ERCP Baloon
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...
5 Things That Make Post-cholecystectomy ERCP...
A 28-year-old woman, five days post laparoscopic cholecystectomy with a transcystic drain. Routine cholangiogram reveals CBD stones. She's referred for ERCP. What followed was a case that illustrates...
ERCP in Locally Advanced Pancreatic Cancer, what...
A 55-year-old man. Acute cholangitis. Locally advanced pancreatic head neoplasia. Hepatic lesions. On paper, a biliary drainage procedure. In reality, one of the most technically demanding scenarios an...
Beyond the Duodenoscope: Optimizing Outcomes...
When the duodenoscope meets its match: solving the "mega-duct" challenge. ERCP in a 28 mm "mega-duct" with a massive stone burden (30+ stones) is a known challenge, but what happens...
ESD-Assisted Recanalization of a Buried Hepaticojejunostomy
ESD-assisted recanalization of a buried hepaticojejunostomy when ESD skills save an ERCP case. Completely epithelialized hepaticojejunostomy. No orifice. Just a tiny bile leak. ESD mucosal dissection....
ERCP For Mirizzi Syndrome
A 70-year-old patient presented with acute severe cholangitis and acute kidney failure. Ultrasound imaging revealed multiple gallbladder stones and stones in the lower common bile duct (CBD). An emergency...
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...
Laparoscopic CBD Exploration, Stone Extraction...
After the confluence of the cystic duct and the CBD were exposed, an incision was made along the superior wall of the common bile duct. The choledochoscope was inserted into the lumen of the CBD through...
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