cpre
Why a Single Contrast Injection Can Be Fatal...
Video case: why a aingle contrast injection can be fatal in acute aholangitis?
The "Sand" Signal — Adapting Strategy...
The Patient & Presentation: Patient: 90-year-old male.Condition: Acute cholangitis, stabilized with 5 days of antibiotics.Imaging: MRCP suggested a 25 mm "Mega-CBD" with a seemingly...
When the Door is Locked, Find Another Key, ERCP...
A patient referred for ERCP. D1 stricture. Duodenoscope won't pass — even after 15 mm balloon dilation. You have two options: stop, or adapt. We adapted. Gastroscope + distal cap → stable platform,...
Laparoscopic cephalic duodenopancreatectomy (Whipple)
A 70-year-old male patient with obstructive jaundice, weight loss, and severe anemia, presented with a lesion in the duodenal papilla during endoscopic studies. A biopsy was performed, and a plastic stent...
Precision Over Pressure: The 0.025" Solution...
Video case: precision over pressure: The 0.025" solution for the Li-Tanaka type iIa papilla.
ERCP Gastroscope
The Pivot That Saved a Life: Conquering the "Impossible" Papilla Today wasn't about a routine stone extraction. It was about rapid decompression in a crashing patient with severe acute...
Overcoming the "Unpassable" Hilar Angulation...
Overcoming the "Unpassable" Hilar Angulation During ERCP Stenting Scenario:During ERCP for a complex hilar cholangiocarcinoma, you encounter the classic roadblock: an acute, tumor-induced...
Modern Approach to a Complex Gallstone Problem
33 years old patient referred for acute severe cholangitis with an elarged CBD and 8 mm stone. Multiple Stones in the gallbladder. The Problem: Why This Wasn't Standard 1. Acute Cholangitis: This...
ERCP: SEMS in Advanced Pancreatic Cancer
A 70-year-old patient diagnosed with locally advanced pancreatic head neoplasia involving the duodenum, as observed on a CT scan. The patient presents with abnormal liver function tests and jaundice....
Pancreatic Stent Placement
Placement of a plastic pancreatic stent for preventionof post ERCP pancreatitis.
ERCP in Altered Anatomy
A 70-year-old man with a history of gastrectomy and gastro-jejunal anastomosis presented with acute cholangitis. Procedure: - A GIF 1100 gastroscope was used - Access to the second portion...
ERCP Procedure Using a Gastroscope
ERCP Procedure Using a Gastroscope: - Acute cholangitis with CBD stone with gastric neoplastic stricture - ERCP Performed using a GIF 1100 gastroscope and a cap. - Cannulation achieved with...
SEMS for Pancreatic Head Cancer
78 years old woman treated 6 week ago for biliary obstruction with advanced pancreatic head cancer, she had biliary plastic stent 10fr x 7 cm. She had acute cholangitis with septic shock. US: dilatation...
ERCP and SEMS for Advanced Pancreatic Cancer
Video case: 62 years old man with jaundice and pancreatic cancer with loco-regional involvement, ERCP biopsy and uncovered metallic stent deployment.
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