sems
The Deployment-Retraction Crossing Technique
The Deployment-Retraction Crossing Technique. I couldn't cross the left duct. Wire was in. Balloon dilation done. The delivery system wouldn't follow. Tumor-induced angulation at the confluence...
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...
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...
Esophageal SEMS Placement - Tips and Tricks
Esophageal SEMS placement. technical execution - tips and tricks during the procedure Step 1: The Diagnostic Endoscopy Trick: Use a thin-caliber endoscope (pediatric gastroscope or dedicated ultra-slim...
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....
Placement of a SEMS for Neoplasic Stricture in...
Endoscopic clinical case: placement of an endoscopic stent for cancerous narrowing in the rectum and sigmoid colon. A 75-year-old patient with a history of previous surgery for rectal cancer was referred...
ERCP with SEMS Placement
Exchange of a plastic biliary stent for advanced hiliary cholagiocarcinoma by an uncovered SEMS.
Biliary & Dudoenal SEMS Placement
Biliary & dudoenal SEMS placement advanced pancreatic cancer with duodenal stricture. Biliary metallic stent followed by a duodenal metalic stent. Steps: 1: Access to the CBD. 2: Contrast injection...
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...
SEMS Overgrowth
Pancreatic tumor with biliary distal occlusion treated with SEMS. Comes back jaundiced... previous retrograde attempt in another centre failed... . Referred for trangastric or transhepatic EUS approach...
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.
Malignant Biliary Stenosis
Male 68 years, progressive jaundice, weight loss. CT biliary tract stenosis due to head mass of PANCREAS, liver metastases ERCP, Medium-term bile duct stenosis, dilation and placement of a plastic prosthesis...
The Fishy ERCP
An 86 year old man was investigated for haematuria 18 months ago. The abdominal CT scan did not show any renal abnormalities but there was “incidental” massive dilatation of the entire pancreatic duct....
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