Video of ERCP Procedure
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...
Good Grip of CBD Wall
On cases of post - ERCP laparoscopic CBD exploration, the CBD wall is usually thick. So, on suturing the CBD wall especially around a tubal drain, please take care to pass your needle through the whole...
Laparoscopic Common Bile Duct Exploration with...
Endoscopic retrograde cholangiopancreatography (ERCP) with stone extraction is generally accepted as first line management for common bile duct (CBD) stones. CBD exploration, either by open or laparoscopic...
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 for Hilar Malignancy
Hilar Cholangiocarcinoma. Technical tips and tricks during ERCP. Cannulation and Access. Sphincterotomy: A limited sphincterotomy is usually performed to facilitate stent placement and exchanges. Cholangiography:...
ERCP for Neoplastic Lower CBD Stricture
Why a lower CBD tumor makes cannulation difficult? Lower CBD nesoplasic stricture with jaundice, bili more then 500. ERCP with brushing & biopsy with biliary plastic stent insertion. Needle knife...
Large Cast Biliary Stone - "Bullet Like"
A case of an elderly patient diagnosed with a large biliary tree cast stone. Using balloon the stone was evacuated. Because of its size it was decided to remove the stone from intestines grasping it with...
ERCP with Insertion of a Metallic Stent: Tips...
ERCP with insertion of a metallic stent: tips and tricks. In this illustrative video, we outline the key steps for inserting a biliary metallic stent during ERCP in a lower CBD neoplasic stricture....
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.
Ampullectomy / Papillectomy
Endoscopic clinical case: patient diagnosed with tubular adenoma, previously jaundiced, post curative ERCP with bile duct stenting. EUS performed at patient's previous admission - small hypoechogenic...
Choledocho-duodenal Fistula on ERCP - Part 2
Patient with choledochoduodenal fistula after previously performed ERCP with insufficient draining with one plastic stent - watch movie clip Choledocho-duodenal Fistula on ERCP (https://medtube.net/gastroenterology/medical-videos/41768-choledocho-duodenal-fistula-on-ercp)....
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...
Double Balloon Dilatation During ERCP
A 75-year-old patient presents with acute cholangitis and a history of open surgery for acute cholangitis 40 years ago. CT scan reveals a 12 mm common bile duct (CBD) containing a 12 mm stone. During...
ERCP Using Gastroscope for Intra Diverticular...
ERCP using gastroscope for intra diverticular papilla. While going for an easy ERCP, we found an Intradiverticular and punctiform papilla. Access was initially impossible using a duodenoscope, even in...
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