Cholangiopancreatography, Endoscopic Retrograde: 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.Cholangiopancreatography, Magnetic Resonance: 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.Choledocholithiasis: Presence or formation of GALLSTONES in the COMMON BILE DUCT.Sphincterotomy, Endoscopic: 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.Pancreatitis: 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.Biliary Tract Diseases: Diseases in any part of the BILIARY TRACT including the BILE DUCTS and the GALLBLADDER.Pancreatic Ducts: Ducts that collect PANCREATIC JUICE from the PANCREAS and supply it to the DUODENUM.Hyperamylasemia: 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.Common Bile Duct: The largest bile duct. It is formed by the junction of the CYSTIC DUCT and the COMMON HEPATIC DUCT.Common Bile Duct Diseases: Diseases of the COMMON BILE DUCT including the AMPULLA OF VATER and the SPHINCTER OF ODDI.Gallstones: 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.Cholangitis: Inflammation of the biliary ductal system (BILE DUCTS); intrahepatic, extrahepatic, or both.Pancreatic Diseases: Pathological processes of the PANCREAS.Bile Duct Diseases: Diseases in any part of the ductal system of the BILIARY TRACT from the smallest BILE CANALICULI to the largest COMMON BILE DUCT.Cholangiography: 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, Obstructive: 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.Cholecystectomy, Laparoscopic: Excision of the gallbladder through an abdominal incision using a laparoscope.Biliary Fistula: Abnormal passage in any organ of the biliary tract or between biliary organs and other organs.Sphincter of Oddi Dysfunction: 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.Ampulla of Vater: 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.Cholestasis: Impairment of bile flow due to obstruction in small bile ducts (INTRAHEPATIC CHOLESTASIS) or obstruction in large bile ducts (EXTRAHEPATIC CHOLESTASIS).Cholestasis, Extrahepatic: Impairment of bile flow in the large BILE DUCTS by mechanical obstruction or stricture due to benign or malignant processes.Sphincter of Oddi: The sphincter of the hepatopancreatic ampulla within the duodenal papilla. The COMMON BILE DUCT and main pancreatic duct pass through this sphincter.Choledochal Cyst: 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.Choledochostomy: 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.Cholelithiasis: Presence or formation of GALLSTONES in the BILIARY TRACT, usually in the gallbladder (CHOLECYSTOLITHIASIS) or the common bile duct (CHOLEDOCHOLITHIASIS).Bile Ducts: 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.Endosonography: 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.Cholecystectomy: Surgical removal of the GALLBLADDER.Gabexate: 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.Postcholecystectomy Syndrome: 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.Drainage: The removal of fluids or discharges from the body, such as from a wound, sore, or cavity.Cystic Duct: The duct that is connected to the GALLBLADDER and allows the emptying of bile into the COMMON BILE DUCT.Endoscopes, Gastrointestinal: Instruments for the visual examination of the interior of the gastrointestinal tract.Common Bile Duct Neoplasms: Tumor or cancer of the COMMON BILE DUCT including the AMPULLA OF VATER and the SPHINCTER OF ODDI.Double-Balloon Enteroscopy: 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.Gallbladder Diseases: Diseases of the GALLBLADDER. They generally involve the impairment of BILE flow, GALLSTONES in the BILIARY TRACT, infections, neoplasms, or other diseases.Biliary Tract: The BILE DUCTS and the GALLBLADDER.Bile Duct Neoplasms: Tumors or cancer of the BILE DUCTS.Mirizzi Syndrome: Complication of CHOLELITHIASIS characterized by OBSTRUCTIVE JAUNDICE; abdominal pain, and fever.Pancreatitis, Chronic: 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.Hepatic Duct, Common: 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.Endoscopy: 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.Pancreatic Neoplasms: 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).Gastroenterology: 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).Constriction, Pathologic: The condition of an anatomical structure's being constricted beyond normal dimensions.Pancreatic Pseudocyst: 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.Amylases: A group of amylolytic enzymes that cleave starch, glycogen, and related alpha-1,4-glucans. (Stedman, 25th ed) EC 3.2.1.-.Pancreas: 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.Jaundice: 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.Anastomosis, Roux-en-Y: A Y-shaped surgical anastomosis of any part of the digestive system which includes the small intestine as the eventual drainage site.Catheterization: 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.Lithiasis: 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.Biliary Tract Surgical Procedures: Any surgical procedure performed on the biliary tract.Endoscopy, Digestive System: Endoscopic examination, therapy or surgery of the digestive tract.Retrospective Studies: 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.Biliary Tract Neoplasms: Tumors or cancer in the BILIARY TRACT including the BILE DUCTS and the GALLBLADDER.Bile Ducts, Intrahepatic: 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.Gallbladder Neoplasms: Tumors or cancer of the gallbladder.Technetium Tc 99m Lidofenin: A nontoxic radiopharmaceutical that is used in RADIONUCLIDE IMAGING for the clinical evaluation of hepatobiliary disorders in humans.Duodenal Diseases: Pathological conditions in the DUODENUM region of the small intestine (INTESTINE, SMALL).Jejunostomy: Surgical formation of an opening through the ABDOMINAL WALL into the JEJUNUM, usually for enteral hyperalimentation.Adenomyoma: A benign neoplasm of muscle (usually smooth muscle) with glandular elements. It occurs most frequently in the uterus and uterine ligaments. (Stedman, 25th ed)Biliary Dyskinesia: 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.Cholangiocarcinoma: A malignant tumor arising from the epithelium of the BILE DUCTS.Calculi: An abnormal concretion occurring mostly in the urinary and biliary tracts, usually composed of mineral salts. Also called stones.Endoscopes: 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.Duodenoscopy: Endoscopic examination, therapy or surgery of the luminal surface of the duodenum.Treatment Outcome: 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.Insufflation: The act of blowing a powder, vapor, or gas into any body cavity for experimental, diagnostic, or therapeutic purposes.Digestive System Diseases: Diseases in any part of the GASTROINTESTINAL TRACT or the accessory organs (LIVER; BILIARY TRACT; PANCREAS).Abdominal Pain: Sensation of discomfort, distress, or agony in the abdominal region.Pancreatic Fistula: Abnormal passage communicating with the PANCREAS.Breath Holding: An involuntary or voluntary pause in breathing, sometimes accompanied by loss of consciousness.Tomography, X-Ray Computed: Tomography using x-ray transmission and a computer algorithm to reconstruct the image.Deep Sedation: 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)Acute Disease: Disease having a short and relatively severe course.Butylscopolammonium Bromide: 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.Stents: Devices that provide support for tubular structures that are being anastomosed or for body cavities during skin grafting.Neoplasms, Cystic, Mucinous, and Serous: Neoplasms containing cyst-like formations or producing mucin or serum.Cholangitis, Sclerosing: 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.Pancreatic Function Tests: 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.Adenocarcinoma, Papillary: 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)Cholecystolithiasis: Presence or formation of GALLSTONES in the GALLBLADDER.Postoperative Complications: 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.Colic: 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.Cholecystitis: Inflammation of the GALLBLADDER; generally caused by impairment of BILE flow, GALLSTONES in the BILIARY TRACT, infections, or other diseases.Cystadenoma, Papillary: A benign neoplasm of the ovary.Hemobilia: Hemorrhage in or through the BILIARY TRACT due to trauma, inflammation, CHOLELITHIASIS, vascular disease, or neoplasms.Pancreaticoduodenectomy: The excision of the head of the pancreas and the encircling loop of the duodenum to which it is connected.Biliary Atresia: 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.Cholecystitis, Acute: 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.Duodenum: 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.Bile Ducts, Extrahepatic: Passages external to the liver for the conveyance of bile. These include the COMMON BILE DUCT and the common hepatic duct (HEPATIC DUCT, COMMON).Pancreatic Cyst: 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)Mesocolon: The fold of peritoneum by which the COLON is attached to the posterior ABDOMINAL WALL.Lithotripsy: 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.Administration, Rectal: The insertion of drugs into the rectum, usually for confused or incompetent patients, like children, infants, and the very old or comatose.Pleural DiseasesPreoperative Care: 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)Radiation Monitoring: 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.Dilatation, Pathologic: The condition of an anatomical structure's being dilated beyond normal dimensions.Diverticulum: A pouch or sac developed from a tubular or saccular organ, such as the GASTROINTESTINAL TRACT.Ultrasonography: 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.Conscious Sedation: 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)Bile: 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.Prospective Studies: 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, Pancreatic Ductal: Carcinoma that arises from the PANCREATIC DUCTS. It accounts for the majority of cancers derived from the PANCREAS.Gallbladder: 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.Bile Reflux: 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.Intraoperative Period: The period during a surgical operation.Trypsinogen: The inactive proenzyme of trypsin secreted by the pancreas, activated in the duodenum via cleavage by enteropeptidase. (Stedman, 25th ed)Pancreatectomy: Surgical removal of the pancreas. (Dorland, 28th ed)Adenocarcinoma, Mucinous: An adenocarcinoma producing mucin in significant amounts. (From Dorland, 27th ed)Intraoperative Complications: 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.Liver Function Tests: Blood tests that are used to evaluate how well a patient's liver is working and also to help diagnose liver conditions.Magnetic Resonance Imaging: 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.Secretin: 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)Liver Transplantation: The transference of a part of or an entire liver from one human or animal to another.Sensitivity and Specificity: 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)Contrast Media: Substances used to allow enhanced visualization of tissues.Endoscopy, Gastrointestinal: Endoscopic examination, therapy or surgery of the gastrointestinal tract.Pancreatitis, Acute Necrotizing: 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.Diagnostic Imaging: 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.Predictive Value of Tests: 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.Intraoperative Care: 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.Chronic Disease: 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)Length of Stay: The period of confinement of a patient to a hospital or other health facility.Liver Diseases: Pathological processes of the LIVER.Patient Selection: 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.Chi-Square Distribution: 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.Follow-Up Studies: 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.Time Factors: Elements of limited time intervals, contributing to particular results or situations.Palliative Care: Care alleviating symptoms without curing the underlying disease. (Stedman, 25th ed)Laparoscopy: 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.Anastomosis, Surgical: 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.Portal Vein: A short thick vein formed by union of the superior mesenteric vein and the splenic vein.Recurrence: The return of a sign, symptom, or disease after a remission.Lipase: 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.Risk Factors: 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)

*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 ( ... Use of a single-balloon enteroscope compared with variable-stiffness colonoscopes for endoscopic retrograde cholangiography in ...

*Peter B. Cotton

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 ...

*Cholangiography

Endoscopic retrograde cholangiopancreatography (ERCP). Although this is a form of imaging, it is both diagnostic and ... Magnetic resonance cholangiopancreatography (MRCP) and T tube cholangiography are other cholangiography methods.. ...

*David B. Adams

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. PMID 20698379. ... College of Surgeons American Society for Gastrointestinal Endoscopy Society of American Gastrointestinal and Endoscopic ...

*Amit Prabhakar Maydeo

Endoscopic retrograde cholangiopancreatography India portal "Call Life". Call Life. 2014. Retrieved October 25, 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, ...

*Cholangiopancreatography

... can refer to: Endoscopic retrograde cholangiopancreatography Magnetic resonance ...

*Ulinastatin

In Japan, It is clinically used to treat endoscopic retrograde cholangiopancreatography (ERCP). Studies in Japan have ... Ulinastatin for pancreatitis after endoscopic retrograde cholangiopancreatography: A randomized, controlled trial. Clin ...

*Gabexate

"Gabexate for the prevention of pancreatic damage related to endoscopic retrograde cholangiopancreatography. Gabexate in ...

*T. S. Chandrasekar

"Endoscopic Retrograde Cholangio Pancreatography under Ultrasound Guidance without Fluoroscopy in a pregnant woman". Annals of ... He is one of the pioneers of Peroral Endoscopic Myotomy in India, an endoscopic surgical technique involving the insertion of a ... for use by the visually impaired people and has prepared fourteen CD-ROMs for teaching endoscopic surgical procedures. ... "Novel predictors for immediate puncture site bleed during endoscopic glue injection for gastric varices without using lipiodol ...

*Trendelenburg position

The Trendelenburg position may be used for drainage images during endoscopic retrograde cholangiopancreatography. People with ...

*Endoscopic ultrasound

... can also be used in conjunction with endoscopic retrograde cholangio pancreatography (ERCP). The ... An endoscopic ultrasound probe placed in the esophagus can also be used to visualize lymph nodes in the chest surrounding the ... Endoscopic ultrasound (EUS) or echo-endoscopy is a medical procedure in which endoscopy (insertion of a probe into a hollow ... For endoscopic ultrasound of the upper digestive tract, a probe is inserted into the esophagus, stomach, and duodenum during a ...

*Carbapenem-resistant enterobacteriaceae

Subscription required (help)). "Design of Endoscopic Retrograde Cholangiopancreatography (ERCP) Duodenoscopes May Impede ... a transmission risk when people undergo a gastroenterology procedure called endoscopic retrograde cholangiopancreatography, ...

*Big Baby (House)

Kutner suspects a pancreatic tumor and wants to perform an ERCP (endoscopic retrograde cholangiopancreatography). Both go to ...

*Iotrolan

It can also be used to image joint spaces and in endoscopic retrograde cholangiopancreatography (ERCP).[citation needed] ...

*Sphincter of Oddi dysfunction

... 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 ...

*Percutaneous transhepatic cholangiography

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 ... anatomy is altered precluding endoscopic access to the duodenum, or where there has been separation of the segmental biliary ...

*Pancreatic injury

... duct disruption based on the results of thin-cut computed tomography or endoscopic retrograde cholangiopancreatography (ERCP). ...

*Pancreatitis

A procedure known as an endoscopic retrograde cholangiopancreatography (ERCP) may be done to open the pancreatic duct if ... and endoscopic retrograde cholangiopancreatography (ERCP). Pancreas divisum is a common congenital malformation of the pancreas ... E-endoscopic retrograde cholangiopancreatography, D-drugs (commonly azathioprine, valproic acid, liraglutide) The differential ... ERCP or an endoscopic ultrasound can also be used if a biliary cause for pancreatitis is suspected. The treatment of ...

*Acute pancreatitis

... endoscopic retrograde cholangiopancreatography), performed within 24 to 72 hours of presentation, is known to reduce morbidity ...

*Autoimmune pancreatitis

... 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 ...

*Magnetic resonance cholangiopancreatography

MRCP is a much less invasive investigation when compared to endoscopic retrograde cholangiopancreatography (ERCP). Although ... Magnetic resonance cholangiopancreatography (MRCP) is a medical imaging technique that uses magnetic resonance imaging to ... Prasad, SR; D. Sahani; S. Saini (November 2001). "Clinical applications of magnetic resonance cholangiopancreatography". ... Griffin, Nyree; Charles-Edwards, Geoff; Grant, Lee Alexander (2011-09-28). "Magnetic resonance cholangiopancreatography: the ...

*Biliary colic

Endoscopic retrograde cholangiopancreatography (ERCP) should be used only if lab tests suggest the existence of a gallstone in ...

*Pancreatic fistula

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 ...

*Cholangiocarcinoma

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". Abdom Imaging. 22 (4): 434-8. doi:10.1007/s002619900227. PMID 9157867. Schwartz L, ...

*Gallstone

... following endoscopic retrograde cholangiopancreatography (ERCP). Gallstones can be broken up using a procedure called ... Obstruction of the common bile duct with gallstones can sometimes be relieved by endoscopic retrograde sphincterotomy (ERS) ...

*Postcholecystectomy syndrome

Retrograde cholangiopancreatography. Analysis of biliary sludge obtained through endoscopic retrograde cholangiopancreatography ...
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 - 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
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 ...
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.
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...
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 ...
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. ...
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 ...
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
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.
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 ...
If a gallstone is responsible for the pancreatitis, you may need a procedure called endoscopic retrograde cholangiopancreatography (ERCP), or your gallbladder may need to be removed.. Gallbladder removal surgery may be done while youre in hospital, or it may be planned for several weeks time. Having your gallbladder removed should have no significant effect on your health, other than making it more difficult to digest certain foods, such as fatty or spicy foods.. An ERCP procedure is an alternative treatment for gallstones. It involves using a narrow, flexible tube known as an endoscope, which has a camera on one end. X-rays guide the endoscope into your digestive system, and surgical instruments are passed down the endoscope to remove the gallstones.. ...
If a gallstone is responsible for the pancreatitis, you may need a procedure called endoscopic retrograde cholangiopancreatography (ERCP), or your gallbladder may need to be removed.. Gallbladder removal surgery may be done while youre in hospital, or it may be planned for several weeks time. Having your gallbladder removed should have no significant effect on your health, other than making it more difficult to digest certain foods, such as fatty or spicy foods.. An ERCP procedure is an alternative treatment for gallstones. It involves using a narrow, flexible tube known as an endoscope, which has a camera on one end. X-rays guide the endoscope into your digestive system, and surgical instruments are passed down the endoscope to remove the gallstones.. ...
TY - JOUR. T1 - Rectal indomethacin should be used routinely in all patients for prevention of post-ERCP pancreatitis. AU - Barkin, Jodie A.. AU - Souto, Enrico. AU - Barkin, Jamie S. PY - 2017/3/1. Y1 - 2017/3/1. UR - http://www.scopus.com/inward/record.url?scp=85013192591&partnerID=8YFLogxK. UR - http://www.scopus.com/inward/citedby.url?scp=85013192591&partnerID=8YFLogxK. U2 - 10.1016/j.gie.2016.10.023. DO - 10.1016/j.gie.2016.10.023. M3 - Letter. C2 - 28215777. AN - SCOPUS:85013192591. VL - 85. SP - 687. EP - 688. JO - Gastrointestinal Endoscopy. JF - Gastrointestinal Endoscopy. SN - 0016-5107. IS - 3. ER - ...
A 65-year-old man presented with cholangitis which was treated effectively with antibiotics in October 2012. Abdominal computed tomography revealed gallstones inside the gallbladder; the intrahepatic duct (IHD) and common bile duct (CBD) were dilated but no stones were detected therein. However, a mural lesion was suspected inside the upper CBD. Subsequently, endoscopic retrograde cholangiopancreatography (ERCP) was performed and revealed dilated IHD and CBD, and multiple filling defects throughout the entire dilated CBD (Fig a). The right and left hepatic ducts were dilated but no filling defects were seen. After biliary sphincterotomy, and sweeping of the CBD with a balloon catheter, abundant gelatinous material mixed with tissue and three small pigmented stones were extracted through the papilla. Repeated sweeping of the CBD and imaging showed an extensive frondy mass attached to the CBD wall floating inside the lumen (Fig b). Some tissues were extracted for histological examination which ...
TY - JOUR. T1 - Mucin-hypersecreting intraductal neoplasms of the pancreas. T2 - A precursor to cystic pancreatic malignancies. AU - Madura, James A.. AU - Wiebke, Eric A.. AU - Howard, Thomas. AU - Cummings, Oscar. AU - Hull, Meredith T.. AU - Sherman, Stuart. AU - Lehman, Glen. PY - 1997/10. Y1 - 1997/10. N2 - Background. Mucin-hypersecreting intraductal pancreatic neoplasms were first described in 1982 and have been observed in increasing numbers since. They are observed primarily by endoscopic retrograde cholangiopancreatography (ERCP) and are characterized by an intraductal papillary neoplasm that secretes thick mucin, causing pancreatic duct dilatation and obstructive pancreatitis. Methods. Twenty patients are presented, 14 male and six female, with an average age of 59 ± 11 years. All patients presented with abdominal pain, and most had nausea and vomiting, weight loss, and documented pancreatitis. Of the preoperative studies, ERCP was positive in all patients. Computed tomography scan, ...
QUISPE-MAURICIO, Angel; SIERRA-CAHUATA, Wilmer; CALLACONDO, David y TORREBLANCA-NAVA, Juan. Factors associated to complications of endoscopic retrograde cholangiopancreatography in a third-level hospital. Rev. perú. med. exp. salud publica [online]. 2010, vol.27, n.2, pp.201-208. ISSN 1726-4634.. Endoscopic treatment of the bile duct diseases is possible thanks to the ERCP (endoscopic retrograde cholangio pancreatography), nevertheless, it is not free of complications. Objectives. To describe the characteristics and indications of the ERCP and determine the factors associated to the development of complications after performing the procedure. Materials and methods. An observational retrospective study was done in the Gastroenterology Department of the Hospital Guillermo Almenara Irigoyen in Lima, Peru, from March 2002 to June 2005. Results. 294 registers on 280 patients were evaluated, the median age was 58 and 155 (52.7%) were women, five procedures we done in the intensive care unit (ICU). ...
A 28-year-old woman presented to us in November 2010 because of deranged liver function test results; predominantly she had raised ductal enzyme levels (gamma-glutamyl transferase, 1088; reference range, 12-57 IU/mL); alkaline phosphatase (ALP) 579 (reference range, 46-127) IU/mL, alanine transaminase (ALT) 183 (reference range, 10-57) IU/mL with normal bilirubin levels. Upon further questioning, she had been a ketamine abuser for 5 years and was followed up by psychiatrists. She was completely asymptomatic and physical examination yielded nil abnormal. Her ALP level was excessive (154 IU/mL) and her ALT level was 48 IU/mL. Ultrasound of hepatobiliary system (HBS) showed a dilated common bile duct (CBD) of 1.1 cm in diameter with tapering over lower end. A gallstone was present in the gallbladder. Therefore, the endoscopic retrograde cholangiopancreatography (ERCP) was performed in November 2011, and showed a 5-cm stricture at the lower end of the CBD together with small bilateral segmental ...
Pancreatitis, Patients, Bile, Bile Duct, Common Bile Duct, Endoscopic Retrograde Cholangiopancreatography, Ercp, Therapeutic, Prospective Studies, Treatment, Catheter, Disease, Drainage, Health, Health Care, Infection, Morbidity, Necrosis, Resources, Standards
An ERCP test, or endoscopic retrograde cholangiopancreatography test, uses a small camera at the end of a flexible tube to examine the bile ducts of the small intestine. A gastroenterologist then...
The positioning of the pancreatic stent (PS) across the ampulla and pancreatic sphincter into the pancreatic duct is presumed to maintain the flow of pancreatic secretions across any flow disruptions caused by injury or edema of these structures. Over the past few decades, substantial evidence has supported that 5-7 cm, 5-Fr diameter, plastic, straight PS seems to be safe, efficacious, and resistant to PEP, especially in high-risk patients [13].. Despite the efficacy there are several complications following stent placement including, stent migration or stent occlusion. Several case reports have detailed rare instances of severe complications. There has been a case report in which the PS migrated into the retroperitoneum posterior to the third part of the duodenum, causing duodenal edema and narrowing [14]. One case reported that a PS migrated into the bile duct causing cholangitis [15]. Another case reported that a PS migrated into the portal vein causing portal vein thrombosis [16]. Finally a ...
The latest issue of the British Journal of Surgery reviews endoscopic ultrasonography vs endoscopic retrograde cholangiopancreatography for suspected choledocholithiasis.. ...
Endoscopic biopsy: Doctors might also biopsy a tumor during an endoscopy. The medical doctor passes an endoscope (a skinny, versatile, tube with a small movie digital camera on the tip) down the throat and in the tiny intestine close to the pancreas. At this stage, the doctor can either use endoscopic ultrasound (EUS) to go a needle in the tumor or endoscopic retrograde cholangiopancreatography (ERCP) to remove cells in the bile or pancreatic ducts. ...
I am a 30 years old woman who has been |b|admitted in hospital twice due to severe attacks of pancreatitis|/b| in the last 2 years. At the time of the first attack it was found from the CT scan, it was observed that I had oedema on the periphery of the pancreas. Then an endoscopic retrograde cholangiopancreatography (ERCP) was done. My gallbladder was also operated upon 2 years back at the time of the first attack. The next year I was admitted with the same problem and I got well in 5 days only. The doctor prescribed pancreatic enzymes (Creon 25000 thrice a day), antacid and antioxidants. Now I am suffering from abdomen pain, loose motions, irregular bowel movements all the time, nausea and loss of appetite for the last 2 months, though I take only fat and protein free boiled or liquid diet. At present my serum lipase and amylase is within the normal range. The routine stool examination showed no enteric disease or fat mal-absorption. Serum calcium and blood glucose level was also normal. My recent
ELISA (enzyme-linked immunosorbent assay): Rapid enzyme immunochemical assay method in which either an antibody or antigen can be coupled to an enzyme. Used to detect certain bacterial antigens and antibodies as well as hormones. One of the primary diagnostic tests for many infectious diseases, including HIV.. endomysium antibody (EMA): This test helps to determine how effective a gluten-free diet is for an individual with celiac disease.. endoscopic retrograde cholangiopancreatography (ERCP): Radiographic examination of the pancreatic ducts and hepatobiliary tree after injection of a contrast medium into the duodenal papilla. It is used to diagnose pancreatic disease.. endoscopy: Visual inspection of any cavity of the body by means of an endoscope.. Epstein-Barr virus (EBV) antibody test: A blood test to detect antibodies to the Epstein-Barr virus antigens; venipuncture is used to obtain the blood sample.. Epworth sleepiness scale (ESS): Measures daytime sleepiness by use of a short ...
Endoscopic retrograde cholangiopancreatography (ERCP). A procedure that allows the doctor to diagnose and treat problems in the liver, gallbladder, bile ducts, and pancreas. The procedure combines X-ray and the use of an endoscope, which is a long, flexible, lighted tube. The scope is guided through the patients mouth and throat, then through the esophagus, stomach, and duodenum. The doctor can examine the inside of these organs and detect any abnormalities. A tube is then passed through the scope, and a dye is injected which will allow the internal organs to appear on an X-ray. ...
Last week the Dr. M did blood work. She said the "indicators" were high so she order a CT scan. The scan found the mass in his pancreas. The tumor is about the size of a ping pong ball. It is pressing on the bile duct leading his liver. This is making my dad itch. He started to turn yellow with jaundice. This was quite a shock to everyone. The Dr. told us it was going to be a "rough road." Dr. M said she would set up a meeting with Dr. D to do a "ERCP". We met with Dr. D and he told us he was going to put a stint in the duct to relive the itching and some of the jaundice. He was also going to take photos and get biopsys. The procedure is called Endoscopic retrograde cholangiopancreatography. ...
Next it will depend on what examination and the tests above have suggested. In some cases no further tests will be needed - if, for example, your doctor is confident you have indigestion, or constipation or shingles.. If a heart or lung problem is suspected, a heart tracing (electrocardiogram, or ECG) and/or chest X-ray might be required. If a problem with your stomach or upper bowel is suspected, you may need an examination with a tube with a camera put down into your stomach (an endoscopy). A computerised tomography (CT) scan or an ultrasound scan may be helpful to look at your spleen, pancreas or kidneys. In some cases an X-ray of the tummy may be useful. Further tests include other "scopes" (such as a colonoscopy or endoscopic retrograde cholangiopancreatography (ERCP) and other scans (such as a magnetic resonance imaging (MRI) scan).. Nobody will need all these tests, and some people may not need any. ...
not soluble dietary fiber diet, so its important source of chemicals from the stomach may support the gallbladder stores bile with no issues. But eating less means less risk of damaging your gallstone. Before we get in the gallbladder problem is obstruction or infections after any surgically removed. Endoscopic Retrograde Cholangiopancreatography or MRCP help detect the process of bowel and colon flush. Cholesterol levels have been in use from animals, such as whole appendix pain intermittent organ will put you on your diet going on where the doctor and nausea and vomiting the flow of urine and high cholesterol. BloatingDuring the symptoms develop within the gall bladder near its opening. Still, having gone through the other hand, it is an gland, which is known to be quite severe. Laparoscopic gallbladder, where it meets your abdominal set on the liver and gallbladder surgery recovery time and love her so much hip pain vs si joint pain cheaper here, knowing Nick. Furthermore, thereby ...
We searched 13 electronic databases Medline, Embase and the Cochrane Controlled Trials Register from inception to January 2003. Reference lists of relevant articles were hand searched and various health services research-related resources were consulted via the Internet. Search terms included population search terms such as biliary, biliary tract, bile, gallbladder, choledocholithiasis and were combined with intervention terms such as magnetic resonance imaging, MRI and non-invasive diagnostic imaging. The search strategy is described in detail elsewhere [5]. No language or study/publication-type restrictions were applied to the searches. Inclusion criteria were adult patients with suspected biliary obstruction or dilatation, as defined by the individual studies, having MRCP and ERCP for diagnostic purposes. Outcome measures included sensitivity, specificity and likelihood ratios in different patient groups, acceptability to patients and adverse effects. The ERCP test results were assumed to be ...
Diagnostic accuracy of endoscopic retrograde cholangiopancreatography in hepatic, biliary, and pancreatic malignancy.: This paper reports the radiographic findi
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The survey report on the Global Cholangiopancreatography Device Market is a comprehensive overview of the market, covering various aspects such as product
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Get this from a library! ERCP and EUS : a case-based approach. [Linda S Lee;] -- This volume provides a comprehensive review of ERCP and EUS and the clinical conditions for which they are employed. Presented in a case-based format with accompanying videos, it will serve as a ...
My Doctor performed an ERCP with Balloon sweep with no dialation. What CPT would I use? I found CPT 43271 but that cpt still includes with dialation.
췌석의 치료 적응증은 복통이 있는 경우이다. 본 증례는 췌두부의 주췌관 내에 위치한 췌석에 의해 체액 흐름이 지장을 받아 췌관 내 압력이 상승하여 복통이 발생하였다고 추정된다[3]. 영상 검사에서 췌석 상류쪽 주췌관이 확장된 것이 이를 뒷받침한다고 할 수 있다. 그러나 만성 췌장염 환자에서 복통의 발생기전은 매우 다양하기 때문에 췌석이 존재한다고 해서 반드시 췌석이 복통의 원인이라고 할 수 없다. 일부 환자에서는 복통의 원인이 췌장 밖에 있어서 췌관 결석 제거 후에도 통증이 지속된다[1]. 본 증례에서는 췌석 제거후 주췌관 직경이 현저히 감소함을 확인하였으며 추적 기간 동안 더 이상 복통이 발생하지 않아서 췌석이 복통의 원인임을 확인할 수 있었다.. 2012년에 발표된 유럽소화기내시경학회의 만성 췌장염진료지침을 보면[4], 췌석 제거의 ...
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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 - ...
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
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, ...
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.
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. ...
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 ...
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.. ...
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. ...
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 ...
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 ...
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 ...
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.
CRE, or Carbapenem-Resistant Enterobacteriaceae, is a family of "superbug" bacteria that have recently evolved a resistance to nearly all antibiotics. An estimated 50% of infections are fatal.. In February 2015, at least 179 people were exposed to CRE after undergoing ERCP duodenoscope procedures at a hospital in Los Angeles. Seven patients developed infections and two patients died. Meanwhile, at least 3 people were infected with CRE and one person died in North Carolina.. In January 2015, officials at Virginia Mason Medical Center in Seattle reported that 35 patients were exposed to CRE after undergoing duodenoscope prodceures in 2012 and 2014. At least 11 patients died after developing infections, but it is not clear that the infection caused all of the deaths.. In mid-2013, an outbreak of CRE at Advocate Lutheran General Hospital in Chicago, Illinois, infected at least 44 patients. Of those patients, 38 had recently undergone an endoscopic procedure. ...
Post written by Andrea Tringali, MD, PhD, from the Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Italia, Digestive Endoscopy Unit, and the Università Cattolica del Sacro Cuore, Roma, Italia. Centre for Endoscopic Research Therapeutics and Training-CERTT. Our study is focused on a large series of patients treated by endoscopic insertion of multiple plastic stents (MPS)…
Endoscopic retrograde cholangiopancreato-graphy (ERCP) is minimally invasive procedure commonly performed for biliary and pancreatic diseases. According to literature, the most common related complication are pancreatitis, post-sphincterotomy bleeding, perforation and cholangitis. This is rare and exceptional ERCP complication and only few cases have been reported. We report a case of rare post-ERCP complication, subcapsular liver hematoma that was diagnosed 16 hour post-ERCP in 28-year-old lady with intra-abdominal collection, ultrasound guided drainage of suspected bile leak was done, but the drained fluid was bloody (blood mixed with bile), with total amount of 900 ml in the first 36 hours. Patient received 2 units packed RBCs and she maintain her vital sign and hemoglobin 8.5 g/dl. Computed tomography scan of abdomen revealed a large left hepatic lobe subcapsular hematoma 16x7x12 cm with no active bleeding causing compression of the left hepatic vessels. On the basis of laboratory, clinical, and
If you had a CRE superbug infection from an Olympus scope used in an ERCP procedure, contact our lawyers for lawsuit info at (866) 920-0753.
In the period of the study we observed 68 patients with CBD stones, 37 were older than 65 years: 15 (40.5%) males and 22 (59.5%) female, with a mean age of 76.45 years (range 65 -93). Twelve (32.4%) patients were treated by LC and intraoperative clearance of the CBD by the RV. ERCP was performed in 22 (59.5%) patients: 8(21.6%) previous cholecistectomized and 14(63.6%) who still had their gallbladder, but with high anaesthetic risk. In one patient the RV technique failed and laparoscopic choledocotomy was performed and a T-tube left in situ, but after 3 week trans-Kher cholangiography showed residual stones, so the patient was submitted to ERCP. In other two cases only LC was performed because the papilla of Vater was difficult to approach. The length of hospital stay was on average 7 days. Postoperative complications occurred in 7(20%) patients: one patient developed post-ERCP pancreatitis, two patients post-ERCP increasing of sieric amylase and lipase, three patients with early stones ...
For almost half a century Olympus EndoTherapy products have paved the way for advanced diagnostic and therapeutic solutions Each Olympus EndoTherapy accessory has been specially designed with the same
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Both endoscopic retrograde cholangiography (ERC) and p ropranolol transhepatic cholangiography (PTC) are invasive procedures with a 2 to 5 risk of complications but offer the opportunity for a therapeutic intervention (see later). 244.
Read ERCP E-Book by Todd H. Baron, MD, FASGE with Rakuten Kobo. ERCP, now in its second edition, is dedicated to simplifying and explaining everything that you need to know to effectiv...
TY - JOUR. T1 - Endoscopic retrograde pancreatography criteria to diagnose autoimmune pancreatitis. T2 - An international multicentre study. AU - Sugumar, Aravind. AU - Levy, Michael J.. AU - Kamisawa, Terumi. AU - Webster, George J M. AU - Kim, Myung Hwan. AU - Enders, Felicity T. AU - Amin, Zahir. AU - Baron, Todd H.. AU - Chapman, Mike H.. AU - Church, Nicholas I.. AU - Clain, Jonathan E.. AU - Egawa, Naoto. AU - Johnson, Gavin J.. AU - Okazaki, Kazuichi. AU - Pearson, Randall K.. AU - Pereira, Stephen P.. AU - Petersen, Bret Thomas. AU - Read, Samantha. AU - Sah, Raghuwansh P.. AU - Sandanayake, Neomal S.. AU - Takahashi, Naoki. AU - Topazian, Mark. AU - Uchida, Kazushige. AU - Vege, Santhi Swaroop. AU - Chari, Suresh T. PY - 2011/5. Y1 - 2011/5. N2 - Background: Characteristic pancreatic duct changes on endoscopic retrograde pancreatography (ERP) have been described in autoimmune pancreatitis (AIP). The performance characteristics of ERP to diagnose AIP were determined. Methods: The study ...
Small Bowel. • Capsule Endoscopy. • Push Enteroscopy. • Double Balloon Enteroscopy • Polypectomy. • Screening for Familial Andenomatous Polyposis. • Direct Percutaneous Jejunostomy Feeding Tube. BACK TO TOP. ,,Colon. • Colonoscopy • Shapelock Guide for Incomplete Colonoscopy. • Giant Polyp Removal. • Magnification, High Resolution, and Chromoscopy for detection of dysplasia and early cancer. • Narrow Band Imaging for Polyp Detection. BACK TO TOP. ,,Pancreas. • ERCP- Endoscopic retrograde cholangiopancreatography • Secretin MRCP - to evaluate pancreatic drainage. • Pancreatic Stone Removal. • Pancreas Divisum Therapy. • ESWL (Extracorporeal Shock Wave Lithotripsy) for Stones. • Pancreatoscopy. • EHL (Electrohydraulic Lithotripsy) for Stones. • Pancreatic Stents. • Endoscopic Pseudocyst Drainage. BACK TO TOP. ,,Liver/Gall Bladder/Bile • Bile duct stone Removal. • Mechanical Lithotripsy of Stones • Percutaneous Transhepatic Choledochoscopy. • ...
Background and Aims: It is a challenge to collect samples from bile duct strictures to diagnose patients with cholangiocarcinoma. We investigated the utility of the Spyglass Spyscope, a single-operator endoscope that is used to perform cholangiopancreatoscopy, to identify extrahepatic cholangiocarcinoma in patients who were not diagnosed with this disorder by endoscopic retrograde cholangiopancreatography (ERCP) cytology or endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) analyses. Methods: We conducted a retrospective analysis of data from 30 patients (median age, 67 years; 67percent male) with indeterminate extrahepatic biliary strictures who were ultimately diagnosed with cholangiocarcinoma but had inconclusive results from initial biliary ductal brush cytology and EUS-FNA analyses. Patients then underwent cholangioscopy by using the Spyglass Spyscope and intraductal biopsy analysis. None of the patients had a definitive mass in abdominal imaging or EUS analyses. Results: The ...
Different approaches to the treatment of bile duct injuries. According to the existing literature, endoscopic and/or radiologic management of BDI is feasible, whenever theres a continuity in bile duct and not a complete transection. These approaches can include an endoscopic retrograde cholangiography to drain bile ducts after sphincterotomy or placement of endoprosthesis [1]. Approach by an endoscopic retrograde cholangiography allows biliary stenting or balloon dilatation, considered to be the first-line treatment in some referral centres. Usually the placement of a 7 - 8.5 French single plastic stent is the first step in a series of endoscopic rehabilitation protocol. If a single stent is not effective, placement of multiple stents or a large-diameter stent can be selected [2]. Patients undergoing endoscopic stent treatment has shown a safe and favourable long term outcome, although no consensus has been reached regarding placement of one single stent alone or sequential insertion of ...
Introduction: Common bile duct stones (CBDS) are found in approximately 10% of patients who undergo cholecystectomy. Symptomatic common bile duct stones are a source of significant morbidity as they may cause obstructive jaundice, cholangitis, biliary cirrhosis and pancreatitis. Endoscopic retrograde cholangiopancreatography (ERCP) has been a mainstay of treatment for common bile duct stones. Laparoscopic common bile duct exploration has also proven to be a safe, cost effective and efficacious way of clearing ductal stones. Failure to clear stones by either method however often requires more invasive measures such as open common bile duct exploration, which in turn increases morbidity, hospital length of stay and recovery time. We present a novel approach to managing impacted common bile duct stones by utilizing laparoscopic transcystic common bile duct exploration and holmium laser lithotripsy with favorable outcomes. Methods: This is a case series of patients undergoing laparoscopic ...
BACKGROUND: Overlap syndrome is a term used for overlapping features of autoimmune hepatitis and primary sclerosing cholangitis or primary biliary cirrhosis and for autoimmune cholangitis. We describe a high prevalence of small duct primary sclerosing cholangitis among patients with overlapping autoimmune hepatitis and primary sclerosing cholangitis. METHODS: We sought to retrieve all patients with overlap syndrome between primary sclerosing cholangitis and autoimmune hepatitis in six university hospitals in Sweden. The revised autoimmune hepatitis scoring system proposed by the International Autoimmune Hepatitis Group was used to establish the diagnosis autoimmune hepatitis. Endoscopic retrograde cholangiography and/or magnetic resonance cholangiography were used to separate the primary sclerosing cholangitis cases diagnosed through liver biopsy into small and large primary sclerosing cholangitis. A histological diagnosis compatible with both autoimmune hepatitis and primary sclerosing ...
... Asia-Pacific Percutaneous Transhepatic Cholangiography (PTC) Pancreatic and Biliary Stenting Procedures Outlook to - Market research report and industry analysis - 10970877
Thesis, English, Comparison of complications of ERCP then Laparoscopic Cholecystectomy versus synchronous ERCP and Laparoscopic Cholecystectomy in management of Biliary Stones for Ashri Hazem Nour Abdellatif

Antibiotic prophylaxis prior to endoscopic retrograde cholangiopancreatography in patients with obstructive jaundice: is it...Antibiotic prophylaxis prior to endoscopic retrograde cholangiopancreatography in patients with obstructive jaundice: is it...

The probability of biliary sepsis, death and endoscopic retrograde cholangiopancreatography complications was obtained from the ... The strategies evaluated were endoscopic retrograde cholangiopancreatography with and without single-dose antibiotic ... CONCLUSIONS Antibiotic prophylaxis prior to endoscopic retrograde cholangiopancreatography results in fewer cases of ... the strategy of administering single-dose prophylactic antibiotics prior to endoscopic retrograde cholangiopancreatography in ...
more infohttps://www.semanticscholar.org/paper/Antibiotic-prophylaxis-prior-to-endoscopic-retrogr-Thompson-Arguedas/e31bfe260b14951d938b5a42796c0ad0bb9bc210

Small duct autoimmune sclerosing cholangitis and Crohn colitis in a 10-year-old child. A case report and review of the...Small duct autoimmune sclerosing cholangitis and Crohn colitis in a 10-year-old child. A case report and review of the...

Endoscopic retrograde cholangiopancreatography (ERCP) was not carried out. Colonoscopy showed scattered reddened mucosa with ... Endoscopic biopsy specimen from right colon showing changes compatible with Crohn disease. A. Colon mucosa with crypt atrophy ... Magnetic resonance cholangiopancreatography (MRCP) showed no cholangiographic abnormalities. ...
more infohttps://diagnosticpathology.biomedcentral.com/articles/10.1186/1746-1596-7-100

Endoscopic retrograde cholangiopancreatography (ERCP) | SpringerLinkEndoscopic retrograde cholangiopancreatography (ERCP) | SpringerLink

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 ...
more infohttps://link.springer.com/article/10.1007/BF01072519

Endoscopic Retrograde Cholangiopancreatography - HealthLibraryEndoscopic Retrograde Cholangiopancreatography - HealthLibrary

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 ...
more infohttp://healthlibrary.epnet.com/GetContent.aspx?token=d168334d-e19b-432f-a759-e5d7d5fc1440&chunkiid=102809

Endoscopic Retrograde Cholangiopancreatography (ERCP): Background, Indications, ContraindicationsEndoscopic Retrograde Cholangiopancreatography (ERCP): Background, Indications, Contraindications

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 ...
more infohttps://emedicine.medscape.com/article/1829797-overview

ERCP (endoscopic retrograde cholangiopancreatography) - Canadian Cancer SocietyERCP (endoscopic retrograde cholangiopancreatography) - Canadian Cancer Society

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 ...
more infohttps://www.cancer.ca/en/cancer-information/diagnosis-and-treatment/tests-and-procedures/endoscopic-retrograde-cholangiopancreatography-ercp/?region=ab

ERCP (endoscopic retrograde cholangiopancreatography) - Canadian Cancer SocietyERCP (endoscopic retrograde cholangiopancreatography) - Canadian Cancer Society

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 ...
more infohttp://www.cancer.ca/en/cancer-information/diagnosis-and-treatment/tests-and-procedures/endoscopic-retrograde-cholangiopancreatography-ercp/?region=nl

Endoscopic retrograde cholangiopancreatography - wikidocEndoscopic retrograde cholangiopancreatography - wikidoc

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 ...
more infohttp://www.wikidoc.org/index.php/Endoscopic_retrograde_cholangiopancreatography

Endoscopic retrograde cholangio pancreatography (ERCP) - series-Indication: MedlinePlus Medical EncyclopediaEndoscopic retrograde cholangio pancreatography (ERCP) - series-Indication: MedlinePlus Medical Encyclopedia

Endoscopic retrograde cholangio pancreatography (ERCP) - series-Indication. To use the sharing features on this page, please ...
more infohttps://medlineplus.gov/ency/presentations/100180_2.htm

Endoscopic Retrograde Cholangiopancreatography (Precare) - What You Need to KnowEndoscopic Retrograde Cholangiopancreatography (Precare) - What You Need to Know

Care guide for Endoscopic Retrograde Cholangiopancreatography (Precare). Includes: possible causes, signs and symptoms, ... Learn more about Endoscopic Retrograde Cholangiopancreatography (Precare). Micromedex® Care Notes. *Ercp (endoscopic Retrograde ... Endoscopic retrograde cholangiopancreatography (ERCP) is a procedure to examine the ducts of your pancreas or gallbladder. ERCP ...
more infohttps://www.drugs.com/cg/endoscopic-retrograde-cholangiopancreatography-precare.html

Endoscopic Retrograde Cholangiopancreatography | Medical City DallasEndoscopic Retrograde Cholangiopancreatography | Medical City Dallas

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 ...
more infohttps://medicalcityhospital.com/hl/?/102809/

Endoscopic Retrograde Cholangiopancreatography | Memorial HospitalEndoscopic Retrograde Cholangiopancreatography | Memorial Hospital

Learn more about Endoscopic Retrograde Cholangiopancreatography at Memorial Hospital 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 ...
more infohttps://memorialhospitaljax.com/hl/?/102809/ERCP&com.dotmarketing.htmlpage.language=1

Endoscopic retrograde cholangio pancreatography (ERCP) - series-Normal anatomy: MedlinePlus Medical EncyclopediaEndoscopic retrograde cholangio pancreatography (ERCP) - series-Normal anatomy: MedlinePlus Medical Encyclopedia

Endoscopic retrograde cholangio pancreatography (ERCP) - series-Normal anatomy. To use the sharing features on this page, ...
more infohttps://medlineplus.gov/ency/presentations/100180_1.htm

ERCP (Endoscopic Retrograde Cholangio-Pancreatography) - A SAGES Wiki ArticleERCP (Endoscopic Retrograde Cholangio-Pancreatography) - A SAGES Wiki Article

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. ...
more infohttps://www.sages.org/wiki/ercp-endoscopic-retrograde-cholangio-pancreatography/

ERCP (Endoscopic Retrograde Cholangiopancreatography) | UK HealthCareERCP (Endoscopic Retrograde Cholangiopancreatography) | UK HealthCare

ERCP is a procedure that blends endoscopy and X-ray technology to treat conditions affecting the bile and pancreatic ducts. Using a technique many call an
more infohttps://ukhealthcare.uky.edu/transplant-center/services/additional-services/ercp-endoscopic-retrograde-cholangiopancreatography

Endoscopic retrograde cholangiopancreatography - WikipediaEndoscopic retrograde cholangiopancreatography - Wikipedia

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 ( ... Use of a single-balloon enteroscope compared with variable-stiffness colonoscopes for endoscopic retrograde cholangiography in ...
more infohttps://en.wikipedia.org/wiki/Endoscopic_retrograde_cholangiopancreatography

Endoscopic Retrograde Cholangiopancreatography (ERCP) - The National Pancreas FoundationEndoscopic Retrograde Cholangiopancreatography (ERCP) - The National Pancreas Foundation

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 ...
more infohttps://pancreasfoundation.org/ercp-endoscopic-retrograde-cholangiopancreatography/

Medline ®
		
			
			
				Abstract for Reference
			
		
		26 of Post-endoscopic retrograde cholangiopancreatography (ERCP)...Medline ® Abstract for Reference 26 of 'Post-endoscopic retrograde cholangiopancreatography (ERCP)...

UpToDate, electronic clinical resource tool for physicians and patients that provides information on Adult Primary Care and Internal Medicine, Allergy and Immunology, Cardiovascular Medicine, Emergency Medicine, Endocrinology and Diabetes, Family Medicine, Gastroenterology and Hepatology, Hematology, Infectious Diseases, Nephrology and Hypertension, Neurology, Obstetrics, Gynecology, and Womens Health, Oncology, Pediatrics, Pulmonary, Critical Care, Sleep Medicine, Rheumatology, Surgery, and more.
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Intrahepatic subcapsular biloma after endoscopic retrograde cholangiopancreatography treated by endoscopic biliary drainage |...Intrahepatic subcapsular biloma after endoscopic retrograde cholangiopancreatography treated by endoscopic biliary drainage |...

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. ...
more infohttps://link.springer.com/article/10.1007/s12328-017-0806-4

Number of Endoscopic Retrograde Cholangiopancreatography Procedures Required for Short Biliary Cannulation TimeNumber of Endoscopic Retrograde Cholangiopancreatography Procedures Required for Short Biliary Cannulation Time

... Koichiro ... Background. Several previous studies assessed the competence in endoscopic retrograde cholangiopancreatography (ERCP) using the ...
more infohttps://www.hindawi.com/journals/grp/2017/1515260/abs/

Endoscopic Retrograde Cholangiopancreatography (ERCP)Endoscopic Retrograde Cholangiopancreatography (ERCP)

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 ...
more infohttp://healthlibrary.brighamandwomens.org/Search/92,P07716

Endoscopic Retrograde Cholangiopancreatography (ERCP) - AHealthyMe - Blue Cross Blue Shield of MassachusettsEndoscopic Retrograde Cholangiopancreatography (ERCP) - AHealthyMe - Blue Cross Blue Shield of Massachusetts

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, or ERCP, ...
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Endoscopic Retrograde Cholangiopancreatography (ERCP) - AHealthyMe - Blue Cross Blue Shield of MassachusettsEndoscopic Retrograde Cholangiopancreatography (ERCP) - AHealthyMe - Blue Cross Blue Shield of Massachusetts

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, or ERCP, ...
more infohttp://www.ahealthyme.com/Library/Encyclopedia/92,P07716
  • As technology improves, it will be easier to detect retrograde contractions or increased frequency of contractions (also called tachyoddia). (medscape.com)