sphincterotomy
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...
When One Scope Reveals Three Diagnoses
Clinical case: when one scope reveals three diagnoses. A 38-year-old woman. Acute pancreatitis grade A, with acute cholangitis and lower CBD stone on MRCP. On CT, there was also an asymptomatic ileal...
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...
When the Door is Locked, Find Another Key, ERCP...
A patient referred for ERCP. D1 stricture. Duodenoscope won't pass — even after 15 mm balloon dilation. You have two options: stop, or adapt. We adapted. Gastroscope + distal cap → stable platform,...
Navigating the Crater: Strategies for Cannulation...
Navigating the Crater: Strategies for Cannulation and Management of the Intradiverticular Papilla. Patient Anatomy Type III Periampullary Diverticulum Objective Cannulation and clearance of a 10 mm CBD...
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 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....
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...
ERCP for Acute Severe Hydatic Cholangtis
A 72-year-old patient presented with severe acute cholangitis associated with a hepatic hydatic cyst, following unsuccessful surgical treatment. The patient also exhibited acute renal failure and abnormal...
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...
Impacted Minor Papilla Stone
Clinical video case: a 37 years old came with recurrent episodes of pancreatitis. CT-Images showed multiple parenchymal calcifications at head & uncinate process with a calcification on medial wall...
Papillary Tumor Exposed
Tumorous papilla of Vater... after sphincterotomy pathological masses are exposed.
Gallbladder Agenesis
Surgical video case: gallbladder agenesis is a rare entity with an estimated incidence of 10–65 per 100,000. Females are more commonly affected (ratio 3:1), typically presenting in the 2nd or 3rd...
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