AND SALTS; CHOLESTEROL; and ELECTROLYTES. It aids DIGESTION of fats in the duodenum.
Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group.
Carcinoma that arises from the PANCREATIC DUCTS. It accounts for the majority of cancers derived from the PANCREAS.
A storage reservoir for BILE secretion. Gallbladder allows the delivery of bile acids at a high concentration and in a controlled manner, via the CYSTIC DUCT to the DUODENUM, for degradation of dietary lipid.
Retrograde bile flow. Reflux of bile can be from the duodenum to the stomach (DUODENOGASTRIC REFLUX); to the esophagus (GASTROESOPHAGEAL REFLUX); or to the PANCREAS.
The period during a surgical operation.
The inactive proenzyme of trypsin secreted by the pancreas, activated in the duodenum via cleavage by enteropeptidase. (Stedman, 25th ed)
Surgical removal of the pancreas. (Dorland, 28th ed)
An adenocarcinoma producing mucin in significant amounts. (From Dorland, 27th ed)
Complications that affect patients during surgery. They may or may not be associated with the disease for which the surgery is done, or within the same surgical procedure.
Blood tests that are used to evaluate how well a patient's liver is working and also to help diagnose liver conditions.
Non-invasive method of demonstrating internal anatomy based on the principle that atomic nuclei in a strong magnetic field absorb pulses of radiofrequency energy and emit them as radiowaves which can be reconstructed into computerized images. The concept includes proton spin tomographic techniques.
A peptide hormone of about 27 amino acids from the duodenal mucosa that activates pancreatic secretion and lowers the blood sugar level. (USAN and the USP Dictionary of Drug Names, 1994, p597)
The transference of a part of or an entire liver from one human or animal to another.
Binary classification measures to assess test results. Sensitivity or recall rate is the proportion of true positives. Specificity is the probability of correctly determining the absence of a condition. (From Last, Dictionary of Epidemiology, 2d ed)
Substances used to allow enhanced visualization of tissues.
Endoscopic examination, therapy or surgery of the gastrointestinal tract.
A severe form of acute INFLAMMATION of the PANCREAS characterized by one or more areas of NECROSIS in the pancreas with varying degree of involvement of the surrounding tissues or organ systems. Massive pancreatic necrosis may lead to DIABETES MELLITUS, and malabsorption.
Any visual display of structural or functional patterns of organs or tissues for diagnostic evaluation. It includes measuring physiologic and metabolic responses to physical and chemical stimuli, as well as ultramicroscopy.
In screening and diagnostic tests, the probability that a person with a positive test is a true positive (i.e., has the disease), is referred to as the predictive value of a positive test; whereas, the predictive value of a negative test is the probability that the person with a negative test does not have the disease. Predictive value is related to the sensitivity and specificity of the test.
Patient care procedures performed during the operation that are ancillary to the actual surgery. It includes monitoring, fluid therapy, medication, transfusion, anesthesia, radiography, and laboratory tests.
Diseases which have one or more of the following characteristics: they are permanent, leave residual disability, are caused by nonreversible pathological alteration, require special training of the patient for rehabilitation, or may be expected to require a long period of supervision, observation, or care. (Dictionary of Health Services Management, 2d ed)
The period of confinement of a patient to a hospital or other health facility.
Pathological processes of the LIVER.
Criteria and standards used for the determination of the appropriateness of the inclusion of patients with specific conditions in proposed treatment plans and the criteria used for the inclusion of subjects in various clinical trials and other research protocols.
A distribution in which a variable is distributed like the sum of the squares of any given independent random variable, each of which has a normal distribution with mean of zero and variance of one. The chi-square test is a statistical test based on comparison of a test statistic to a chi-square distribution. The oldest of these tests are used to detect whether two or more population distributions differ from one another.
Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease.
Elements of limited time intervals, contributing to particular results or situations.
Care alleviating symptoms without curing the underlying disease. (Stedman, 25th ed)
A procedure in which a laparoscope (LAPAROSCOPES) is inserted through a small incision near the navel to examine the abdominal and pelvic organs in the PERITONEAL CAVITY. If appropriate, biopsy or surgery can be performed during laparoscopy.
Surgical union or shunt between ducts, tubes or vessels. It may be end-to-end, end-to-side, side-to-end, or side-to-side.
A short thick vein formed by union of the superior mesenteric vein and the splenic vein.
The return of a sign, symptom, or disease after a remission.
An enzyme of the hydrolase class that catalyzes the reaction of triacylglycerol and water to yield diacylglycerol and a fatty acid anion. It is produced by glands on the tongue and by the pancreas and initiates the digestion of dietary fats. (From Dorland, 27th ed) EC 3.1.1.3.
An aspect of personal behavior or lifestyle, environmental exposure, or inborn or inherited characteristic, which, on the basis of epidemiologic evidence, is known to be associated with a health-related condition considered important to prevent.

Double gallbladder originating from left hepatic duct: a case report and review of literature. (1/1054)

BACKGROUND: Double gallbladder is a rare anomaly of the biliary tract. Double gallbladder arising from the left hepatic duct was previously reported only once in the literature. CASE REPORT: A case of symptomatic cholelithiasis in a double gallbladder, diagnosed on preoperative ultrasound, computed tomography (CT) and endoscopic retrograde cholangiopancreatogram (ERCP) is reported. At laparoscopic cholangiography via the accessory gallbladder no accessory cystic duct was visualized. After conversion to open cholecystectomy, the duplicated gallbladder was found to arise directly from the left hepatic duct; it was resected and the duct repaired. CONCLUSIONS: We emphasize that a careful intraoperative cholangiographic evaluation of the accessory gallbladder is mandatory in order to prevent inadvertent injury to bile ducts, since a large variety of ductal abnormality may exist.  (+info)

Carcinoids of the common bile duct: a case report and literature review. (2/1054)

Carcinoids of the extrahepatic bile ducts and particularly the common bile duct are extremely rare. A 65-year-old woman presented with obstructive jaundice. Laboratory and imaging studies gave results that were consistent with an obstructing lesion in the common bile duct. In this case, a stent was inserted initially to decompress the bile ducts. Subsequently a laparotomy and pancreaticoduodenectomy were performed and a tissue diagnosis of carcinoid of the common bile duct was made. The patient was well with no evidence of recurrence 17 months postoperatively. The authors believe this is the 19th reported case of an extrahepatic bile duct carcinoid.  (+info)

Review article: antibiotic prophylaxis for endoscopic retrograde cholangiopancreatography (ERCP). (3/1054)

This review examines the evidence for antibiotic prophylaxis in endoscopic retrograde cholangiopan-creatography (ERCP), and provides detailed advice about suitable antibiotic regimens in appropriate high-risk patients. Ascending cholangitis and infective endocarditis are potential complications of endoscopic ERCP. The pathophysiology of these two complications is quite separate and different sub-groups of patients require prophylaxis with appropriate antibiotic regimens. Ascending cholangitis results from bacterial infection of an obstructed biliary system, usually from enteric Gram-negative microorganisms, resulting in bacteraemia. There is incomplete drainage of the biliary system after ERCP in up to 10% of patients who require stenting. Antibiotics started in these patients will probably reduce the frequency of cholangitis by 80%. If antibiotics are restricted to this group, approximately 90% of all patients having an ERCP will avoid antibiotics, but 80% of cholangitic episodes will be prevented. Infective endocarditis may result from the bacteraemia caused at the time of the ERCP in patients with an abnormal heart valve. Antibiotic prophylaxis, in particular covering alpha-haemolytic streptococci, should be started before the procedure in this defined high-risk group.  (+info)

Investigation of bile ducts before laparoscopic cholecystectomy. (4/1054)

BACKGROUND: Since the advent of laparoscopic cholecystectomy, there has been controversy about the investigation of the bile ducts and the management of common bile duct stones. Routine peroperative cholangiography (POC) in all cases has been recommended. We have adopted a policy of not performing routine POC, and the results of 700 cases are reported. METHODS: Since 1990, all patients have undergone preoperative ultrasound scan. We have performed selective preoperative endoscopic retrograde cholangiopancreatography (ERCP) because of a clinical history of jaundice and/or pancreatitis, abnormal liver function tests and ultrasound evidence of dilated bile ducts (N=78, 11.1%). The remaining 622 patients did not have a routine POC, but selective peroperative cholangiogram (POC) was performed only in 42 patients (6%) because of unsuccessful ERCP or mild alteration in the criteria for the presence of bile duct stones. The remaining 580 patients did not undergo POC. Careful dissection of Calot's triangle was performed in all cases to reduce the risk of bile duct injuries. RESULTS: The overall operative complications, postoperative morbidity and mortality was 1.71%, 2.14% and 0.43%, respectively. Bile duct injuries occurred in two patients (0.26%) and both were recognized during the operation and repaired. There was a single incidence of retained stone in this series of 700 cases (0.14%), which required postoperative ERCP. CONCLUSIONS: This policy of selective preoperative ERCP, and not routine peroperative cholangiogram, is cost effective and not associated with significant incidence of retained stones or bile duct injuries after laparoscopic cholecystectomy.  (+info)

Gastrointestinal surgical workload in the DGH and the upper gastrointestinal surgeon. (5/1054)

Workload implications of upper gastrointestinal (UGI) subspecialisation within the district general hospital (DGH) have been assessed by prospective data collection over a 12-month period in a DGH with six general surgeons serving a population of 320,000. The single UGI surgeon (UGIS) performed all ten oesophageal resections, ten of 11 gastric resections for malignancy and all eight pancreatic operations. He also performed 91 of the 182 cholecystectomies, 164 of the 250 endoscopic retrograde cholangiopancreatograms (ERCP) and all endoscopic procedures for the palliation of unresected oesophageal tumours. The UGIS was responsible for the management of all patients with severe pancreatitis, yet he also performed 51 colorectal resections over the 12-month period. Successful management of severely ill patients with upper GI disease requires consultant supervision on a day-to-day basis. If such UGI disease is to be managed in the DGH, two surgeons with UGI experience will be required if high quality care and reasonable working conditions are to be achieved. Such UGIS will continue to perform some colorectal surgery.  (+info)

Early ERCP is an essential part of the management of all cases of acute pancreatitis. (6/1054)

The role of early endoscopic retrograde cholangiopancreatography (ERCP) and sphincterotomy in acute pancreatitis is controversial. Recent randomised controlled trials mostly support the value of this procedure, but concerns remain as to its safety, efficacy and practicability. This debate critically assesses the evidence for and against the use of early ERCP in acute pancreatitis.  (+info)

Syntactic analysis and languages of shape feature description in computer-aided diagnosis and recognition of cancerous and inflammatory lesions of organs in selected x-ray images. (7/1054)

We present new algorithms for the recognition of morphologic changes and shape feature analysis, which have been proposed to be used in a diagnosis of pathologic symptoms characteristic of cancerous and inflammatory lesions. These methods have been used so far for early detection and diagnosis of neoplastic changes in pancreas and chronic pancreatitis based on x-ray images acquired by endoscopic retrograde cholangiopancreatography (ERCP). Preliminary processing of x-ray images involves binarization, and, subsequently, pancreatic ducts shown in the pictures are subjected to the straightening transformation, which enables obtaining two-dimensional width graphs that show contours of objects with their morphologic changes. Recognition of such changes was performed using attributed context-free grammars. Correct description and diagnosis of some symptoms (e.g., large cavitary projections) required two-dimensional analysis of width graphs. In such cases, languages of shape feature description with special multidirectional sinquad distribution were additionally applied.  (+info)

Ultrasonographic evaluation of the common bile duct in biliary acute pancreatitis patients: comparison with endoscopic retrograde cholangiopancreatography. (8/1054)

We compared the morphologic findings of the common bile duct by ultrasonography and endoscopic retrograde cholangiopancreatography in patients with biliary acute pancreatitis. Forty-five patients were studied. The diagnosis of acute pancreatitis was based on the presence of characteristic abdominal pain associated with an elevation of serum amylase and lipase concentrations. All patients underwent ultrasonography and subsequently urgent endoscopic retrograde cholangiopancreatography and eventually endoscopic sphincterotomy. Ultrasonography showed gallstones in 33 patients and sludge of the gallbladder in seven patients. In the common bile duct, lithiasis was found in two patients and sludge in 25. Endoscopic retrograde cholangiopancreatography showed choledocolithiasis in eight patients and sludge of the common bile duct in 32. In 27 cases (60%) concordance occurred between ultrasonographic and endoscopic retrograde cholangiopancreatographic detection of lithiasis or sludge of the common bile duct. The average diameter of the common bile duct determined by sonography was significantly smaller (P < 0.001) than that obtained by endoscopic retrograde cholangiopancreatography. The evaluation of this parameter indicated that a good correlation existed between the values obtained with the two techniques (r(s) = 0.765, P < 0.001). Both ultrasonography and endoscopic retrograde cholangiopancreatography can provide reliable measurements of the common bile duct diameter. Ultrasonography is the technique of choice in the initial investigation of patients with biliary acute pancreatitis.  (+info)

BACKGROUND There are few published data concerning the economic impact of antibiotic prophylaxis prior to endoscopic retrograde cholangiopancreatography in the setting of biliary obstruction. AIM To perform decision analysis to determine the costs of prophylaxis in patients undergoing endoscopic retrograde cholangiopancreatography for obstructive jaundice. METHODS A decision analysis model was constructed. The probability of biliary sepsis, death and endoscopic retrograde cholangiopancreatography complications was obtained from the medical literature and from a retrospective analysis of our own experience. Costs were obtained from Medicare reimbursement at our institution. The strategies evaluated were endoscopic retrograde cholangiopancreatography with and without single-dose antibiotic prophylaxis. We compared the total costs, number of episodes of cholangitis and deaths associated with each strategy. RESULTS Based on published data and the results of our retrospective analysis, the strategy of
Project:. This study will compare glyceryl nitrate (GN) treatment to non-active treatment for the prevention of post-ERCP acute pancreatitis, which is an inflammation of the pancreas that can occur after a procedure known as ERCP.. Background:. ERCP (endoscopic retrograde cholangiopancreaticography) is an examination of the pancreas by which it is possible to perform therapeutic measures such as stone removal from the common bile duct and visualisation of the pancreas. Inflammation of the pancreas after the ERCP procedure (called: post-ERCP pancreatitis) is the most feared and common complication of the ERCP. It occurs in 1-40% of patients, with rates of 5% or more being more typical. Currently, the background of post-ERCP pancreatitis is poorly known.. Attempts at preventing post-ERCP pancreatitis have been carried out through a change to low-risk techniques, by avoiding high-risk patients, and by use of pharmacological prophylaxis.. Glyceryl Nitrate:. Glyceryl nitrate is a well-known medicine ...
The immediate infectious pancreato-biliary complications of endoscopic retrograde cholangiopancreatography (ERCP) warranting transfer to a surgical unit are analyzed, in order to evaluate their frequency and severity as well as means of treatment and
China Endoscopic Retrograde Cholangiopancreatography (ERCP) Pancreatic and Biliary Stenting Procedures Outlook to 2023 China Endoscopic Retrograde Cholangiopancreatography (ERCP) Pancreatic and Biliary Stenting Procedures Outlook to - Market research report and industry analysis - 10859199
OBJECTIVE To provide health care providers, patients, and the general public with a responsible assessment of currently available data regarding the use of endoscopic retrograde cholangiopancreatography (ERCP) for diagnosis and therapy. PARTICIPANTS A non-Federal, non-advocate, 13-member panel representing the fields of gastroenterology, hepatology, clinical epidemiology, oncology, biostatistics, surgery, health services research, radiology, internal medicine, and the public. In addition, experts in these same fields presented data to the panel and to a conference audience of approximately 300. EVIDENCE Presentations by experts; a systematic review of the medical literature provided by the Agency for Healthcare Research and Quality; and an extensive bibliography of ERCP research papers, prepared by the National Library of Medicine. Scientific evidence was given precedence over clinical anecdotal experience. CONFERENCE PROCESS Answering predefined questions, the panel drafted a statement based on
Innovative engineering from PENTAX Medical delivers a world-first combination of advanced cleaning capabilities for infection prevention, with the added advantage of high definition (HD) image quality and procedural performance in the new DEC™ Duodenoscope. It provides a pioneering solution for diagnostic and therapeutic endoscopic retrograde cholangio-pancreatography (ERCP) procedures.. The DEC™ Duodenoscope offers reliable therapeutic performance with unique and outstanding HD+ endoscopic image quality for routine and therapeutic ERCP procedures. Combined with i-scan and i-scan OE, detailed visualization of the mucosal structures is possible to support detection and characterization of lesions to help locate the minor papillae. ...
Endoscopic retrograde cholangiopancreatography (ERCP) is a technique that combines the use of endoscopy and fluoroscopy to diagnose and treat certain problems of the biliary or pancreatic ductal systems. Through the endoscope, the physician can see the inside of the stomach and duodenum, and inject a contrast medium into the ducts in the biliary tree and pancreas so they can be seen on radiographs. ERCP is used primarily to diagnose and treat conditions of the bile ducts and main pancreatic duct, including gallstones, inflammatory strictures (scars), leaks (from trauma and surgery), and cancer. ERCP can be performed for diagnostic and therapeutic reasons, although the development of safer and relatively non-invasive investigations such as magnetic resonance cholangiopancreatography (MRCP) and endoscopic ultrasound has meant that ERCP is now rarely performed without therapeutic intent. The following represent indications for ERCP, particularly if or when less invasive options are not adequate or ...
TY - JOUR. T1 - Outcome of training in diagnostic and therapeutic ERCP. T2 - A prospective multicenter study. AU - Canto, M.. AU - Chak, A.. AU - Sivak, M. V.. AU - Pollack, B. J.. AU - Elta, G.. AU - Barnett, J.. AU - Kochman, M.. AU - Long, W.. AU - Ginsberg, G.. AU - Bedford, R.. AU - Khandelwal, M.. AU - McGarrity, T.. AU - Damianos, A.. AU - Wassef, W.. AU - Zfass, A.. AU - Foxx-Orrenstein, A.. AU - Dabezies, M.. PY - 1997. Y1 - 1997. N2 - GI fellows acquire a varying amount of ERCP experience during their training. AIM: To describe the outcome of training in diagnostic and therapeutic ERCP in GI fellowship training programs. METHODS; From 1994-1996,16 attendings skilled in ERCP prospectively evaluated GI trainees from 7 university medical centers. Each regular trainee (REG) was allowed at least 20 minutes before the advanced fellow (ADV) or proctor took over. Using pretested objective standardized scales, skills for each component of diagnostic ERCP and each therapeutic manuever were ...
PubMed journal article: Can postendoscopic retrograde cholangiopancreatography pancreatitis be prevented by a pharmacological approach?. Download Prime PubMed App to iPhone, iPad, or Android
Get Consultation on Endoscopic Retrograde Cholangiopancreatography from best hospitals in the India with the treatment cost and medical travel cost involved. Read reviews of top hospitals.
The incidence of biliary tract pathology is growing with an age-related trend, and progresses as the population ages. Endoscopic Retrograde Cholangiopancreatography (ERCP) represents the gold standard for treatment in these cases, but evidence about its safety in the elderly is still debated. We retrospectively analyzed the clinical records of all patients aged ≥65 undergoing ERCP between July 2013 and July 2015. Of 387 ERCP cases, 363 (~ 94%) were completed entirely. The mean age of the study population (n = 363) was 79.9 years old (range 70-95), with 190 subjects aged 70-79 and 173 older than 80. We recorded demographics, Charlson Comorbidity index (CCI), American Society of Anesthesiologists (ASA) physical status classification score, indication for the use of the ERCP procedure, and clinical outcomes. Then, we tested all variables to identify the potential risk factors for complications associated with the procedure. The older group (those ≥80 years old) showed significantly more patients with
Background : Endoscopic Retrograde Cholangio-Pancreatography (ERCP) is a diagnostic and therapeutic procedure for biliary and pancreatic ductal disease. One of post-ERCP complication is post-ERCP pancreatitis, the incidence is 10% and cause of prolong hospital stay, financial burden and in case of develop severe pancreatitis it may increase burden to patients. Recent study show the effectiveness of NSAIDs use for post-ERCP pancreatitis prevention especially 100 mg Indomethacin rectally. This outcome use as the research to routine practice in Surgical department Vajira hospital. With the interesting in COX-2 inhibitor that same mechanism pathway with NSAIDs and reduce the gastric complication for the patient.. Objective: To compare post-ERCP pancreatitis prevention effectiveness using 60 mg Etoricoxib per-oral and 100 mg indomethacin rectally.. Material and Methods: Retrospective study designs evaluated the patients who underwent ERCP at Vajira hospital from January 2012- December 2013. The ...
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BRIC Pancreatic and Biliary Stent Procedures Outlook to 2025 - Endoscopic Retrograde Cholangiopancreatography (ERCP) Pancreatic and Biliary Stenting Procedures and Percutaneous Transhepatic Cholangiography (PTC) Biliary Stenting Procedures
The case of a 54-year-old woman who presented with choledocholithiasis and underwent successful endoscopic stone extraction to clear the common bile duct is described. However, her jaundice and liver biochemistry continued to deteriorate despite repeat endoscopic retrograde cholangiopancreatography (ERCP), with further imaging confirming a patent biliary tree. The clinical, radiological and pathological features were in keeping with prolonged cholestasis as a complication of ERCP. The pathophysiology of this unusual syndrome and the therapeutic options available are discussed.. ...
Asia-Pacific Endoscopic Retrograde Cholangiopancreatography (ERCP) Pancreatic and Biliary Stenting Procedures Outlook to 2023SummaryGlobalDatas new report, Asia-Pacific ...
SummaryOur new report, United Kingdom Endoscopic Retrograde Cholangiopancreatography (ERCP) Pancreatic and Biliary Stenting Procedures Outlook to 202
Endoscopic retrograde cholangiopancreatography, or ERCP, is a procedure to diagnose and treat problems in the liver, gallbladder, bile ducts, and pancreas. It combines X-ray and the use of an endoscope-a long, flexible, lighted tube.
TY - JOUR. T1 - Competence in Endoscopic Ultrasound and Endoscopic Retrograde Cholangiopancreatography, From Training Through Independent Practice. AU - Wani, Sachin. AU - Keswani, Rajesh N.. AU - Han, Samuel. AU - Aagaard, Eva M.. AU - Hall, Matthew. AU - Simon, Violette. AU - Abidi, Wasif M.. AU - Banerjee, Subhas. AU - Baron, Todd H.. AU - Bartel, Michael. AU - Bowman, Erik. AU - Brauer, Brian C.. AU - Buscaglia, Jonathan M.. AU - Carlin, Linda. AU - Chak, Amitabh. AU - Chatrath, Hemant. AU - Choudhary, Abhishek. AU - Confer, Bradley. AU - Coté, Gregory A.. AU - Das, Koushik K.. AU - DiMaio, Christopher J.. AU - Dries, Andrew M.. AU - Edmundowicz, Steven A.. AU - El Chafic, Abdul Hamid. AU - El Hajj, Ihab. AU - Ellert, Swan. AU - Ferreira, Jason. AU - Gamboa, Anthony. AU - Gan, Ian S.. AU - Gangarosa, Lisa M.. AU - Gannavarapu, Bhargava. AU - Gordon, Stuart R.. AU - Guda, Nalini M.. AU - Hammad, Hazem T.. AU - Harris, Cynthia. AU - Jalaj, Sujai. AU - Jowell, Paul S.. AU - Kenshil, ...
Endoscopic retrograde cholangiopancreatography (ERCP) is a diagnostic and interventional procedure technique using both endoscopy and fluoroscopy for examination and intervention of the biliary tree and pancreatic ducts. It is typically performed...
Learn more about Endoscopic Retrograde Cholangiopancreatography at Memorial Hospital DefinitionReasons for ProcedurePossible ComplicationsWhat to ExpectCall Your...
Endoscopic retrograde cholangiopancreatography market size is Like to reach $1,876.75 million by 2027,from $1,212.94 million in 2019 at a CAGR of 5.6% .
Learn more about Endoscopic Retrograde Cholangiopancreatography at Medical City Dallas DefinitionReasons for ProcedurePossible ComplicationsWhat to ExpectCall Your...
ED-580XT Duodenoscope- The ED-580XT Duodenoscope features a removable single use distal end cap which provides access to the elevator for manual cleaning. The ED-580XT Duodenoscope combines optimal visual orientation with exceptional maneuverability and control, helping to achieve cannulation efficiently while keeping the focus on diagnosis and therapy even in the most challenging Endoscopic Retrograde Cholangio-Pancreatography (ERCP) procedures. The new design incorporates a smooth working channel and guidewire lock delivering efficient device advancement and exchange. Fujifilm recently concluded its ED-580XT limited market evaluation (LME). In clinical use at multiple facilities, the ED-580XT received positive feedback from physicians who complimented the scopes image quality, ease of advancements of large diameter devices, and performance and impressive wire locking mechanism. Fujifilm received 510(K) clearance for the ED-580XT in the spring, and the product is now commercially available ...
ERCP procedures are risky and may not be necessary for the patient. Some doctors may recommend ERCP procedures without fully explaining other alternatives.
Portal biliopathy is an uncommon cause of obstructive jaundice. The proposed therapies include endoscopic dilatation and stenting of the common bile duct or a portocaval shunt with splenectomy and sometimes hepatico-jejunostomy. We recently treated a white man with obstructive jaundice who had growth-hindering diarrhea in childhood. He experienced abdominal pain at the age of 33 years, and ultrasonography and computed tomography examinations revealed mesentericoportal thrombosis and splenomegaly. One year later, endoscopy showed esophageal varices; a liver biopsy showed normal histology. Obstructive jaundice first occurred when he was 40 years old; the patient was admitted to another hospital, and endoscopic retrograde cholangio-pancreatography showed concentric stenosis of the common bile duct, with no evidence of stones. The jaundice recovered spontaneously, but biochemical signs of cholestasis persisted. At 46 years of age, the patients blood bilirubin levels increased to 29 mg/dL. Nuclear ...
ERCP, or endoscopic retrograde cholangio-pancreatography, is an x-ray of the pancreatic and bile ducts combined with the injection of a dye to make them show up. The bile ducts drain bile from the liver while the pancreatic duct drains pancreatic juice from the pancreas. Both open into the first part of the small intestine (the duodenum). ...
Brief Answer: Get an ERCP ( endoscopic retrograde cholangio-Pancreatography) done Detailed Answer: Hi, Welcome to Healthcare Magic. I am Dr Ramadevi Wani. I am sorry that you are still suffering with this pain and vomitting. I have read your notes thoroughly. In my opinion, the reason for this...
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies. ...
TY - JOUR. T1 - Evaluation of intraductal ultrasonography of the pancreas for intraductal papillary tumor. AU - Nakamura, Yuta. AU - Nakazawa, Saburo. AU - Yamao, Kenji. AU - Yoshino, Junji. AU - Inui, Kazuo. AU - Kanemaki, Naoto. AU - Wakabayasi, Takao. AU - Okushima, Kazumu. AU - Iwase, Teruhiko. AU - Taki, Norihito. AU - Sugiyama, Kazuhisa. AU - Mizutani, Sayoko. AU - Horibe, Yoshimune. AU - Imaeda, Yoshihiro. AU - Hujimoto, Masao. AU - Hattori, Toshiyuki. AU - Miyoshi, Hironao. PY - 1997/1/1. Y1 - 1997/1/1. N2 - Intraductal ultrasonography of the pancreas was performed in 20 cases of Intraductal papillary tumor (IDT). Findings included multilocular cysts, increased wall thickness, mural nodules, mucus echos and mass with a mixed pattern of high and low echo. Mural nodules were observed only in cases of adenoma and adenocarcinoma. On the basis of the ultrasonographic findings and histopathological findings, the images of IDT were classified into four types : Type I lacked any nodule or wall ...
ERCP is a specialized endoscopic procedure that is performed with fluoroscopy and contrast injection to examine and treat conditions of the bile ducts and pancreas, such as removing gallstones, opening obstructed bile ducts, and obtaining biopsies in suspected tumors. Conventional ERCP is hindered by the flat, two-dimensional, black and white image rendered by fluoroscopy, which can make it difficult to determine where to obtain tissue samples and potentially lead to an inaccurate or inconclusive clinical diagnosis. As a result, gastrointestinal endoscopists may need to conduct additional testing or even repeat the entire ERCP procedure. Data shows that up to 30 percent of diagnostic ERCPs are inconclusive, potentially creating the need for additional testing ...
Background: Intra-biliary rupture of hydatid cyst [IBRH] is not a rare complication of hydatid disease of the liver and surgery until recently is the only definitive treatment. With the introduction of ERCP preoperatively or postoperatively there was a great reduction in the operative complications. There were reports in which the ERCP was the sole treatment of this condition. Objective: To evaluate role of ERCP in the management of cases of IBRH. Design: A retrospective study of 7 cases of IBRH and prospective study of 5 cases of IBRH managed by ERCP. Setting: The ERCP Unit of Kurditan Center for Gastroenterology & Hepatology, Asulaimaneyah-Iraqi, Kurdistan, Iraq. Main Outcome Measurements: Improvement in the symptoms, obstructive liver functions pattern and ultrasonic findings in these patients following ERCP management. Methods: This is a study of 12 cases of IBRH managed by ERCP in the Kurdistan Center of Gastroenterology (KCGE) in Asulaimaneyah-Iraq, from 2007-2010. Seven cases of these were
Faculty of the University of South Florida College of Medicine admit and care for patients at Tampa General as do community physicians, many of whom also serve as adjunct clinical faculty. The division of Digestive Diseases and Nutrition faculty members provide comprehensive inpatient consultative services throughout the year and perform, in addition to routine endoscopic procedures, complex procedures such as endoscopic mucosal resection (EMR), diagnostic and therapeutic endoscopic retrograde cholangiopancreatography (ERCP), biliary cholangioscopy (SpyGlass™), Barrx® procedure for Barrett esophagus ablation, endoscopic ultrasound (EUS) with fine-needle aspiration (FNA), pancreatic pseudocyst drainage, single balloon-assisted small bowel enteroscopy, small bowel capsule endoscopy, complex esophageal dilation procedures, and Botox® injection for the treatment of achalasia and gastroparesis. Other services provided include Bravo pH testing, esophageal and anorectal manometry (pressure ...
Differentiating malignant from benign bile duct strictures is a conundrum, since no diagnostic test is highly sensitive for diagnosing cancer. While ERC
Did you or someone you love undergo an endoscopic procedure? Did that procedure result in sepsis, a serious infection, or even death? The design of the device used during such procedures may be to blame. You or your loved one may be entitled to compensation.. Duodenoscopes are reusable medical devices commonly used for Endoscopic Retrograde Cholangiopancreatography (ERCP) procedures. ERCP procedures are used to evaluate or treat several gastrointestinal tract problems, such as draining fluids from pancreatic and biliary ducts blocked by cancerous tumors, gallstones or other conditions.. The devices are at the center of an outbreak of a superbug that is extremely difficult to treat. These tools, which consist of flexible tubes with lights and cameras, are hard to clean properly, a fact previously known by the Food and Drug Administration (FDA) and manufacturers like Olympus Corp, Pentax Medical, and Fujifilm Holdings Corp.. ...
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ERCP is used primarily to diagnose and treat conditions of the bile ducts, including gallstones, inflammatory strictures (scars), leaks (from trauma and surgery), and cancer. ERCP combines the use of x rays and an endoscope, which is a long, flexible, lighted tube. Through the endoscope, the physician can see the inside of the stomach and duodenum, and inject dyes into the ducts in the biliary tree and pancreas so they can be seen on x rays.. For the procedure, you will lie on your left side on an examining table in an x-ray room. You will be given medication to help numb the back of your throat and a sedative to help you relax during the exam. You will swallow the endoscope, and the physician will then guide the scope through your esophagus, stomach, and duodenum until it reaches the spot where the ducts of the biliary tree and pancreas open into the duodenum. At this time, you will be turned to lie flat on your stomach, and the physician will pass a small plastic tube through the scope. ...
Computed tomography severity index during the first week after admission, and incidence of local complications were also analyzed.. The researchers assessed overall morbidity and mortality.. The research team found that the incidence of bile duct stones at endoscopic retrograde cholangiopancreatography was 72%.. The team noted that 40% of patients in the early conservative management group had persisting bile duct stones at elective biliary surgery.. The researchers observed no significant differences between the 2 groups regarding changes in mean organ failure score.. There was no significant difference between the 2 groups in mean computed tomography severity index, or incidence of local complications.. In addition, the team found that overall morbidity, and mortality did not differ between the 2 groups.. Dr Or as team concludes, The present study failed to provide evidence that early endoscopic intervention reduces systemic and local inflammation in patients with acute gallstone pancreatitis ...
During this procedure, GastroEnterology Center specialists use a custom scope with a side view, perfect for threading a small straw up through the sphincter, or muscular door, and into the biliary tree, which leads to the liver, or the pancreatic duct. Once the scope is inserted, the gastroenterologist can use injected dye that shows up on an x-ray to look for blockages or narrowed passageways. ERCP also allows us to look for evidence of cancer or collect suspicious cells using tiny brushes.. ...
ERCP is a test that combines video endoscopy and x-ray techniques to examine the pancreatic and bile ducts as well as the duodenum and gall bladder.
Authors: István Hritz, László Czakó, Zsolt Dubravcsik, Gyula Farkas, Dezső Kelemen, Natália Lásztity, Zita Morvay, Attila Oláh, Ákos Pap, Andrea Párniczky, Miklós Sahin-Tóth, Zsolt Szentkereszti, Richárd Szmola, Ákos Szücs, Tamás Takács, László Tiszlavicz, and Péter Hegyi ...
A single, 100-mg rectal dose of indomethacin cut the odds of moderate to severe pancreatitis after endoscopic retrograde cholangiopancreatography (ERC... More »
Innovation Centre at Karolinska University Hospital Sweden has launched an innovative surgery program that makes use of video collaboration technology from Polycom. Using Polycom RealPresence video collaboration solutions to view live video, researchers at the Karolinska Insitutet, the medical university can now provide remote mentoring for surgeries during operations at other hospitals - potentially anywhere in the world. These live sessions serve as invaluable real-time training.. Experienced endoscopists at the Karolinska University Hospital perform more than 800 endoscopic retrograde cholangiopancreatography (ERCP) procedures annually. ERCP involves cannulation (entering) of the papilla duct and is used primarily to diagnose and treat conditions of the bile ducts and main pancreatic duct, including gallstones, inflammatory strictures (scars), leaks (from trauma and surgery), and cancer.. The Karolinska Institutet accounts for over 40 percent of the medical academic research conducted in ...
Results 1843 ERCP were performed on 1362 pts (817 female (F), 545 male (M), age range (AR) 16-103). NKP was performed in 69 cases (3.7% 37F 32 M, AR 21-98). In the papillotomy cohort indications for ERCP were stone disease (40); stricturing disease (22); others including unexplained pancreatitis (4), bile leak (2), sphincter of Oddi dysfunction (1). Successful bile duct cannulation was achieved during the index procedure in 50 cases (25M 25 F). Of the remaining 19 cases, 11 (5M 6 F) had bile duct cannulation achieved during a repeat procedure via the papillotomy: global success rate 88%. The remaining 6 cases (4F 2 M) were managed with alternative interventions (5 PTC, 1 surgical). NKP was more successful for stone disease: an initial procedure success rate of 73% vs. 64% for non-stone disease, increasing to 95% with repeat procedure. 5/6 (83%) cases requiring alternative interventions had non-stone disease.. Complications: 4/69 (5.8%) cases were complicated by pancreatitis; all were managed ...
Pancreatitis is the most common and important complication of endoscopic retrograde cholangiopancreatography (ERCP). Several risk factors play a role in the formation and progression of pancreatitis. These risk factors may be related to the patient, procedure or operator. All of these risk factors should be considered and should be lowered as far as possible with attention to pathogenesis of the development of post-ERCP pancreatitis. The pathogenesis include sphincter spasm, infection, contrast toxicity and pancreatic secretion that induce the activation of proteolytic enzymes and inflammatory processes. Some methods and pharmacologic agents assessed for the prevention of pathway in the pathogenesis to decrease post-ERCP pancreatitis.
Clin Gastroenterol Hepatol. 2009 Mar;7(3):353-8e4. doi: 10.1016/j.cgh.2008.11.020. Epub 2008 Dec 3. Research Support, N.I.H., Extramural
Magnetic resonance cholangiopancreatography (MRCP) is a medical imaging technique that uses magnetic resonance imaging to visualize the biliary and pancreatic ducts in a non-invasive manner. This procedure can be used to determine if gallstones are lodged in any of the ducts surrounding the gallbladder. It was introduced in 1991. MRCP makes use of heavily T2-weighted MRI pulse sequences. These sequences show high signal in static or slow moving fluids within the gallbladder, biliary ducts and pancreatic duct, with low signal of surrounding tissue. In the diagnosis of pancreatic disorders, MRCP is a much less invasive investigation when compared to endoscopic retrograde cholangiopancreatography (ERCP). Although both techniques can image the ductal system in detail, MRCP also allows imaging of the surrounding parenchyma. In a study from 2008, 269 patients undergoing both ERCP and MRCP showed comparable results between the two techniques. Prasad, SR; D. Sahani; S. Saini (November 2001). Clinical ...
TY - JOUR. T1 - Indomethacin and Short-Duration Intravenous Hydration as a More Feasible Regimen for Risk Reduction of Post-endoscopic Retrograde Cholangiopancreatography Pancreatitis. AU - Barkin, Jodie A.. AU - Barkin, Jamie S. PY - 2017. Y1 - 2017. UR - http://www.scopus.com/inward/record.url?scp=85016787815&partnerID=8YFLogxK. UR - http://www.scopus.com/inward/citedby.url?scp=85016787815&partnerID=8YFLogxK. U2 - 10.1016/j.cgh.2017.02.008. DO - 10.1016/j.cgh.2017.02.008. M3 - Article. C2 - 28223203. AN - SCOPUS:85016787815. JO - Clinical Gastroenterology and Hepatology. JF - Clinical Gastroenterology and Hepatology. SN - 1542-3565. ER - ...
TY - JOUR. T1 - A Novel Dry Model for Practicable Sphincterotomy and Precut Needle Knife Sphincterotomy. AU - Katanuma, Akio. AU - Itoi, Takao. AU - Umeda, Junko. AU - Tonozuka, Ryosuke. AU - Mukai, Shuntaro. AU - Yane, Kei. AU - Kin, Toshifumi. AU - Matsumoto, Kazuaki. AU - Matsumori, Tomoaki. AU - Gon, Katsushige. AU - Takaki, Ryo. AU - Tomonari, Akiko. PY - 2014/1/1. Y1 - 2014/1/1. N2 - Aim. We aimed to develop a simulation dry model for endoscopic sphincterotomy (ES) and needle knife precut sphincterotomy (NKP) and to evaluate its usefulness as a training simulator. Materials and Methods. An endoscopic retrograde cholangiopancreatography trainer was used as a duodenum, bile duct, and papilla simulator. A simulated papilla was created with a piece of rolled uncured ham, and ES and NKP were performed. Hands-on training was carried out using this model, and success and failure of the procedures were evaluated. A questionnaire survey was conducted among the participants to assess the performance ...
ERCP is the most useful test in the diagnosis of PCS.{ref13}{ref14} It is unsurpassed in visualization of the ampulla, biliary, and pancreatic ducts. At least 50% of patients with PCS have biliary dis... more
Autoimmune pancreatitis (AIP) is a rare form of chronic pancreatitis that is often overlooked in clinical practice and can be challenging to diagnose. We discuss a patient who initially presented to our hospital in 2015 with a 2-year history of abdominal pain secondary to recurrent pancreatitis. He was seen and evaluated by the gastroenterology service and underwent a traditional workup including a serologic evaluation for AIP by IgG4 testing, with serum IgG4 level 7.3 (normal 2-120). He had a history of heavy alcohol but was reportedly sober by the time he was seen in the gastroenterology clinic. Over the course of the following 5 years, the patient had numerous hospital admissions for recurrent pancreatitis and complications including pseudocyst formation and chronic abdominal pain that led to long-term narcotic use. During that timeframe, he underwent a total of four endoscopic ultrasounds (EUS) and three endoscopic retrograde cholangiopancreatography (ERCP) procedures to diagnose and treat ...
An 83 year old woman presented with a two week history of right upper quadrant pain, pale stools, dark urine, and itch. In the previous five years there had been two episodes of similar symptoms, ultrasound scan showing multiple gall bladder calculi. Past history included hypertension, type 2 diabetes mellitus, and obesity.. On examination she was not clinically icteric, apyrexic, but mildly tender in the right upper quadrant. Liver enzymes were obstructive, bilirubin 31 μmol/l (3-20 μmol/l), alkaline phosphatase 842 U/l (100-280 U/l), γ-glutamyltranspeptidase 778 U/l (5-50 U/l).. On ultrasound scan there were gallbladder stones and a dilated common bile duct of 11 mm. Endoscopic retrograde cholangiopancreatography revealed a large single calculus in the dilated common bile duct, unable to be extracted after spincterotomy. ...
Objective: Obstructive jaundice is one of the earliest symptoms of a hepatobiliary system disorder. The aim of the present study was to compare single stage endoscopic retrograde cholangiopancreatography (ERCP)/laparoscopic cholecystectomy (LC) and two-stage ERCP and LC with respect to the frequency of imaging, duration of anesthesia and the length of stay in our clinic.. Material and Methods: Of the 350 patients undergoing ERCP between 01.01.2015 and 31.12.2016, 31 patients with single-stage ERCP and LC were assigned to Group A and 25 patients with two-stage ERCP followed by LC within 6-8 weeks were assigned to Group B. Eligibility criteria included ERCP duration, difficulty of the procedure, bile duct stones as demonstrated by imaging methods, no contraindications for LC and no suspected or known malignancy. The same surgeon performed ERCP and LC in both groups.. Results: No cases of morbidity or mortality occurred in any groups. The average length of stay was 8.03 ± 4.97 days in Group A, ...
Value of magnetic resonance cholangiopancreatography combined with dynamic contrast enhanced CT in differential diagnosis of benign and malignant biliary stricture, Yuhong Wang, Ya
Objective: To explore the value of Magnetic Resonance Cholangiopancreatography (MRCP) combined with Dynamic Contrast Enhanced CT (DCE-CT) in different..
Learn more about Magnetic Resonance Cholangiopancreatography at Reston Hospital Center DefinitionReasons for TestPossible ComplicationsWhat to ExpectResultsCall ...
Care guide for Magnetic Resonance Cholangiopancreatography (Aftercare Instructions). Includes: possible causes, signs and symptoms, standard treatment options and means of care and support.
UPDATE. In response to COVID-19, we have taken the difficult decision to reschedule 38th GEEW. The 38th Gastroenterology and Endotherapy European Workshop (GEEW) will now take place from June 20-22, 2021 in Brussels, Belgium. Thank you for planning to attend the 38th Gastroenterology and Endotherapy European Workshop (GEEW).. WEO Center of Excellence: Department of Gastroenterology and Hepatopancreatology Erasme University Hospital. The Gastroenterology and Endotherapy European Workshop (GEEW) is the oldest meeting organized in the field of Endoscopy and Gastroenterology which mixes live demonstrations performed on patients within the highest ethical environment, State of the Art lectures , panel discussions and demonstrations of the latest evidence from the literature. All over the procedure, the information summarizing the most recent publications will be displayed to reinforce the discussion based on scientific evidence ...
This book aims to provide the basic technology and recent advances in biliopancreatic endoscopy. The method of Endoscopic retrograde cholangiopancreatography (ERCP) is popularly applied to enlarge the papillary orifice for removal of biliary and pancreatic stones, to relieve obstruction of distal bile duct or pancreatic duct by nasobiliary / nasopancreatic drainage or stenting, and to remove the premalignant tumor of papilla in recent four decades. The diagnostic role of ERCP is already replaced by the noninvasive images such as abdominal sonography, computed tomography, magnetic resonance cholangiopancreatography (MRCP) and endoscopic ultrasonography (EUS ...
It is important to verify that other, more serious conditions are not being missed prior to embarking on a diagnosis of sphincter of Oddi dysfunction. Therefore, it would be important to verify that the patient does not have stones within the bile ducts, cancer of the pancreas or bile ducts, peptic ulcer disease or heart disease (poor blood flow to the heart, called ischemia or angina may mimic these symptoms).. The diagnosis of sphincter of Oddi dysfunction can be confirmed using a special endoscope that allows the placement of a catheter into the bile and pancreatic ducts. Injection of contrast through the catheter coupled with the use of X-rays can give the physician pictures of the bile and pancreatic ducts. The procedure, which requires a special scope is known as an endoscopic retrograde cholangiopancreatography (ERCP). This procedure can help determine the presence of gallstones in the gall bladder or bile duct. In the case of bile duct stones, special instruments and procedures ...
TY - JOUR. T1 - Prediction of post-ERCP related pancreatitis. AU - Eisen, G. M.. AU - Jowell, P.. AU - Branch, M. S.. AU - Affronti, John Paul. AU - Cotton, P. B.. AU - Baillie, J.. PY - 1996/1/1. Y1 - 1996/1/1. N2 - INTRODUCTION: The etiology of post ERCP pancreatitis is unknown, although numerous associations have been postulated. Identification of specific risk factors may lead to insights in etiology and prevention of this common complications. METHODS: Data on 6,071 consecutive ERCPs were entered into the Duke GI-Trac database. Complications were reported as part of a QA exercise. Candidate predictor variables evaluated were: age, gender, hepatobiliary/ pancreatic (HPB) neoplasm, pancreatogram obtained pancreas divisum, presence of pseudocyst, bile duct stones, sphincterotomy, prior post-ERCP pancreatitis, manometry, bile duct size. All pts with active pancreatitis were excluded. A predictive model was generated utilizing the stepwise logistic regression technique. RESULTS: 201 pts (3%) ...
(a, b) Endoscopic retrograde cholangiography; (c) duodenoscopy; (d) fluoroscopy. ERC revealed strictures (arrows), 4 cm in length, in the lower-middle bile du
Results The response rate was 59.5% (222/373). Of respondents 52.5% considered ever using prophylactic pancreatic stents (PPS) for the prevention of PEP. Those who used PPS always attempted to do so for the following procedural risk factors; pancreatic sphincterotomy (48.9%), suspected sphincter of Oddi dysfunction (46.5%), pancreatic duct instrumentation (35.9%), previous PEP (25.2%), precut sphincterotomy (8.5%) and pancreatic duct injection (7.8%). The decision to use prophylactic NSAIDs was significantly associated with attempts at PPS placement (p , 0.001).The stent characteristics, follow-up methods and timing varied significantly. Of those who did not use PPS 64.1% cited a lack of conviction in their benefit as the main reason for their decision. Self-reported pharmacological use rates for PEP prevention were: NSAIDS (34.6%), Antibiotics (20.6%), Rapid IV Fluids (13.2%) and Octreotide (1.6%). Only 6% of respondents routinely measured amylase post-ERCP.. ...
Aim: Acute biliary pancreatitis (ABP) is caused by alteration of the papillary patency. The normal transpapillar flux and the cleaning of the common biliary duct (CBD) may prevent potentially avoidable recurrent pancreatitis. Patients and Methods: In the period September 1997/december 2008 we have treated 224 ABP (34 severe, 190 mild/moderate): 162 (72,4%) with the first attack, 62 (27,6%) with recurrent ABP (second or further attack). The patients with recurrent pancreatitis had not undergone, in the previous hospital stay elsewhere, the evaluation and, if necessary, the treatment of the papillary obstacle and /or CBD stones, sludge, etc. In ours hospital all patients had undergone complete treatment of ABP: intensive therapy, clinical: instrumental control of the papillary patency, then ERCP/ES(180-80%) within 72 hours from the onset in all SAP, in mild/moderate with signs of papillary lithiasic obstacle (US/MRCP confirmation), in all recurrent pancreatitis, and videolaparocholecystectomy. ...
Background:Endoscopic retrograde cholangiopancreatography ERCP is a painful and long procedure requiring transient deep analgesia and conscious sedation. An ideal anaesthetic that guarantees a rapid and smooth induction, good quality of maintenance, lack of adverse effects and rapid recovery is still lacking.This study aimed to compare safety and efficacy of a continuous infusion of low dose remifentanil plus ketamine combined with propofol in comparison to the standard regimen dose of remifentanil plus propofol continuous infusion during ERCP.Material/Methods:322 ASAI-III patients, 18-85 years old and scheduled for planned ERCP were randomized. Exclusion criteria were a predictable difficult airway, drug allergy, and ASA IV-V patients.We evaluated Propofol 1 mg/kg/h plus Remifentanil 0.25 µg/kg/min (GR) vs. Propofol 1 mg/kg/h plus Ketamine 5 µg/kg/min and Remifentanil 0.1 µg/kg/min (GK).Main outcome measures were respiratory depression, nausea/vomiting, quality of intraoperative conditions, and
TY - JOUR. T1 - Improving ERCP quality and decreasing risk to patients and providers. AU - Kachaamy, Toufic A.. AU - Faigel, Douglas Orrick. PY - 2013/8. Y1 - 2013/8. N2 - Endoscopic retrograde cholangiopancreatography (ERCP) continues to be one of the most complex gastrointestinal procedures and carries the highest risk of complications. Optimizing the outcome of ERCP requires a fine balance between the risk and the benefit of every maneuver performed. This fine balance has to include an analysis of the indication for the procedure, the optimal timing, the setting where the procedure is performed, the endoscopist and staff training and expertise, availability of surgical and interventional radiology support, the risk of every maneuver and ways to minimize this risk. As in any other procedure, it is very important to know ones limitations and have a plan for failed procedures including consulting a colleague or referring the patient to a center with more expertise. In addition, a process of ...
Background and aim: ERCP with biliary sphincterotomy is the usual method to extract common bile duct stones. However, after sphincterotomy and by means of balloons and Dormia baskets not all stones may be extracted during the first endoscopy session. We present our experience regarding success rate after first ERCP. Patients and methods: 100 consecutive patients were included. All were diagnosed with choledocholitiasis by using ERCP. After biliary sphincterotomy, attempts to extract stones by means of balloons and Dormia baskets only were made. Billroth II gastrectomies and bile duct strictures of any origin were excluded. Results: during the first attempt at ERCP, complete stone clearance was achieved in 73 patients. Of the remaining 27 patients: 3 underwent surgery for choledocholithiasis, 20 had a plastic stent inserted, and 4 needed another ERCP for stones having been left in place. Mean extracted stone size was 9.4 mm (+/-3.8), and mean non-extracted stone size was 17 mm (+/-7.3): p,0.001. ...
Find out what is the full meaning of ERCP on Abbreviations.com! Endoscopic retrograde cholangiopancreatography (ERCP) is a procedure that combines upper gastrointestinal (GI) endoscopy and x-rays to treat problems of the bile and pancreatic ducts. The National Reference Centre for Parasitology (NRCP) is committed to providing effective diagnosis, surveillance, and control of major parasitic diseases, with the objective to reduce morbidity and mortality in Canadians. Many times abbreviations is used in medical because of shot of time. India. ERCP is associated with a high risk of medical complications and as a result it is vital that the potential benefits from usage outweigh the potential complications. Although intraductal papillary mucinous neoplasms are benign tumors, they can progress to pancreatic cancer. NRCP stands for national river conservation programme. Meanings of MRCP in English As mentioned above, MRCP is used as an acronym in text messages to represent Mental Retardation Cerebral ...
Endoscope, Jaundice, Obstructive Jaundice, Patients, Endoscopic Retrograde Cholangiopancreatography, Balloon Dilation, Gi Tract, Stenosis, Strictures, Anatomy, Billroth Ii, Ercp, Gastrectomy, Roux-en-y Anastomosis, Bile, Bile Duct, Bleeding, Cannulation, Catheter, Cholangitis
BACKGROUND: Malnutrition-related diabetes mellitus is a distinct clinical entity subdivided into protein-deficient diabetes mellitus (PDDM) and fibrocalculus pancreatic diabetes (FCPD). Whereas FCPD has obvious pancreatitis manifested by pancreatic duct calculi, the evidence for involvement of the pancreas in PDDM is limited to the presence of ketosis-resistant hyperglycaemia. METHODS: We studied 10 patients with PDDM biochemically and radiologically. Endoscopic retrograde cholangiopancreatography was performed to determine if they had any evidence of chronic pancreatitis. RESULTS: Their mean faecal chymotrypsin level was low (13.2+/-5.72 microg/g), as was their basal c-peptide value (0.35+/-0.15 mmol/L). Islet cell antibodies were not detected in any of these patients. Ultrasound examination revealed pancreatic atrophy. In two patients, however, the pancreas was bulky. The ERCP showed generalized thinning of the pancreatic duct, measuring 2.4+/-0.06mm in the head, 2.01+/-0.08 mm in the body and ...
Fluoroscopic procedures at FMH consist of Endoscopic Retrograde CholangioPancreatography and pneumatic dilation of achalasia cardia.. Stones in the common bile duct are removed via ERCP and plastic biliary stents are used to relieve obstruction due to benign or malignant strictures in the biliary tract. Expertise at placing metallic biliary stents is also available.tart in the near future.. ...
Acute pancreatitis remains a disease with high morbidity and mortality. Acute pancreatitis can be subdivided in acute interstitial pancreatitis and necrotising pancreatitis, largely compatible with clinically mild and severe pancreatitis. This diagnosis is made on the basis of patient history, physical examination, laboratory parameters, contrast CT scan and, occasionally, endoscopic retrograde cholangiopancreatography. Prognosis on admission can be established using a scoring system such as the modified Glasgow score, the Ranson score and the Acute physiology and chronic health evaluation--(APACHE)-II-score. The treatment of acute pancreatitis is primarily conservative. Indications for surgical intervention are: progressive sepsis despite maximum conservative management, an established infection of (peri)pancreatic necrosis, peripancreatic abscess and perforation of stomach, small intestine or colon. The purpose of an operation is to remove necrotic tissue, achieve adequate drainage of the necrotic
Background: Diagnostic and therapeutic procedures such as Endoscopic Retrograde Cholangiopancreatography (ERCP) is stressful for the patient. Aim: to determine the influence of Orientation technique on anxiety levels and pulse rate in patients before ERCP in Talaghni hospital in 2011. Method: This study was a randomized controlled clinical trial which carried out on 70 subjects with gastrointestinal disorders hospitalized in Taleghani Hospital, Tehran, who were randomly allocated in two groups (35 experimental and 35 control group). The subjects in the experimental group were received orientation technique while control group were only received routine care in their ward. The anxiety level and vital sign was measured in both groups and analyzed with SPSS Version 13 using inferential statistics. Results There was no difference between two groups in terms of demographics variablesbased on Chi square test. Beforeapplying Orientation technique, there was no significant difference in the average score of
The term Endoscopy is used to describe the direct visual examination of any part of the interior of the body through an optical viewing instrument.. This can be through the mouth into the stomach (gastroscopy), through the anus into the large bowel (colonoscopy), through the nose into the lungs (bronchoscopy), or through the urethra to the bladder (cystoscopy).. Another examination that is performed by the endoscopy staff is ERCP (endoscopic retrograde cholangiopancreatography). A dye is injected into the bile and pancreatic ducts using a flexible, video endoscope. Then x-rays are taken to outline the bile ducts and pancreas.. The Endoscopy Unit at UCLH is one of the largest units in the UK performing over 14,000 procedures per year. There are 7 state of the art endoscopy rooms and a 16 bay recovery area. We pride ourselves on delivering high quality diagnostic, screening and surveillance endoscopy as well as innovative therapeutic endoscopy. We have one of the largest hepatobiliary and upper GI ...
A dilute solution of vasopressin is injected into the mesosalpinx in order to decrease blood loss during mobilization of the proximal and distal tubal segments. Potts scissors and micro-bipolar graspers are used to mobilize tubal segments and to deperitonealize the edges of the mesosalpinx. Even though we have bipolar electrocautery (micro-bipolar forceps) at our disposal, we employ it sparingly to avoid occult thermal damage to the tubal epithelium.. A graduated-tip ERCP (endoscopic retrograde cholangiopancreatography) cannula (Contour 3-4-5 Tip ERCP Cannula, Boston Scientific, Natick, Mass.) is inserted through the fimbriated end of the distal tubal segment; it exits through the newly opened proximal lumen of this distal segment and enters the newly created opening of the proximal tubal segment. This stent provides anatomic orientation and helps to identify the tubal lumen.. Preparation of the tubal edges and placement of the ERCP cannula are performed with the assistance of chromopertubation. ...
Elevated pressure in the pancreatic gland is the central cause of pancreatitis following abdominal trauma, surgery, endoscopic retrograde cholangiopancreatography (ERCP), and gallstones. In the pancreas excessive intracellular calcium causes mitochondrial dysfunction, premature zymogen activation, and necrosis ultimately leading to pancreatitis. Although stimulation of the mechanically activated, calcium-permeable ion channel, Piezo1, in the pancreatic acinar cell is the initial step in pressure-induced pancreatitis, activation of Piezo1 produces only transient elevation in intracellular calcium that is insufficient to cause pancreatitis. Therefore, how pressure produces a prolonged calcium elevation necessary to induce pancreatitis is unknown. We demonstrate that Piezo1 activation in pancreatic acinar cells caused a prolonged elevation in intracellular calcium levels, mitochondrial depolarization, intracellular trypsin activation, and cell death. Notably, these effects were dependent on the ...
peer reviewed medical journal Medical experts not involved in the bile from being concentrated. Lithotripsy may be different from gallstones? Once you start fasting strictly, avoid foods high in grease or if youve had a very peaceful sleep with intense pain develops from bile. What to expect before, result of more than I remembered something about ultrasound treatment of kidney stones the diet and gallstones and the throwing out extra cholesterol level of pain and often peaking about midnight. kidney problems newborns The pain is related to several medications Cholesterol levels. A great liver in its upper part of the pain meds, however, it is a dense sludge in the hospital and severe spasms. John Hopkins-Chad Dawson undercard in the liver and gallbladder. It includes whole grains, vegetables are formed decision against themedical attention. Endoscopic retrograde cholangiopancreatography or ERCP ERCP uses two diagnose gallstones by TomorrowYou want anyone ignoring the symptoms of bile and start ...
The FDA recently issued a safety communication about potentially serious health risks associated with the use of ERCP endoscopes (also called duodenoscopes). These medical devices are flexible, lighted tubes that are threaded through the mouth, throat, stomach, [in order to reach] the small intestine [or duodenum]. Their use allows the injection of contrast dye [for imaging] or the insertion of other instruments to obtain tissue samples for biopsy or treat certain abnormalities. Duodenoscopes are utilized during a procedure called endoscopic retrograde cholangiopancreatography (or ERCP) which is the least invasive way of draining fluids from pancreatic and biliary ducts blocked by cancerous tumors, gallstones, or other conditions.. According to the FDA, the complex design of duodenoscopes may hinder their proper cleaning and disinfection. In particular, they feature an elevator mechanism whose moving parts... contain microscopic crevices that may not be reached with a [cleaning] brush. ...
39; Connor OJ, McWilliams S, Maher MM; Imaging of skimpy download learning javascript data structures & algorithms. Beger H et al; The Pancreas: An Integrated Textbook of Basic Science, Medicine, and Surgery, same Z, Yu W, Ke L, et al; Acute Cholecystitis in the Late Phase of Severe Acute Pancreatitis: A clinical . Frossard JL, Steer ML, Pastor CM; Short Download Active Sound And Vibration Control : Theory And Applications. various 300mbps theoretical Ultrasound ScanPancreas( diagram)ERCP( Endoscopic Retrograde Cholangiopancreatography)Chronic PancreatitisSearch for more formidable hobbyists Is it free to sustain dissertations of a download urdu : readings in literary urdu prose and even render green 26 Contents later, my previews are armored anthropologist and I can not have this. Although in this download the final campaigns. australia in the war the adventures hunger Just here 14-17 and Conscious, there produced to navigate book. The comprehensive training that Angua involved retained that ...
Gastroenterology trainees also find out how to perform Modern endoscopic tactics by way of example polypectomy (removal of colon polyps), esophageal and intestinal dilation (stretching of narrowed places), and hemostasis (injection or cautery to prevent bleeding). Importantly, Gastroenterologists find out just how to correctly interpret the final results and biopsy outcomes of this sort of experiences as a method to make appropriate suggestions to handle instances and/or end most cancers. click Some Gastroenterologists also acquire directed teaching in Superior solutions utilizing endoscopes such as endoscopic biliary evaluation (endoscopic retrograde cholangiopancreatography or ERCP), removing of tumors with out surgical procedure (endoscopic mucosal resection or EMR), placement of interior drainage tubes (stents) and endoscopic ultrasound (EUS ...
Attwell AR, Brauer BC, Chen YK, Yen RD, Fukami N, Shah RJ. Endoscopic retrograde cholangiopancreatography with per oral pancreatoscopy for calcific chronic pancreatitis using endoscope and catheter-based pancreatoscopes: a 10-year single-center experience. Pancreas. 2014 Mar; 43(2):268-74 ...
3 credits. Last Update Effective: 1/18/16. The last of five supervised clinical experiences to develop competency in Radiologic Technology procedures, patient care, imaging, radiation protection and safety. C-arm, basic skull, facial bones, paranasal sinuses, orbits, myelography, cystography, arthrography, and Endoscopic Retrograde Cholangiopancreatography (ERCP) proficiencies must be completed. The student needs to show proof of Basic Life Support (BLS) for Healthcare Provider that is current for the duration of the semester. (formerly Applied Radiologic Technology VI). Prerequisite: RAS 232◊, RAS 243◊, RAS 260◊, RAS 280◊. Clinical Laboratory: 6 hours. (course fee required). ...
Upper Endoscopy (Panendoscopy), Colonoscopy, Liver Biopsy, Paracentesis and Endoscopic Retrograde Cholangiopancreatography (ERCP) among other Digestive care procedures by the Hudson County Gastroenterology Group P.A.. Heinz-gerd Neuen 28. Juni 2011. Juni gelang es nun, einen neuen Dorfgemeinschaftsvorstand zu wählen. Beisitzer Ralf Merten, Beisitzer Heinz-Gerd Breuer, Beisitzer Josef. Für einen neuen Anlauf zur Rüstungskontrolle und Abrüstung. Annette Sieber- Oesterle, Lothar Knapp, Heinz-Gerd Becker, André Spaude, Matthias Becker, The. Procedures Colonoscopy. A colonoscopy is a diagnostic procedure that allows your doctor to visually examine the inside of the colon for closer inspection of irregularities.. Gerd Kortmann Pfarrer Hans Gerd Schütt (Subsidiar) Herrenweg 4 47839 Krefeld Telefon: 02151 / 73. Mobil: 0157 - 72 67 36 90 heinz-peter.kortmann(at)st-cyriakus-huels.de. Volume XXXIII. Contents. Monika Fludernik and Bernd Kortmann (Freiburg). Christina Wald (Augsburg) and Gerd Bayer ...
The final guidance comes after a superbug outbreak linked to a reusable medical device (Terhune/Petersen, Los Angeles Times, 3/12).. As many as 179 patients could have been exposed to Carbapenem-Resistant Enterobacteriaceaeafter having an endoscopic retrograde cholangiopancreatography at the UC-Los Angeles Ronald Reagan Medical Center between October 2014 and January 2015. So far, seven patients have been confirmed to have CRE infections, and two of those patients died.. Meanwhile, Cedars-Sinai Medical Center in Los Angeles this month reported that four patients had been infected with CRE and up to 67 more might have been exposed after being treated with the same type of scope. FDA has received at least 75 reports, involving at least 135 patients, about ERCP endoscopes -- also called duodenoscopes -- over the last two years (California Healthline, 3/6).. FDA released draft guidelines for reusable medical device makers in 2011. FDA Chief Scientist Stephen Ostroff said that the agency had ...
Often after the diabetic has lost weight through a program of exercise the diabetes appears to have been cured. Gangrene is one of the leading causes of diabetic foot amputations. Organics typically cost Use Baking Soda as a Face Mask. Hypo In Diabetes Attack Neuropathy Can Autonomic Reversed with type 2 diabetes you may want to diabetes 2 early symptoms unit hospital singleton check your blood sugar 1-2 times a day. Diabetic Friendly Pork Baby Back Spare Ribs in Sauce Food.. Diabetes Support 6 Directory of Hypo In Diabetes Attack Neuropathy Can Autonomic Reversed Health and Community Services Health PEI Novomax www Central Queens Health Centre Sulfonylureas , 4. Endoscopic retrograde cholangiopancreatography (ERCP) is a technique Bolus of 20 units insulin given IV Foods that are digested too your dog suffering from low blood sugar. Diabetic Recipes for Desserts No one will miss the lost calories. Low Blood Sugar symptoms include A study review in the June 2015 issue of PLOS One found that ...
CLINICAL AFFAIRS Contains the Endoscopy, Hepatobiliary/Transplant, Liaison, Pediatrics, Practice Affairs and Regional Representation committees. Endoscopy quality assurance initiative As reviewed in the Apr News Web page, the Governing Table has endorsed a pilot task on quality guarantee in endoscopy, predicated on the uk program as well as the Global Rating Level (www.grs.nhs.uk/). Credentialing papers 6 manuscripts addressing credentialing linked to esophagogastroduodenoscopy, sigmoidoscopy, colonoscopy, endoscopic retrograde cholangiopancreatography and endoscopic ultrasound, along with an introductory paper on general credentialing concepts, are in the ultimate stages and you will be submitted for publication this season. Consensus guidelines, placement statements and history reviews Three types of CAG publications have already been decided on and thought as follows: consensus guidelines, position statements (CAG opinion items about specific topics; one or two pages long) and history reviews ...
Association, Biliary Cirrhosis, Cirrhosis, Primary Biliary Cirrhosis, Disease, Patients, Stents, Endoscopic Retrograde Cholangiopancreatography, Stent, and Surgery
TY - JOUR. T1 - What can go wrong, will go wrong. T2 - A look at iatrogenia in the abdomen and pelvis. AU - Williams, Penny L.. AU - Raman, Stevens S.. AU - Kadell, Barbara M.. AU - Dong, Paul R. AU - Lu, David S K. PY - 2002/11. Y1 - 2002/11. N2 - Advancements in both surgical and less invasive techniques have improved our ability to safely screen, diagnose, and treat disease within the abdomen and pelvis. Endoscopy, endoscopic retrograde cholangiopancreatography, interventional radiology, and laparoscopy have revolutionized the art of diagnosis and treatment of gastrointestinal tract disorders over the past 30 years. Key advances include direct inspection of bowel lumen, biopsy of suspected disorders, and treatment of abnormalities, including removal of mucosal lesions, dilatation, and stent placement of strictures. Radiologists must be aware of the complications resulting from a variety of gastrointestinal, radiologic, and surgical procedures. This article reviews the imaging findings related ...
Lima Ohios solution to Peptic Ulcer, Irritable Bowel Syndrome, Endoscopic Retrograde Cholangiopancreatography, Gastro Reflux Disease, Flexible Sigmoid, Colonoscopy, Upper GI Endoscopy, Colon Polyp and other stomach problems.
An MRCP is an abdominal MRI that concentrates on the biliary and pancreatic ducts to locate gallstones, tumors, inflammation and infection.
Cotton, P. B. (2012). "Endoscopic Retrograde Cholangiopancreatography". Gastrointestinal Endoscopy Clinics of North America. 22 ... "A lexicon for endoscopic adverse events: Report of an ASGE workshop". Gastrointestinal Endoscopy. 71 (3): 446-454. doi:10.1016/ ... "Long-Term Clinical Outcomes After Endoscopic Minor Papilla Therapy in Symptomatic Patients with Pancreas Divisum". Pancreas. 38 ... "Grading the complexity of endoscopic procedures: Results of an ASGE working party". Gastrointestinal Endoscopy. 73 (5): 868-874 ...
Accessory: Endoscopic retrograde cholangiopancreatography. Respiratory tract. *Rhinoscopy. *Laryngoscopy. *Bronchoscopy. ...
Accessory: Endoscopic retrograde cholangiopancreatography. Respiratory tract. *Rhinoscopy. *Laryngoscopy. *Bronchoscopy. ... Colonoscopy (/ˌkɒləˈnɒskəpi/) or coloscopy (/kəˈlɒskəpi/)[1] is the endoscopic examination of the large bowel and the distal ... Endoscopic Full-Thickness Resection (eFTR) allows for the removal of lesions in the colon and rectum. ...
Endoscopic retrograde cholangiopancreatography (ERCP). Although this is a form of imaging, it is both diagnostic and ... Magnetic resonance cholangiopancreatography (MRCP) is another cholangiography method. "Cholangiography , Gallbladder cancer , ...
Morgan, K. A.; Fontenot, B. B.; Ruddy, J. M.; Mickey, S.; Adams, D. B. (2009). "Endoscopic retrograde cholangiopancreatography ... Pitfalls in endoscopic retrograde cholangiopancreatography diagnosis". The American Surgeon. 76 (7): 725-730. doi:10.1177/ ... College of Surgeons American Society for Gastrointestinal Endoscopy Society of American Gastrointestinal and Endoscopic ...
Endoscopic retrograde cholangiopancreatography India portal "Call Life". Call Life. 2014. Retrieved 25 October 2014. "ND TV". ... He is also reported to have done path breaking work on therapeutic endoscopy and endoscopic retrograde cholangiopancreatography ... known for his pioneering efforts on therapeutic endoscopy and endoscopic retrograde cholangiopancreatography (ERCP). He was ... Maydeo is credited with the establishment of the first endoscopic centre in India, Baldota Institute of Digestive Sciences, ...
The gold standard test for biliary obstruction is still endoscopic retrograde cholangiopancreatography (ERCP). This involves ... Endoscopic retrograde cholangiopancreatography (ERCP) is the most common approach in unblocking the bile duct. This involves ... "Antibiotic prophylaxis for patients undergoing elective endoscopic retrograde cholangiopancreatography". The Cochrane Database ... In cases where a person is too ill to tolerate endoscopy or when a retrograde endoscopic approach fails to access the ...
... impacted at ampulla of Vater seen at time of endoscopic retrograde cholangiopancreatography (ERCP) ... Treatment is by choledocholithotomy and endoscopic retrograde cholangiopancreatography (ERCP). Murphy's sign is commonly ... an endoscopic retrograde cholangiopancreatography (ERCP), or an intraoperative cholangiogram. If the patient must have the ... ultrasonography of a common bile duct stone Fluoroscopic image taken during endoscopic retrograde cholangiopancreatography ( ...
ERCP, short for endoscopic retrograde cholangiopancreatography, is an endoscopic procedure that can remove gallstones or ... Endoscopic retrograde cholangiopancreatography with rendezvous cannulation reduces pancreatic injury. World J Gastroenterol. ... Two-stage treatment with preoperative endoscopic retrograde cholangiopancreatography (ERCP) compared with single-stage ... Peroperative Endoscopic Retrograde Cholangio-Pancreaticography (ERCP)/ Laparo-endoscopic rendezvous (LERV) technique CBDS are ...
In Japan, It is clinically used to treat endoscopic retrograde cholangiopancreatography (ERCP)-induced pancreatitis. Studies in ... "Ulinastatin for pancreatitis after endoscopic retrograde cholangiopancreatography: a randomized, controlled trial". Clinical ...
"Gabexate for the prevention of pancreatic damage related to endoscopic retrograde cholangiopancreatography. Gabexate in ...
The Trendelenburg position may be used for drainage images during endoscopic retrograde cholangiopancreatography. The ...
"Design of Endoscopic Retrograde Cholangiopancreatography (ERCP) Duodenoscopes May Impede Effective Cleaning: FDA Safety ... a transmission risk when people undergo a gastroenterology procedure called endoscopic retrograde cholangiopancreatography, ...
Kutner suspects a pancreatic tumor and wants to perform an ERCP (endoscopic retrograde cholangiopancreatography). Both go to ...
Magnetic Resonance Cholangiopancreatography) or ERCP (Endoscopic Retrograde Cholangiopancreatography). This test can ... In some cases, endoscopic retrograde cholangiopancreatography (ERCP) is performed, revealing the diagnosis of pancreas divisum ... Endoscopic approaches (ERCP) are sometimes used for symptomatic pancreas divisum, which offers the benefit of a less invasive ... No large-scale clinical studies comparing surgical and endoscopic approaches are available. Studies involving autopsy and ...
If that returns normal results, the next step would be to perform endoscopic retrograde cholangiopancreatography. Many ...
It can also be used to image joint spaces and in endoscopic retrograde cholangiopancreatography (ERCP).[citation needed] ...
An endoscopic retrograde cholangiopancreatography should be performed with stent placement and sphincterotomy of the sphincter ...
... trauma to the sphincter from procedures such as endoscopic retrograde cholangiopancreatography or biliary surgery, or ... normally by performing an abdominal ultrasound and endoscopic retrograde cholangiopancreatography (ERCP). Measurements of bile ... The EPISOD trial has substantiated the ineffectiveness of endoscopic sphincterotomy in patients with these symptoms and SOD ... "Effect of endoscopic sphincterotomy for suspected sphincter of Oddi dysfunction on pain-related disability following ...
It allows access to the biliary tree in cases where endoscopic retrograde cholangiopancreatography (ERCP) has been unsuccessful ... magnetic resonance cholangiopancreatography, computed tomography and endoscopic ultrasound. If the biliary system is obstructed ... Duan, F., Cui, L., Bai, Y., Li, X., Yan, J., & Liu, X. (2017). Comparison of efficacy and complications of endoscopic and ... anatomy is altered precluding endoscopic access to the duodenum, or where there has been separation of the segmental biliary ...
... duct disruption based on the results of thin-cut computed tomography or endoscopic retrograde cholangiopancreatography (ERCP). ...
A CT scan or an endoscopic retrograde cholangiopancreatography (ECRP) could be performed to determine the site of inflammation ... It also has better endoscopic access to the biliary tree and more physiologic bile drainage. CDD is used in the treatment of ... Endoscopic Emergencies. 17 (2): 289-306, vi. doi:10.1016/j.giec.2007.03.006. PMID 17556149. Baert AL, ed. (2008), "Sump ... A CDD allows for the passage of any retained gallstones, such as impacted stones, or stones where endoscopic treatments of ...
endoscopic retrograde cholangiopancreatography (ERCP), duodenoscope-assisted cholangiopancreatoscopy, intraoperative ... For the notion in mathematics introduced by Langlands, see Endoscopic group.. This article needs additional citations for ... Endoscopic spinal surgery. An Endoscopy is a simple procedure which allows a doctor to look inside human bodies using an ... The endoscopic image can be combined with other image sources to provide the surgeon with additional information. For instance ...
Stones in the common bile duct can be removed before surgery by endoscopic retrograde cholangiopancreatography (ERCP) or during ...
... and stenosis of the intrapancreatic bile duct on endoscopic retrograde cholangiopancreatography (ERCP). Rare pancreatic ... The role of endoscopic ultrasound (EUS) and EUS-guided fine-needle aspiration (EUS-FNA) in the diagnosis of AIP is not well ...
Endoscopic retrograde cholangiopancreatography (ERCP) should be used only if lab tests suggest the existence of a gallstone in ...
Endoscopic retrograde cholangiopancreatography (ERCP), an endoscopic procedure performed by a gastroenterologist or specially ... Endoscopic ultrasound can also be performed at the time of ERCP and may increase the accuracy of the biopsy and yield ... Magnetic resonance cholangiopancreatography (MRCP) is a non-invasive alternative to ERCP. Some authors have suggested that MRCP ... value of endoscopic ultrasonography". Abdominal Imaging. 22 (4): 434-8. doi:10.1007/s002619900227. PMID 9157867. S2CID 19988847 ...
... following endoscopic retrograde cholangiopancreatography (ERCP). The medications ursodeoxycholic acid (UDCA) and ... Obstruction of the common bile duct with gallstones can sometimes be relieved by endoscopic retrograde sphincterotomy (ERS) ...
Contrast-enhanced computed tomography and endoscopic retrograde cholangiopancreatography (ERCP) may also assist in diagnosis, ... If no improvement is seen, the patient may receive endoscopic or surgical treatment. If surgical treatment is followed, an ERCP ...
... allowing cannulation of the duodenum during the endoscopic retrograde cholangiopancreatography (ERCP) procedure. Glucagon acts ... Chauvin A, Viala J, Marteau P, Hermann P, Dray X (July 2013). "Management and endoscopic techniques for digestive foreign body ...
... following endoscopic retrograde cholangiopancreatography (ERCP).[38] ... Obstruction of the common bile duct with gallstones can sometimes be relieved by endoscopic retrograde sphincterotomy (ERS) ...
Endoscopic retrograde cholangiopancreatography (ERCP), an endoscopic procedure performed by a gastroenterologist or specially ... Magnetic resonance cholangiopancreatography (MRCP) is a non-invasive alternative to ERCP.[55][56][57] Some authors have ... value of endoscopic ultrasonography". Abdominal Imaging. 22 (4): 434-8. doi:10.1007/s002619900227. PMID 9157867.. ... Endoscopic ultrasound can also be performed at the time of ERCP and may increase the accuracy of the biopsy and yield ...
Retrograde ureteral, an intervention used to remove kidney stones. References[edit]. *^ El-Ghar MA, Osman Y, Elbaz E, Refiae H ... A retrograde urethrogram is a routine radiologic procedure (most typically in males) used to image the integrity of the urethra ... Hence a retrograde urethrogram is essential for diagnosis of urethral injury, or urethral stricture.[1] ... If a urethral injury is suspected, a retrograde urethrogram should be performed before attempting to place a Foley catheter ...
CT, ուլտրաձայնային հետազոտություն, Մագնիսառեզոնանսային շերտագրություն, endoscopic retrograde cholangiopancreatography?, ... percutaneous transhepatic cholangiography?, magnetic resonance cholangiopancreatography?, բիոպսիա և արյան բիոքիմիական ...
... baskets used to remove stones from the common bile duct in a procedure known as endoscopic retrograde cholangiopancreatography ... Traditional endoscopic techniques involved the use of an overtube, a plastic tube inserted into the esophagus prior to the ... Cohen MS, Kaufman AB, Palazzo JP, Nevin D, Dimarino AJ, Cohen S (2007). "An audit of endoscopic complications in adult ... Chauvin, A; Viala, J; Marteau, P; Hermann, P; Dray, X (Jul 2013). "Management and endoscopic techniques for digestive foreign ...
"Antibiotic prophylaxis for patients undergoing elective endoscopic retrograde cholangiopancreatography". The Cochrane Database ...
... endoscopic retrograde cholangiopancreatography (ERCP) may be necessary to evaluate for adenomas of the common bile duct; annual ... endoscopic retrograde cholangiopancreatography (ERCP) to evaluate for adenomas of the common bile duct; small-bowel imaging ... should be advised for endoscopic surveillance, because of the right-side location of colorectal adenomas; UGI endoscopic ...
... a endoscopic retrograde cholangiopancreatography (ERCP) is used in both the diagnosis and treatment as it can remove the stones ...
... an endoscopic retrograde cholangiopancreatography (ERCP), an endoscopic investigation of the bile duct, may be performed. ...
... and biliary tree Diseases WI 800-830 Pancrease Also see Hepato-biliary diseases Endoscopic retrograde cholangiopancreatography( ...
Accessory: Endoscopic retrograde cholangiopancreatography. Respiratory tract. *Rhinoscopy. *Laryngoscopy. *Bronchoscopy. ...
Stones in the common bile duct can be removed before surgery by endoscopic retrograde cholangiopancreatography (ERCP) or during ...
Endoscopic retrograde cholangiopancreatography, Frozen section procedure, Mini-mental state examination, Neurological ... Percutaneous endoscopic gastrostomy, Performance status, Perioperative mortality, Peripherally inserted central catheter, Port ...
This video shows a virtual colonoscopy of the rectosigmoid colon performed in a retrograde fashion. There is a 10-mm ... Endoscopic sleeve gastroplasty. *Gastric bypass surgery. *Sleeve gastrectomy. *Vertical banded gastroplasty surgery ...
... endoscopic retrograde cholangiopancreatography (en) , percutaneous transhepatic cholangiography (en) , magnetic resonance ...
Endoscopic foreign body retrieval. *Endoscopic retrograde cholangiopancreatography. *EndoStim Electrical Stimulation Therapy. * ...
Prosedur endoscopic retrograde cholangiopancreatography (ERCP) dapat dilakukan untuk membuka saluran pankreas yang terhambat.[1 ...
雖然腹部造影在膽管癌的診斷上很有用,但针对性的膽管造影也是必須的。最廣泛使用的膽管造影術為內視鏡逆行性膽胰管攝影術(英语:Endoscopic retrograde cholangiopancreatography)(ERCP),此種內視鏡必須由腸胃專科 ... 膽管癌的ERCP(英语:
Endoscopic retrograde cholangiopancreatography (ERCP) combines EGD with fluoroscopy Endoscopic ultrasound (EUS) combines EGD ... Endoscopic image of adenocarcinoma of duodenum seen in the post-bulbar duodenum. Endoscopic image of gastric antral vascular ... Endoscopic image of a posterior wall duodenal ulcer with a clean base, which is a common cause of upper GI hemorrhage. ... Deep gastric ulcer Endoscopic still of duodenum of patient with celiac disease showing scalloping of folds. Gastric ulcer in ...
Urological surgery - particularly in retrograde pyelography.. *Cardiology for diagnostic angiography, percutaneous coronary ...
Retrograde cholangiopancreatography. Analysis of biliary sludge obtained through endoscopic retrograde cholangiopancreatography ...
In 1980, he presented the first use of a biliary stent, a device inserted via endoscopic retrograde cholangiopancreatography ( ... He subsequently developed Endo Club Nord, a society for live endoscopy, wherein endoscopic procedures are performed live and ... Soehendra was appointed as Full Professor and Director of the Department of Endoscopic Surgery at University Hospital Eppendorf ... Soehendra N, Reynders-Frederix V (1980). "Palliative bile duct drainage - a new endoscopic method of introducing a ...
... and to orient the bile duct to assist with endoscopic retrograde cholangiopancreatography, a procedure used to image to bile ... "TriClip Endoscopic Clipping Device". Retrieved 2007-05-15. Lin HJ, Lo WC, Cheng YC, Perng CL (2007). "Endoscopic hemoclip ... or by the endoscopic procedure itself. Clips have also been used to secure the placement of endoscopic feeding tubes, ... The alternatives to endoscopic clipping of peptic ulcers are thermal therapy (such as electrocautery to burn the vessel causing ...
Endoscopic retrograde cholangiopancreatography (ERCP) is a technique that combines the use of endoscopy and fluoroscopy to ... "Design of Endoscopic Retrograde Cholangiopancreatography (ERCP) Duodenoscopes May Impede Effective Cleaning: FDA Safety ... Cotton, Peter B. (2013-05-31). "ERCP (Endoscopic Retrograde Cholangio-Pancreatography)". Medical University of South Carolina ( ... One of the most frequent and feared complications after endoscopic retrograde cholangiopancreatography (ERCP) is post-ERCP ...
Endoscopic retrograde cholangiopancreatography (ERCP) is a procedure to examine and diagnose diseases of the liver, bile ducts ... Endoscopic retrograde cholangio-pancreatography is a procedure that uses a small scope to examine the stomach and intestines. ...
An endoscopic retrograde cholangiopancreatography (ERCP) is used to diagnose and treat problems in the pancreas using a special ... Endoscopic Retrograde Cholangiopancreatography (ERCP) for Pancreas Disorders What Is an ERCP?. Cincinnati Childrens is one of ... that offers a special procedure performed by a pediatric endoscopist called an endoscopic retrograde cholangiopancreatography ( ...
An endoscopic retrograde cholangiopancreatography (ERCP) is a procedure that combines the use of an endoscope (a thin, lighted ... ERCP (endoscopic retrograde cholangiopancreatography). An ERCP (endoscopic retrograde cholangiopancreatography) combines an ... These less invasive tests include a CT scan, an endoscopic ultrasonography (EUS) and a magnetic resonance ...
The endoscopic portion of the examination uses a side-viewing duodenoscope that is passed through the esophagus and ... ... Background Endoscopic retrograde cholangiopancreatography (ERCP) is a technique that uses a combination of luminal endoscopy ... encoded search term (Endoscopic Retrograde Cholangiopancreatography (ERCP)) and Endoscopic Retrograde Cholangiopancreatography ... Unusual complications related to endoscopic retrograde cholangiopancreatography and its endoscopic treatment. Clin Endosc. 2013 ...
An endoscopic retrograde cholangiopancreatography (ERCP) is a procedure that combines the use of an endoscope (a thin, lighted ... ERCP (endoscopic retrograde cholangiopancreatography). An ERCP (endoscopic retrograde cholangiopancreatography) combines an ... Cancer information / Diagnosis and treatment / Tests and procedures / Endoscopic retrograde cholangiopancreatography (ERCP) ... These less invasive tests include a CT scan, an endoscopic ultrasonography (EUS) and a magnetic resonance ...
Endoscopic visualization of the papilla of Vater was achieved in 98 of our first 100 attempts. Cannulation was successful in 87 ... Safrany L, Tari J, Barna L, Torok I: Endoscopic retrograde cholangiography. Gastrointest Endosc 19:163-168, 1973Google Scholar ... Cannulation of the papilla of Vater by endoscopy and retrograde cholangiopancreatography (ERCP). Gut 13:1014-1025, 1972Google ... Kasugai T, Kuno N, Kizu M, Kobayashi S, Hattori K: Endoscopic pancreatocholangiography. II. The pathological endoscopic ...
Endoscopic retrograde cholangio pancreatography (ERCP) - series-Indication. To use the sharing features on this page, please ...
This procedure uses x-rays and an endoscope to see inside your digestive system and diagnose problems such as tumors, gallstones, and inflammation in your…
Endoscopic Retrograde Cholangiopancreatography. (ERCP). Pronounced: en-doh-SKAH-pik REH-troh-grayd koh-LAN-jee-oh-PANG-kree-uh- ... Endoscopic retrograde cholangiopancreatography (ERCP) is a procedure used to treat and diagnose problems in the liver, ... ERCP (endoscopic retrograde cholangiopancreatography). National Institute of Diabetes and Digestive and Kidney Diseases website ...
Endoscopic retrograde cholangio pancreatography (ERCP) - series-Normal anatomy. To use the sharing features on this page, ...
Care guide for Endoscopic Retrograde Cholangiopancreatography (Precare). Includes: possible causes, signs and symptoms, ... Learn more about Endoscopic Retrograde Cholangiopancreatography (Precare). IBM Watson Micromedex. *ERCP (Endoscopic Retrograde ... Endoscopic retrograde cholangiopancreatography (ERCP) is a procedure to examine the ducts of your pancreas or gallbladder. ERCP ... Endoscopic Retrograde Cholangiopancreatography. Medically reviewed by Drugs.com. Last updated on July 28, 2021. ...
Several major complications from endoscopic retrograde cholangiopancreatography (ERCP), including pancreatitis, cholangitis, ... Huge biloma after endoscopic retrograde cholangiopancreatography and endoscopic biliary sphincterotomy. Int J Surg Case Rep. ... Unusual complications related to endoscopic retrograde cholangiopancreatography and its endoscopic treatment. Clin Endosc. 2013 ... Intrahepatic subcapsular biloma after endoscopic retrograde cholangiopancreatography treated by endoscopic biliary drainage. ...
ERCP (Endoscopic Retrograde Cholangio-Pancreatography). First submitted by:. Shawn Tsuda. Category. Hepatobiliary. ... Mastering the Art of Surgery At the 16th World Congress of Endoscopic Surgery and 2018 SAGES Meeting April 11th-14th in Seattle ... ERCP is safe when performed by surgeons who have had specific training and are experienced in this specialized endoscopic ... Society of American Gastrointestinal and Endoscopic Surgeons. 11300 W. Olympic Blvd Suite 600. Los Angeles, CA 90064 USA. ...
What Is Endoscopic Retrograde Cholangiopancreatography (ERCP)?. Endoscopic retrograde cholangiopancreatography (ERCP) is a ... Endoscopic Retrograde Cholangiopancreatography (ERCP). Home Facing Pancreatic Cancer Diagnosis Endoscopic Retrograde ... Endoscopic Ultrasound (EUS). Computed Tomography or Computerized Axial Tomography (CT or CAT). Positron Emission Tomography ... If a stent is not needed to treat jaundice, a patient can get magnetic resonance cholangiopancreatography (MRCP) instead of ...
BACKGROUND: Data regarding the use of corticosteroids for the prevention of post-endoscopic retrograde cholangiopancreatography ...
... Koichiro ... Background. Several previous studies assessed the competence in endoscopic retrograde cholangiopancreatography (ERCP) using the ...
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... endoscopic retrograde cholangiopancreatography, drainage and biopsy, and endoscopic ultrasound," Radiologic Clinics of North ... J. Boix and V. Lorenzo-Zuniga, "Radiation dose to patients during endoscopic retrograde cholangiopancreatography," World ... N. Buls, J. Pages, F. Mana, and M. Osteaux, "Patient and staff exposure during endoscopic retrograde cholangiopancreatography ... Occupational Radiation Exposure during Endoscopic Retrograde Cholangiopancreatography and Usefulness of Radiation Protective ...
Learn more about Endoscopic Retrograde Cholangiopancreatography at Medical City Dallas DefinitionReasons for ProcedurePossible ... Endoscopic retrograde cholangiopancreatography (ERCP) is used to treat and diagnose problems in the liver, gallbladder, bile ... ERCP (endoscopic retrograde cholangiopancreatography). National Institute of Diabetes and Digestive and Kidney Diseases website ...
Endoscopic retrograde cholangiopancreatography (ERCP) is a technique that combines the use of endoscopy and fluoroscopy to ... Retrieved from "https://www.wikidoc.org/index.php?title=Endoscopic_retrograde_cholangiopancreatography&oldid=790003" ... de:Endoskopisch retrograde Cholangiopankreatikographie nl:Endoscopische retrograde cholangiopancreatografie fi:Endoskooppinen ... Mild hemorrhage: endoscopic and clinical evidence of bleeding in the absence of need to transfusion and in the context of a ...
Findings at endoscopic retrograde cholangiopancreatography after endoscopic treatment of postcholecystectomy bile leaks. Surg ... encoded search term (What is the role of endoscopic retrograde cholangiopancreatography (ERCP) in the workup of ... and What is the role of endoscopic retrograde cholangiopancreatography (ERCP) in the workup of postcholecystectomy syndrome ( ... Surgical and endoscopic management of remnant cystic duct lithiasis after cholecystectomy--a case series. J Gastrointest Surg. ...
Endoscopic Retrograde Cholangiopancreatography: A Rare Cause of Splenic Avulsion. Hamed Taheri, MD, Kalyan Vunnamadala, MD, ... BACKGROUND: Endoscopic Retrograde cholangiopancreatography (ERCP) is an extremely feasible diagnostic and therapeutic tool with ... Society of American Gastrointestinal and Endoscopic Surgeons. 11300 W. Olympic Blvd Suite 600. Los Angeles, CA 90064 USA. ... Copyright © 2020 Society of American Gastrointestinal and Endoscopic Surgeons · Legal · Managed by BSC Management, Inc ...
Pylephlebitis Following Infected Choledocholithiasis, Endoscopic Retrograde Cholangiopancreatography and Cholecystecomy.. TITLE ... PYELPHLEBITIS FOLLOWING INFECTED CHOLEDOCHOLITIASIS ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY AND OPEN CHOLECYSTECTOMY.. ... The patient underwent endoscopic extraction of biliary stones and sphincterotomy. Subsequently laparoscopic cholecystectomy was ... Society of American Gastrointestinal and Endoscopic Surgeons. 11300 W. Olympic Blvd Suite 600. Los Angeles, CA 90064 USA. ...
Endoscopic retrograde cholangiopancreatography (ERCP) ERCP is both diagnostic and therapeutic in patients with intrabiliary ... Endoscopic retrograde cholangiopancreatography (ERCP) ERCP is both diagnostic and therapeutic in patients with intrabiliary ... What is the role of endoscopic retrograde cholangiopancreatography (ERCP) in the diagnosis and management of hydatid cysts?. ...
Rectal Indomethacin to Prevent Post-Endoscopic Retrograde Cholangiopancreatography (ERCP) Pancreatitis. The safety and ...
About Endoscopic retrograde cholangiopancreatography (ERCP). ERCP has been used for the diagnosis and treatment of pancreatic ... However, due to the low sensitivity of duct brushings, and the potential morbidity associated with ERCP, endoscopic ultrasound ...
Endoscopic Retrograde Cholangiopancreatography (ERCP) The Digestive Disorders Center at Griffin Hospital. > Endoscopic ... Endoscopic Retrograde Cholangiopancreatography (ERCP) ERCP is a procedure that helps your doctor diagnose problems in the liver ...
Endoscopic Retrograde Cholangiopancreatography: A therapeutic modality in children and adolescents.(Report) by Journal of ... medicine Research Biliary tract Physiological aspects Children Surgery Endoscopic retrograde cholangiopancreatography Methods ... Retrograde+Cholangiopancreatography%3a+A+therapeutic...-a0284520045. *APA style: Endoscopic Retrograde Cholangiopancreatography ... Endoscopic retrograde cholangiopancreatography in the infant. Am J Gastroenterol 1976; 65: 461-3. 2.Hsu RK, Draganov P, Leung ...
Endoscopic retrograde cholangiopancreatography, or ERCP, is a procedure to diagnose and treat problems in the liver, ... Endoscopic Retrograde Cholangiopancreatography (ERCP). What is ERCP?. Endoscopic retrograde cholangiopancreatography (ERCP) is ...
  • Endoscopic retrograde cholangiopancreatography (ERCP) is a technique that combines the use of endoscopy and fluoroscopy to diagnose and treat certain problems of the biliary or pancreatic ductal systems. (wikipedia.org)
  • ERCP can be performed for diagnostic and therapeutic reasons, although the development of safer and relatively non-invasive investigations such as magnetic resonance cholangiopancreatography (MRCP) and endoscopic ultrasound has meant that ERCP is now rarely performed without therapeutic intent. (wikipedia.org)
  • One of the most frequent and feared complications after endoscopic retrograde cholangiopancreatography (ERCP) is post-ERCP pancreatitis (PEP). (wikipedia.org)
  • Cincinnati Children's is one of only a few pediatric medical centers in the country that offers a special procedure performed by a pediatric endoscopist called an endoscopic retrograde cholangiopancreatography (ERCP). (cincinnatichildrens.org)
  • An ERCP (endoscopic retrograde cholangiopancreatography) combines an endoscope (a thin, lighted flexible tube) and x-rays to examine and treat diseases of the bile and pancreatic ducts. (cancer.ca)
  • Endoscopic retrograde cholangiopancreatography (ERCP) is a technique that uses a combination of luminal endoscopy and fluoroscopic imaging to diagnose and treat conditions associated with the pancreatobiliary system. (medscape.com)
  • Because ERCP is an advanced technique, it is associated with a higher frequency of serious complications than other endoscopic procedures are. (medscape.com)
  • [ 1 ] However, because of a decrease in diagnostic ERCP with the advent of endoscopic ultrasonography (EUS) and magnetic resonance cholangiopancreatography (MRCP), this number is likely decreasing. (medscape.com)
  • Because ERCP has a higher rate of severe complications than most other endoscopic procedures do, having an appropriate indication for its use is extremely important. (medscape.com)
  • Cannulation of the papilla of Vater by endoscopy and retrograde cholangiopancreatography (ERCP). (springer.com)
  • Endoscopic retrograde cholangiopancreatography (ERCP) is a procedure used to treat and diagnose problems in the liver, gallbladder, bile ducts, and pancreas. (epnet.com)
  • Endoscopic retrograde cholangiopancreatography (ERCP) is a procedure to examine the ducts of your pancreas or gallbladder. (drugs.com)
  • Biloma may become apparent several days after ERCP, and endoscopic biliary drainage placement adjacent to the bile duct rupture site can stop bile leakage. (springer.com)
  • ERCP is safe when performed by surgeons who have had specific training and are experienced in this specialized endoscopic procedure. (sages.org)
  • Endoscopic retrograde cholangiopancreatography (ERCP) is a procedure used to get pictures of the digestive tract, including the pancreas. (pancan.org)
  • If a stent is not needed to treat jaundice, a patient can get magnetic resonance cholangiopancreatography (MRCP) instead of ERCP. (pancan.org)
  • BACKGROUND: Data regarding the use of corticosteroids for the prevention of post-endoscopic retrograde cholangiopancreatography (ERCP) pancreatitis are conflicting. (uptodate.com)
  • Several previous studies assessed the competence in endoscopic retrograde cholangiopancreatography (ERCP) using the bile duct cannulation success rate. (hindawi.com)
  • What is the role of endoscopic retrograde cholangiopancreatography (ERCP) in the workup of postcholecystectomy syndrome (PCS)? (medscape.com)
  • Percutaneous transhepatic cholangiography (PTC) or magnetic resonance cholangiopancreatography (MRCP) may be of use in patients who are not candidates for ERCP or in whom ERCP has been unsuccessfully attempted. (medscape.com)
  • BACKGROUND: Endoscopic Retrograde cholangiopancreatography (ERCP) is an extremely feasible diagnostic and therapeutic tool with few complications. (sages.org)
  • What is the role of endoscopic retrograde cholangiopancreatography (ERCP) in the diagnosis and management of hydatid cysts? (medscape.com)
  • However, due to the low sensitivity of duct brushings, and the potential morbidity associated with ERCP, endoscopic ultrasound-(where available)-has largely supplanted ERCP in the diagnosis of this malignancy. (pancreasfoundation.org)
  • Objective: To evaluate the indications, clinical features, complications, and effect on patient management of Endoscopic retrograde cholangiopancreatography (ERCP) in paediatric patients of varying age. (thefreelibrary.com)
  • Since the advent of Endoscopic retrograde cholangiopancreatography (ERCP) in adults in 1968 and in children in 1976, it has become a benchmark therapeutic modality in pancreaticobiliary disorders both in adults as well as in children.1 Initially it was restricted to the few centers in the west, now it has become more pervasive all over the world. (thefreelibrary.com)
  • Alcohol use and cigarette smoking are associated with various pancreatic diseases, but it is not known whether they associate with post-endoscopic retrograde cholangiopancreatography (ERCP) pancreatitis (PEP). (nih.gov)
  • The immediate infectious pancreato-biliary complications of endoscopic retrograde cholangiopancreatography (ERCP) warranting transfer to a surgical unit are analyzed, in order to evaluate their frequency and severity as well as means of treatment and prevention. (biomedsearch.com)
  • Strict adherence to good endoscopic procedures (aseptic conditions, injection without excessive pressure, antibiotic prophylaxis) and decompression of the biliary tract (nasobiliary drain or transhepatic catheter) should help reduce the frequency of post-ERCP complications, and especially cholangitis, which appears to benefit from early surgical treatment. (biomedsearch.com)
  • Background: Deep sedation with propofol and opioid is commonly used for endoscopic retrograde cholangiopancreatography (ERCP), but is associated with increased morbidity and mortality. (bioportfolio.com)
  • A 41-year-old woman developed acute severe pancreatitis following endoscopic retrograde cholangiopancreatography (ERCP) for suspected choledocholithiasis. (scielo.org.za)
  • Multiple common bile duct stones were extracted at endoscopic retrograde cholangiopancreatography (ERCP). (scielo.org.za)
  • GlobalData's new report, "Asia-Pacific Endoscopic Retrograde Cholangiopancreatography (ERCP) Pancreatic and Biliary Stenting Procedures Outlook to 2023", provides key procedures data on the Asia-Pacific Endoscopic Retrograde Cholangiopancreatography (ERCP) Pancreatic and Biliary Stenting Procedures. (reportlinker.com)
  • Asia-Pacific Endoscopic Retrograde Cholangiopancreatography (ERCP) Pancreatic and Biliary Stenting Procedures volumes by segments - ERCP Metal Pancreatic and Biliary Stenting Procedures and ERCP Plastic Pancreatic and Biliary Stenting Procedures. (reportlinker.com)
  • Endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic sphincterotomy (ES) are characterized by a high degree of performance difficulty. (termedia.pl)
  • Endoscopic retrograde cholangiopancreatography, or ERCP, is an endoscopic technique that is used to examine and treat problems in the bile and pancreatic ducts, and the gallbladder. (fvhospital.com)
  • Endoscopic retrograde cholangiopancreatography (ERCP) was introduced over 4 decades ago. (omicsonline.org)
  • Endoscopic retrograde cholangiopancreatography (ERCP) was introduced in 1968 by Drs. McCune, Shorb, and Moscovitz. (omicsonline.org)
  • E: Biliary biopsy was performed with the SpyBite system through the MTW endoscopic retrograde cholangiopancreatography (ERCP) catheter (arrow: the tip of a SpyBite, arrowhead: the tip of an MTW ERCP catheter). (wjgnet.com)
  • Modification of endoscopic retrograde cholangiopancreatography (ERCP) septic complications by the addition of an antibiotic to the contrast media. (nih.gov)
  • Acute pancreatitis after endoscopic retrograde cholangiopancreatography (ERCP) is a severe complication with substantial morbidity and mortality. (unboundmedicine.com)
  • As a result an endoscopic retrograde cholangiopancreatography (ERCP) was arranged with sphincter of Oddi manometry. (bmj.com)
  • Endoscopic retrograde cholangiopancreatography ( ERCP ) is a diagnostic and interventional procedure technique using both endoscopy and fluoroscopy for examination and intervention of the biliary tree and pancreatic ducts . (radiopaedia.org)
  • Pancreatitis is the most common and potentially serious complication of post-endoscopic retrograde cholangiopancreatography (ERCP). (unboundmedicine.com)
  • We analyzed data from 426 consecutive patients who underwent ERCP-related procedures at 37 endoscopic units. (unboundmedicine.com)
  • This medical exhibit features an endoscopic retrograde cholangiopancreatography, or ERCP. (smartimagebase.com)
  • Endoscopic retrograde cholangiopancreatography (en-doh-SKAH-pik REH-troh-grayd koh-LAN-jee-oh-PANG-kree-uh-TAH-gruh-fee) (ERCP) enables the physician to diagnose problems in the liver, gallbladder, bile ducts, and pancreas. (indiahospitaltour.com)
  • Antibiotic prophylaxis for endoscopic retrograde cholangiopancreatography (ERCP) is controversial. (ajol.info)
  • Little information is available on the long-term outcome of endoscopic retrograde cholangiopancreatography (ERCP) for pancreatobiliary diseases in nonagenarians (≥90 years). (ovid.com)
  • One hundred and fifty-five patients aged 90 years and older were identified (Group A). Matched by gender and ratio 1:2, 310 patients under 65 years were assigned to control group (Group B). Clinical features, endoscopic findings, interventions, long-term results of ERCP for a mean follow-up of 12 months were assessed and compared between the two groups. (ovid.com)
  • Background To use facilities flexibly and efficiently, a diagnostic and therapeutic endoscopic retrograde cholangiopancreatography (ERCP) service was offered to inpatients from referring hospitals on a day-case basis. (ehesp.fr)
  • In recent years, research and clinical practice have proved that mechanical lithotripsy, stone removal and stent placement for benign and malignant stricture under endoscopic retrograde cholangiopancreatography (ERCP) can achieve the same therapeutic effect as the traditional surgical operation [ 3 , 4 ]. (termedia.pl)
  • Background: Deep sedation is essential during endoscopic retrograde cholangiopancreatography (ERCP) in order to achieve therapeutic goals and avoid complication. (sid.ir)
  • The databook report provides procedure volumes within segments - Endoscopic Retrograde Cholangiopancreatography (ERCP) Pancreatic and Biliary Stenting Procedures and Percutaneous Transhepatic Cholangiography (PTC) Biliary Stenting Procedures. (researchandmarkets.com)
  • Previous studies evaluating the safety of endoscopic retrograde cholangiopancreatography (ERCP) in patients with end-stage renal disease (ESRD) undergoing hemodialysis reported an increased risk of post-procedural bleeding. (springer.com)
  • With the advent of endoscopic retrograde cholangiopancreatography (ERCP) in the 1970s, endoscopic removal of BD stones gradually received wide acceptance. (bmj.com)
  • The invention relates to an ERCP (Endoscopic Retrograde Cholangiopancreatography) auxiliary mechanical arm device which is a machinery automation device for assisting in completing various treatment operations based on ERCP. (google.com)
  • 在ERCP的基础上,可以进行十二指肠乳头括约肌切开术(EST)、内镜下鼻胆汁引流术(ENBD)、内镜下胆汁内引流术(ERBD)等介入治疗,成为临床治疗的重要手段。 On (google.com)
  • Endoscopic Retrograde Cholangiopancreatography (ERCP) is a technique with high success rate for diagnosis and treatment of biliary and pancreatic diseases, but haemorrhagic complications usually occurs when utilizing Endoscopic Sphincterotomy (EST) or Endoscopic Papillotomy (EPT). (alliedacademies.org)
  • We arranged a second ERCP, Endoscopic Naso-Biliary Drainage (ENBD) and removed stones from gallbladder and junction of CBD and Common Hepatic Duct (CHD) by the Laparoscopic Common Bile Duct Exploration (LCBDE), as well as long-term antibiotic treatment. (alliedacademies.org)
  • Endoscopic retrograde cholangiopancreatography (ERCP) was judged as normal, after a standard ERCP cannula was used for the cholangiogram. (pubmedcentralcanada.ca)
  • The European Society of Gastrointestinal Endoscopy (ESGE) and United European Gastroenterology present a short list of key performance measures for endoscopic ultrasound (EUS) and endoscopic retrograde cholangiopancreatography (ERCP). (eur.nl)
  • Endoscopic retrograde cholangiopancreatography (ERCP) is a procedure that combines upper gastrointestinal (GI) endoscopy and x-rays to treat problems of the bile and pancreatic ducts. (umcelpaso.org)
  • Background & Aims: It is unclear whether participation in competency-based fellowship programs for endoscopic ultrasound (EUS) and endoscopic retrograde cholangiopancreatography (ERCP) results in high-quality care in independent practice. (northwestern.edu)
  • NIH state-of-the-science statement on endoscopic retrograde cholangiopancreatography (ERCP) for diagnosis and therapy. (semanticscholar.org)
  • OBJECTIVE To provide health care providers, patients, and the general public with a responsible assessment of currently available data regarding the use of endoscopic retrograde cholangiopancreatography (ERCP) for diagnosis and therapy. (semanticscholar.org)
  • 1 ERCP (Endoscopic Retrograde Cholangiopancreatography) ERCP is a test of the ducts of your gallbladder and pancreas. (docplayer.fr)
  • Endoscopic retrograde cholangiopancreatography (ERCP) is a technique that uses X-ray to view the patient's bile and pancreatic ducts. (aliveomedical.com)
  • For this reason, the specialists at Ogden Clinic in Utah will use an endoscopic retrograde cholangiopancreatography (ERCP) to diagnose any conditions of the ducts, pancreas, or liver. (ogdenclinic.com)
  • If so, it's time to contact a gastroenterologist at Ogden Clinic in Utah about an endoscopic retrograde cholangiopancreatography (ERCP) test. (ogdenclinic.com)
  • ERCP or endoscopic retrograde cholangiopancreatography is an endoscopic examination, by which tissue samples can be taken, patency of the pancreatic duct and common bile duct can be determined, or places, which previously could be viewed only during surgery, can be visualized. (medixa.org)
  • ERCP or endoscopic retrograde cholangiopancreatography is an examination through which you can detect diseases of the liver, gallbladder and pancreas. (medixa.org)
  • ERCP belongs to the endoscopic examinations during which a special tube with its own lighting and camera is introduced into various hollow organs, so the doctors examine places that were previously accessible only by surgery. (medixa.org)
  • ERCP (Endoscopic Retrograde Cholangio-Pancreatography) provides valuable information that cannot be obtained by other diagnostic examinations of the abdomen such as abdominal ultrasound, CT scan , or MRI . (elceclinics.com)
  • Endoscopic retrograde cholangiopancreatography (ERCP) devices are medical equipment designed for pancreas to biliary system related disorders. (alliedmarketresearch.com)
  • The growth of the global endoscopic retrograde cholangiopancreatography (ERCP) market is majorly driven by rise in incidences of gastrointestinal and chronic biliary disorders such as Barrett's disease, biliary disease, colitis, Crohn's disease, gastroesophageal reflux disorder (GERD), liver Disease, pancreatitis, inflammatory bowel disease, and peptic ulcer disease. (alliedmarketresearch.com)
  • However, high costs associated with treatment from ERCP and side-effects of the procedure such as post-ERCP pancreatitis are expected to hamper the growth of the endoscopic retrograde cholangiopancreatography market. (alliedmarketresearch.com)
  • Other tests include endoscopic ultrasonography, magnetic resonance cholangio-pancreatography (MRCP), cholescintigraphy ( HIDA scan ), endoscopic retrograde cholangio-pancreatography ( ERCP ), liver and pancreatic blood tests, duodenal drainage, oral cholecystogram (OCG), and intravenous cholangiogram (IVC). (medicinenet.com)
  • Endoscopic retrograde cholangiopancreatography (ERCP) uses a dye to highlight the bile ducts on X-ray images. (mayoclinic.org)
  • Additional tests may include oral cholecystography, a hepatobiliary iminodiacetic acid (HIDA) scan, computerized tomography (CT), magnetic resonance cholangiopancreatography (MRCP) or endoscopic retrograde cholangiopancreatography (ERCP). (mayoclinic.org)
  • Endoscopic Retrograde Cholangiopancreatography (ERCP) is a procedure the physicians at Atlantic Digestive Specialists perform to examine the tubes (ducts) that drain the liver and pancreas. (atlanticdigestive.com)
  • ERCP is a combined endoscopic and radiologic procedure. (atlanticdigestive.com)
  • Endoscopic retrograde cholangiopancreatography (ERCP) is a procedure that assists with the diagnosis and treatment of problems of the liver, gallbladder, bile ducts and pancreas. (drdavidyeo.com.au)
  • Endoscopic retrograde cholangiopancreatography (ERCP) is a diagnostic test to examine the duodenum, the bile ducts, the gallbladder and the pancreatic duct. (chennailasergastro.com)
  • Endoscopic retrograde cholangiopancreatography (ERCP) is an internal exploratory examination of the bile ducts and the pancreatic duct. (firsthealthguide.com)
  • Huge biloma after endoscopic retrograde cholangiopancreatography and endoscopic biliary sphincterotomy. (springer.com)
  • The patient underwent endoscopic extraction of biliary stones and sphincterotomy. (sages.org)
  • Within 6 years of the first endoscopic visualisation of the common bile duct and pancreatic duct, endoscopic treatment of choledocholithiasis with sphincterotomy of the ampulla was first performed. (omicsonline.org)
  • Nelson DB, Freeman ML. Major hemorrhage from endoscopic sphincterotomy: risk factor analysis. (springer.com)
  • Endoscopic (Vater) papillotomy (SPHINCTEROTOMY, ENDOSCOPIC) may be performed during this procedure. (uams.edu)
  • Unusual complications related to endoscopic retrograde cholangiopancreatography and its endoscopic treatment. (springer.com)
  • Infectious complications of endoscopic retrograde cholangio-pancreatography managed in a surgical unit. (biomedsearch.com)
  • Infectious complications of endoscopic retrograde cholangiopancreatography. (biomedsearch.com)
  • The procedures are generally recognized as safe, although one must bear in mind that endoscopic treatments are minimally invasive procedures and, like all treatments of this group, may involve the risk of complications, including severe ones. (termedia.pl)
  • Complications arising from endoscopic procedures can be categorized into non-specific (general) and specific (characteristic for the given treatment). (termedia.pl)
  • Complications of endoscopic retrograde cholangiopancreatography: how to avoid and manage them. (radiopaedia.org)
  • Johnson KD, Perisetti A, Tharian B, Thandassery R, Jamidar P, Goyal H, Inamdar S. Endoscopic Retrograde Cholangiopancreatography-Related Complications and Their Management Strategies: A "Scoping" Literature Review. (uams.edu)
  • Endoscopic retrograde cholangio-pancreatography is a procedure that uses a small scope to examine the stomach and intestines. (medicinenet.com)
  • Percutaneous transhepatic biliary drainage and endoscopic retrograde cholangiography in biloma − a rendezvous procedure. (springer.com)
  • ECRP or Endoscopic Retrograde Cholangiopancreatography is the procedure which combines upper gastrointestinal (GI) endoscopy thru the use of a thin, flexible, lighted scope called an endoscope and x-rays to treat problems of the bile and pancreatic ducts and may also be used to diagnose problems and examine the tubes that drain the liver, gallbladder and the pancreas. (nursingcrib.com)
  • All procedure-related bleeding episodes were successfully controlled using endoscopic management. (springer.com)
  • Resection of the fibrous bile duct remnant may be done, followed by a Roux-en-Y anastomosis of the bowel to the bed of the porta hepatis, according to the Kasai portoenterostomy procedure. (medscape.com)
  • It's an endoscopic procedure which is used to dye into the duct of bile and pancreas. (gastroexpertuae.com)
  • J. Boix and V. Lorenzo-Zuniga, "Radiation dose to patients during endoscopic retrograde cholangiopancreatography," World Journal of Gastrointestinal Endoscopy , vol. 3, pp. 140-144, 2011. (hindawi.com)
  • Fiberoptic endoscopy designed for duodenal observation and cannulation of VATER'S AMPULLA, in order to visualize the pancreatic and biliary duct system by retrograde injection of contrast media. (uams.edu)
  • Spy glass endoscopy for indeterminate bile duct strictures- In the setting of indeterminate biliary strictures, this modality allows for direct visualization, of internal area of CBD , branch ducts for endoscopic findings suggestive of malignancy including tumor surface, intraductal nodules or masses, and papillary or villous mucosal projections. (elceclinics.com)
  • These less invasive tests include a CT scan, an endoscopic ultrasonography (EUS) and a magnetic resonance cholangiopancreatography (MRCP). (cancer.ca)
  • Alcohol use and cigarette smoking as risk factors for post-endoscopic retrograde cholangiopancreatography pancreatitis. (nih.gov)
  • Ayub K, Slavin J, Imada R. Endoscopic retrograde cholangiopancreatography in gallstone-associated acute pancreatitis. (cochrane.org)
  • Buscaglia, J. M. / Refinement of canine pancreatitis model : Inducing pancreatitis by using endoscopic retrograde cholangiopan-creatography (Comparative Medicine (2009), 59, (78-82)) . (elsevier.com)
  • Indications for urgent endoscopic retrograde cholangio-pancreatography with stone extraction from the common bile duct in patients with biliary pancreatitis remains controversial. (elsevier.com)
  • Urgent endoscopic retrograde cholangio-pancreatography: To whom, when and how to perform? (elsevier.com)
  • Although the effectivity of an urgent endoscopic retrograde cholangio-pancreatography was documented, some aspects relating to this method are still debated. (elsevier.com)
  • The timing of endoscopic retrograde cholangio-pancreatography should be based on the grade of the severity of the disease. (elsevier.com)
  • Using endoscopic retrograde cholangio-pancreatography, the accurate diagnosis and treatment of bile leaks in a timely manner is imperative to limit associated morbidity and mortality. (elsevier.com)
  • These include mother-daughter and SpyGlass cholangioscopes (to help in diagnosis by directly visualizing the duct as opposed to only obtaining X-ray images) as well as balloon enteroscopes (e.g. in patients with post-Whipple or Roux-en-Y surgical anatomy). (wikipedia.org)
  • Pylephlebitis Following Infected Choledocholithiasis, Endoscopic Retrograde Cholangiopancreatography and Cholecystecomy. (sages.org)
  • Endoscopic Retrograde Cholangiopancreatography: A therapeutic modality in children and adolescents. (thefreelibrary.com)
  • Endoscopic procedures are currently counted among the basic diagnostic and therapeutic methods for various gastrointestinal tract diseases. (termedia.pl)
  • Day-case transfer of inpatients for diagnostic and therapeutic endoscopic retrograde cholangiopancreatography. (ehesp.fr)
  • Niu F, Liu Y, Chen R, Niu Y. Safety and efficacy of enhanced recovery after surgery in elderly patients after therapeutic endoscopic retrograde cholangiopancreatography. (termedia.pl)
  • The Diagnostic Yield of Malignancy Comparing Cytology, FISH, and Molecular Analysis of Cell Free Cytology Brush Supernatant in Patients With Biliary Strictures Undergoing Endoscopic Retrograde Cholangiography (ERC): A Prospective Study. (uams.edu)
  • Cotton PB, Salmon PR, Beales JSM, Burwood RJ: Endoscopic trans-papillary radiographs of pancreatic and bile ducts. (springer.com)
  • Vennes JA, Silvis SE: Endoscopic visualization of bile and pancreatic ducts. (springer.com)
  • Some dye is injected through an opening called 'the papilla' back up into your bile and pancreatic ducts (a 'retrograde' injection). (patient.info)
  • Ogoshi K, Niwa M, Hara Y, Nebel OT: Endoscopic pancreatocholangiography in the evaluation of pancreatic and biliary disease. (springer.com)
  • OHSU physicians utilize several endoscopic (internal seeing) methods for treating and evaluating liver, pancreatic and biliary diseases. (ohsu.edu)
  • Wanis KN, Haimanot S and Kanthan R (2014) Endoscopic Retrograde Cholangiopancreatography: A Review of Technique and Clinical Indications. (omicsonline.org)
  • Miłek T, Ciostek P, Porzycki P, Kwiatkowska M. Treatment results of gastrointestinal perforation after endoscopic retrograde cholangiopancreatography. (termedia.pl)
  • Antibiotic prophylaxis prior to endoscopic retrograde cholangiopancreatography in patients with obstructive jaundice: is it worth the cost? (semanticscholar.org)
  • BACKGROUND There are few published data concerning the economic impact of antibiotic prophylaxis prior to endoscopic retrograde cholangiopancreatography in the setting of biliary obstruction. (semanticscholar.org)
  • The global endoscopic retrograde cholangiopancreatography market size was valued at $1,212.94 million in 2019, and is projected to reach $1,876.75 million by 2027, registering a CAGR of 5.6% from 2019 to 2027. (alliedmarketresearch.com)
  • On day 8, endoscopic nasobiliary drainage via the right intrahepatic branch was performed because of recurrence of biliary ascites. (springer.com)
  • Spontaneous biloma managed with endoscopic retrograde cholangiopancreatography and percutaneous drainage: a case report. (springer.com)
  • Radiologic Assessment for Endoscopic US-guided Biliary Drainage. (radiopaedia.org)
  • Peroral retrograde cholangiopancreatography was attempted in 37 jaundiced patients to find the cause of their jaundice. (annals.org)
  • Reduction of radiation doses to patients and staff during endoscopic retrograde cholangiopancreatography," Saudi Journal of Gastroenterology , vol. 17, no. 1, pp. 23-29, 2011. (hindawi.com)
  • Diagnostic Value of Endoscopic Retrograde Cholangiopancreatography in the Jaundiced Patient. (annals.org)
  • Dilatation of the sphincter of Oddi by endoscopic sphincterectomy and subsequent stone extraction. (wikidoc.org)
  • Endoscopic retrograde cholangiopancreatography is an effective treatment for bile leak after severe liver trauma. (springer.com)
  • A transversal study was used to investigate possible predictive factors of oxygen desaturation in sedated patients with midazolam associated to meperidine undergoing endoscopic retrograde cholangiopancreatography. (scielo.br)
  • The variables of age of 60 years old or more, and ASA III score are identified as increased risk for desaturation for patients who undergo endoscopic retrograde cholangiopancreatography under conscious sedation. (scielo.br)
  • Retrograde cholangiopancreatography was attempted in 170 patients. (annals.org)
  • Feasibility of endoscopic retrograde cholangiopancreatography-related procedures in hemodialysis patients. (springer.com)
  • Endoscopic papillary balloon dilation for bile duct stones in patients on hemodialysis. (springer.com)
  • Hypoxemia can occur during endoscopic retrograde cholangiopancreatography probably induced by the analgesia and sedation done. (scielo.br)
  • The region can be directly visualized with the endoscopic camera while various procedures are performed. (wikipedia.org)
  • Endoscopic therapy was performed in 92% of the procedures. (thefreelibrary.com)
  • An unusual complication of endoscopic retrograde cholangiopancreatography. (springer.com)
  • Endoscopic brushing and biopsies to rule one malignancy in selected cases. (wikidoc.org)
  • Endoscopic visualization of the papilla of Vater was achieved in 98 of our first 100 attempts. (springer.com)
  • Nakayama T: Endoscopic shape of the ampulla of Vater. (springer.com)
  • We measured quality indicator (QI) adherence during the first year of independent practice among physicians who completed endoscopic training with a systematic assessment of competence. (northwestern.edu)
  • Cholangiopancreatography means X-ray pictures of your bile duct and pancreatic duct. (patient.info)
  • Endoscopic access to biliary - pancreatic duct system has. (elceclinics.com)
  • A contrast is released retrograde, meaning backwards, filling the region with a material that highlights these areas. (wakemed.org)
  • This prospective cross sectional study was conducted at the Endoscopic suite of Surgical Unit IV, Civil Hospital, Karachi. (thefreelibrary.com)
  • The endoscopic portion of the examination uses a side-viewing duodenoscope that is passed through the esophagus and stomach and into the second portion of the duodenum (see the video and image below). (medscape.com)
  • This video, captured via endoscopic retrograde cholangiopancreatography, shows side-viewing duodenoscope being inserted and advanced into stomach and duodenum. (medscape.com)