sphincterotomy
CBD Stone Extraction
Video case: patient with liver injury, cholangitis prior to procedure due to stone in middle cbd. Treated with sphincterotomy with balloon catheter stone extraction.
Sphincterotomy - How Far is Enough, ERCP Stone...
Video case: patient with history of recent cholangitis resolving with broad spectrum antibiotics. On endosonography stones in hardly dilated bile ducts. Ampullary orifice located quite deep in diverticulum...
CBD Stone Extraction
Video case: patient with liver injury, cholangitis prior to procedure due to stone in middle cbd. Treated with sphincterotomy with balloon catheter stone extraction.
ERCP: Needle Knife Sphincterotomy for Impacted...
During a recent ERCP I had to “deliver" a tricky biliary stone and to do so I had to perform a “biliary episiotomy.” Background: an 87 year old man with Alzheimer’s disease...
The Nightmare Continues: Management of Post-Sphincterotomy...
Presented by Melissa P. Lapinska at the "Devil's in the Details - Endoscopic Solutions for Acute GI Perforations" session during the SAGES 2019 Annual Meeting in Baltimore, MD on Friday, April...
ERCP for Large CBD Stones
62 years old man with CBD stones and stones in the gallbladder. Laparoscopic cholecystectomy done followed by ERCP sphincterotomy and balloon dilatation, extraction of all the CBD stones.
Post Sphincterotomy Bleeding
Px fem with bleeding post sphincterotomy (2 days post). Treatment with sclerosis and compression with balloon, cease of bleeding after endoscopic therapy is verified.
Pancreatitis- endooscopic treatment
In 39- year- old man with acute pancreatitis US and CT, which gave normal results, were done. EUS revealed normal gallbladder and common bile duct stones. The patient was also submitted to endoscopic...
Bulging Papilla of Vater (2 of 2)
A point diathermy incision was made with a precut papillotome (needle-knife) When the papillotome advanced sufficiently, gush of bile and small gallstone were observed. Slight bleeding was observed....
Bulging Papilla of Vater (1 of 2)
An 87 year-old male, with 10 months after cholecystectomy due to gallstones, presented 20 days of fever, diarrhea, jaundice and upper right quadrant pain. Abdominal sonography demonstrated the intrahepatic...
Adenocarcinoma of the Pancreas (8 of 8)
A guide-wire placement to deploy a self-expanding stent used for drainage of malignant biliary stenosis. Sphincterotomy is a technically complex procedure that is performed under visual and fluoroscopic...
Adenocarcinoma of the Pancreas (5 of 8)
An endoscopic sphincterotomy was attempted at standard common bile duct cannulation and sphincterotomy were unsuccessful, then precut sphincterotomy needle-nife sphincterotomy was performed.
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