sems

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SEMS Overgrowth

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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...

Duodenotomy & Biliary SEMS

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Video case: duodenotomy & SEMS for Ca. Head of Pancreas.

ERCP and SEMS for Advanced Pancreatic Cancer

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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

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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

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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....