By Douglas G. Adler
This quantity presents a entire consultant to complex endoscopic techniques and strategies. basically interested by Endoscopic Retrograde Cholangiopancreatography (ERCP) and Endoscopic Ultrasound (EUS), the booklet additionally explores comparable themes comparable to cholangioscopy, pancreatoscopy, complex pancreaticobiliary imaging, stenting, and endoscopic skill to accomplish discomfort regulate. The textual content additionally provides a plethora of information and tips on the best way to practice those approaches adequately, emphasizes universal error and the way to prevent them, and contours prime quality video clips illustrating key procedural facets for each chapter.
Written through most sensible specialists within the box, Advanced Pancreaticobiliary Endoscopy is a useful source for gastrointestinal endoscopists and fellows drawn to complicated endoscopic approaches.
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Additional resources for Advanced Pancreaticobiliary Endoscopy
Kim MH, Lee SK, Lee MH, Myung SJ, Yoo BM, Seo DW, Min YI. Endoscopic retrograde cholangiopancreatography and needleknife sphincterotomy in patients with Billroth II gastrectomy: a comparative study of the forward-viewing endoscope and the sideviewing duodenoscope. Endoscopy. 1997;29(2):82–5. 45. Bergman JJ, van Berkel AM, Bruno MJ, Fockens P, Rauws EA, Tijssen JG, Tytgat GN, Huibregtse K. A randomized trial of endoscopic balloon dilation and endoscopic sphincterotomy for removal of bile duct stones in patients with a prior Billroth II gastrectomy.
In addition, cholelithiasis and complications related to cholelithiasis necessitate surgical intervention in a large number of patients with approximately 700,000 cholecystectomies performed annually [4, 5]. Amongst those individuals, who undergo cholecystectomy for symptomatic gallbladder disease, approximately 10–15 % are found to have common bile duct stones (choledocholithiasis) [4, 5]. This translates to 70,000–100,000 patients per year requiring further intervention for biliary stones, many of whom will require more than one treatment [4, 5].
The mechanism behind the protective effect of the endoscopic sphincterotomy is that it provides both room and a direction for the biliary ductal balloon to expand into, away from the pancreatic sphincter oriﬁce. EPBD is thus almost always performed in conjunction with endoscopic sphincterotomy in the United States and Europe. Special Situations with Difficult Biliary Stone Mirizzi Syndrome Mirizzi syndrome is an uncommon and atypical presentation of gallstone disease in which common hepatic duct obstruction is caused by an extrinsic compression from an impacted stone in the cystic duct or Hartmann’s pouch of the gallbladder [3, 6, 75–77].