Papilla
Wire Patency is not Catheter Patency
Wire patency is not catheter patency. A 28-year-old woman. Acute cholangitis. Acute pancreatitis. Jaundice, elevated liver tests, a lower CBD obstructing stone on CT. The indication was never in question...
The Parasite was Already Trying to Escape. We...
The hydatid membrane was at the papilla before the sphincterotome arrived. No contrast. No cholangiogram. The parasite was already delivering its own diagnosis. Today at Clinique Les Oliviers: general...
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...
Impacted Stone
The "Black Liquid" moment: Strategic Decompression in Acute Cholangitis. This is a fantastic clinical "save." Moving from a bulky, non-cannulable papilla to a successful stone...
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...
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...
Pancreas Divisum Endoscopic View of Minor Papilla
Endoscopic clinical case video: a rare endoscopy observation. Observing the minor papilla during endoscopy with a front-view scope is rare. Using a duodenoscope enhances our ability to detect it, allowing...
Pancreatic Gastrostomy
Video case: EUS-guided drainage of the pancreatic duct is a safe, feasible alternative to endoscopic retrograde drainage when the papilla cannot be reached endoscopically or catheterized.
Prone PCNL Without Inserting Ureteral Catheter...
Standard prone PCNL technique involves two steps: placing a ureteral catheter and then flipping the patient back to a prone position. However, many authors have reported that the step of placing...
Immediate Dental Implants - Papilla Reconstruction
www.drscottmaclean.com reconstructs a papilla between two implants by using stepped technique of immediate placement and temporization. By using a high torque implant Dr. MacLean is able to support the...
Duodenal papilla adenoma- EUS resection
The video presents a patient with adenoma of duodenal papilla in who endoscopic resection of the lesion was performed.
Duodenal papila adenocarcinoma- EUS staging and...
77- year- old woman with adenocarcinoma of the duodenal papilla underwent EUS and endoscopic resection was made.
Duodenal papila tumor- endoscopic treatment
In 81- year- old patient with adenocarcinoma of the duodenal papilla ERCP with plastic stent (8.5F) passage was done. Follow-up revealed fever and pain in the right upper quadrant. EUS showed malignant...
Hypertrophied Papillae
Large Anal hypertrophied papillae that introduced into the rectum. The presence of Hypertrophied anal papillae and fibrous anal polyps are often ignored in the proctology practice. But the experience...
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