This volume presents the technical and cultural state of the art of two of the riskiest, most complex and operator-dependent digestive operative techniques: endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic ultrasonography (EUS). The authors compare old and new techniques, shedding light on the most recent and innovative scientific findings, including those in the field of anatomic pathology and molecular biology considered relevant for the analysis of tissue samples collected during EUS. In view of the technical difficulties specific to these techniques, the book also offers access to online-videos and numerous images, making it a valuable resource both for physicians approaching these techniques for the first time as well as for those already using them. Organized into 7 sections, it describes in detail all techniques related to ERCP/EUS, together with any specific technical equipment required. It also presents a new paradigm based on the latest results in the areas of prevention, diagnosis and management of the most common complications. Clinical outcomes presented in international literature, as well as algorithms – both based on scientific evidence and expert findings – are illustrated and compared to alternative treatments.
This text provides a comprehensive review of ERCP and EUS and the clinical conditions for which they are employed. Presented in a case-based format with accompanying videos, it will serve as a valuable practical clinical resource for gastroenterologists with an interest in ERCP and EUS. The text highlights major techniques involved in ERCP, reviews complications and recent data on preventing post-ERCP pancreatitis, and discusses important issues in training in ERCP including use of endoscopic simulators and assessment of competency as emphasized in the new ACGME guidelines. For biliary diseases, new techniques for managing biliary stones, novel technologies for diagnosing indeterminate biliary strictures, and new devices for treating benign and malignant strictures are also highlighted. For pancreatic diseases, advances in minimally invasive endoscopic techniques for pancreatic stones and strictures, and management of the complications of pancreatitis are reviewed. Furthermore, ERCP is not limited by age, pregnancy or history of abdominal surgeries and special considerations particular to these patient populations are also discussed. The EUS chapters review the breadth of equipment available for performing EUS and EUS-FNA, detail the technique of performing EUS-FNA, and explore pertinent issues with training and assessing competency analogous to ERCP training. Valuable insights on the basics of cytopathology relevant to the endosonographer are summarized. The classic indication for EUS of staging luminal cancers is examined in detail while pancreaticobiliary indications are discussed highlighting newer adjunctive technologies including elastography and contrast-enhanced EUS. Although in its infancy, the brave new world of therapeutic EUS is explored with a focus on endoscopic necrosectomy, EUS-guided biliary and pancreatic access as well as the exciting possibilities of EUS-guided radiofrequency ablation and injection of anti-tumor agents. ERCP and EUS: A Case Based Approach will serve as a very useful resource for physicians who perform or refer patients for ERCP and EUS. It provides a concise yet comprehensive summary of the current status of ERCP and EUS that will help guide patient management and stimulate clinical research.
This book aims to provide the basic technology and recent advances in biliopancreatic endoscopy. The method of Endoscopic retrograde cholangiopancreatography (ERCP) is popularly applied to enlarge the papillary orifice for removal of biliary and pancreatic stones, to relieve obstruction of distal bile duct or pancreatic duct by nasobiliary / nasopancreatic drainage or stenting, and to remove the premalignant tumor of papilla in recent four decades. The diagnostic role of ERCP is already replaced by the noninvasive images such as abdominal sonography, computed tomography, magnetic resonance cholangiopancreatography (MRCP) and endoscopic ultrasonography (EUS). This book will be contributed by the senior members of the Digestive Endoscopy Society of Taiwan (DEST) who are the leading ERCPists of the medical centers and teaching hospitals in Taiwan. There are 21 chapters, including the various techniques of therapeutic ERCP and EUS, how to approach the difficult cases and prevent complications. Recently, many new facilities and techniques develop to solve the difficult problems, but those new methods may have potential hazard to the patients, particularly in the inexperienced hands. We will share our clinical experience and comments on the recent literatures, to illustrate the standard operative procedures of biliopancreatic endoscopy, and focus on the patients’ safety as well as efficacy. We hope this book will be helpful for the readers in clinical application and facilitate the junior doctors to choose the cost-effective and safe procedure to help their patients in the future.
This volume provides a comprehensive guide to advanced endoscopic procedures and techniques. Primarily focused on Endoscopic Retrograde Cholangiopancreatography (ERCP) and Endoscopic Ultrasound (EUS), the book also explores related topics such as cholangioscopy, pancreatoscopy, advanced pancreaticobiliary imaging, stenting, and endoscopic means to achieve pain control. The text also presents a plethora of tips and tricks on how to perform these procedures safely, emphasizes common mistakes and how to avoid them, and features high quality videos illustrating key procedural aspects for every chapter. Written by top experts in the field, Advanced Pancreaticobiliary Endoscopy is an invaluable resource for gastrointestinal endoscopists and fellows interested in advanced endoscopic procedures.
This volume presents the technical and cultural state of the art of two of the riskiest, most complex and operator-dependent digestive operative techniques: endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic ultrasonography (EUS). The authors compare old and new techniques, shedding light on the most recent and innovative scientific findings, including those in the field of anatomic pathology and molecular biology considered relevant for the analysis of tissue samples collected during EUS. In view of the technical difficulties specific to these techniques, the book also offers access to online-videos and numerous images, making it a valuable resource both for physicians approaching these techniques for the first time as well as for those already using them. Organized into 7 sections, it describes in detail all techniques related to ERCP/EUS, together with any specific technical equipment required. It also presents a new paradigm based on the latest results in the areas of prevention, diagnosis and management of the most common complications. Clinical outcomes presented in international literature, as well as algorithms - both based on scientific evidence and expert findings - are illustrated and compared to alternative treatments.
Provides the comprehensive knowledge required to perform ERCP safely and effectively Authored by the very best in the field, this “how-to” guide to mastering the crucial yet complex gastrointestinal procedure called endoscopic retrograde cholangiopancreatography (ERCP) covers the entire range of both standard and advanced techniques, using a highly practical approach. It also places a strong emphasis on patient education, safety, and minimizing risks, offering “tips and tricks” and key points throughout to aid rapid understanding. The book is filled with over 250 illustrations Covering ERCP preparation, techniques, clinical applications, and quality and safety, ERCP: The Fundamentals, 3rd Edition begins with chapters on “getting prepared,” including training and competence; facilities and equipment; risk assessment and reduction; sedation, anesthesia, and medications. It then covers “what can be done,” describing standard devices and techniques; intraductal therapies; ampullectomy; and reporting and documentation. Next it has chapters on “what should be done,” clinical applications of ERCP in acute cholangitis; peri-cholecystectomy; difficult bile duct stones; biliary pain; and numerous forms of pancreatitis. The book finishes with coverage of adverse events and how to ensure competent practice. Teaches all of the standard and advanced ERCP techniques Focuses on patient safety/comfort throughout Brilliantly-illustrated with endoscopic, EUS and radiologic images, and anatomical drawings Offers a step-by-step, practical approach to ERCP—highlighting potential technical and anatomical hazards Packed with tips and tricks boxes and key points boxes to assist comprehension 20 high-definition videos of ERCP performed by the experts, perfect to improve clinical technique Full reference to the very latest ASGE, ACG, ASG and UEGW guidelines throughout Brought to you by world pioneers in endoscopy, ERCP: The Fundamentals, 3rd Edition is an essential purchase for gastroenterologists and endoscopists of all levels.
Dr. Kahaleh's expertise as the Chief of Advanced Endoscopy at Weill Cornell Medical Center has allowed him to gather top experts to write state-of-the art reviews devoted to therapeutic ERCP. Articles address therapeutic ERCP and instrumentation; advanced cannulation technique and precut; stone burden in the bile and pancreatic duct; the available platforms for choledochopancreatoscopy; ERCP and Biliary Imaging; ERCP for sampling and tissues acquisition; ERCP and Intraductal ablation therapies; ERCP for distal malignant stricture; management of benign biliary stricture; treatment of common bile duct injuries after surgery; EUS guided ERCP; prevention of post-ERCP pancreatitis, and legal Matters related to ERCP.
Over the past 40 years, ERCP has become an effective therapeutic modality with diagnostic purposes that are continually improved.. The 3rd Edition of this practical reference helps you make the most of today’s endoscopic retrograde cholangiopancreatography in your practice. You’ll find authoritative, highly illustrated guidance on every aspect of ERCP, including coverage of the latest techniques. Includes new chapters that cover duodenoscope reprocessing; endomicrocopy; EUS-guided endotherapy related to pancreatobiliary disorders; and CT and MRCP related to pancreatobiliary disorders. Contains updated information on radiofrequency ablation for cancer, percutaneous vs. endoscopic drainage, scope cleaning practices, and pancreatic necrosis.
This clinical casebook provides a comprehensive yet concise state-of-the-art review of endoscopic retrograde cholangiopancreatography (ERCP). Presented in a case-based format, each case focuses on a clinical dilemma commonly encountered when performing ERCP. Case scenarios include difficult biliary cannulation, post-ERCP pancreatitis, ERCP in recurrent acute pancreatitis, ERCP during pregnancy, and ERCP in pediatric patients. The book also features online videos demonstrating the use of ERCP in various situations. Written by experts in the field, Dilemmas in ERCP: A Clinical Casebook is a valuable resource for gastroenterologists and interventional endoscopists in achieving successful outcomes when performing ERCP.
Comprehensively covering various techniques such as ERCP, EUS, EST and lithotripsy, this book highlights innovative endoscopic surgical techniques for managing pancreatico-biliary. It will provide readers an extensive overview of the therapeutic endoscopy management solutions and techniques currently available. Advanced Therapeutic Endoscopy for Pancreatico-Biliary Diseases was written by pioneering experts from around the world, providing a concise yet comprehensive summary of the current state of therapeutic endoscopic techniques in a step-by-step format. Each chapter examines both major and subtle yet important techniques, together with new findings, an approach that will appeal to a broad readership, from beginning to advanced endoscopists and surgeons with a background in gastroenterology, particularly those specializing in endoscopy of pancreatico-biliary diseases to help guide patient management.
In consultation with Dr. Charles Lightdale, Dr. DiMaio has assembled a list of articles devoted to endoscopy in hepatology with the most current and clinically relevant content. Dr. DiMaio invited top experts from well-known institutions to contribute reviews on the following topics: EUS in the evaluation of unexplained biliary dilation and liver function test abnormalities; EUS-guided liver biopsy; Advances in endoscopic imaging of the biliary tree; Expert evaluation of indeterminate biliary strictures; Stenting for benign and malignant biliary strictures; Endoscopic management of biliary issues in the liver transplant patient; Endoscopic management of complex biliary stone disease; EUS-guided biliary drainage; ERCP and EUS-guided drainage of the gallbladder; EUS-guided interventions for the measurement and treatment of portal hypertension; Endoscopic management of portal hypertension-related bleeding; EUS for diagnosis and staging of liver tumors; ERCP-guided ablation for cholangiocarcinoma; and EUS-guided ablation of liver tumors. Readers will come away with the most current clinical information they need to improve outcomes in patients with liver disease.
Dr. Freeman has organized his issue address the continuum between acute and chronic pancreatitis, necrosis and pseudocysts, and the expanding role of endoscopic diagnosis and therapy. As a result, there are comprehensive articles devoted to: Role of EUS in the diagnosis of acute and chronic pancreatitis; ERCP for acute biliary pancreatitis;Prevention of post ERCP pancreatitis; Endoscopic therapy of necrotizing pancreatitis and pseudocysts; Endoscopic therapy for acute recurrent pancreatitis; Endoscopic therapy for chronic pancreatitis; ERCP for biliary strictures associated with chronic pancreatitis; EUS for pancreatic ductal access and drainage; Endoscopic therapy for pancreatic duct leaks and disruptions; autoimmune pancreatitis; role of endoscopy in diagnosis and treatment; and Palliation of pancreatic ductal obstruction in pancreatic cancer.
ERCP, now in its second edition, is dedicated to simplifying and explaining everything that you need to know to effectively and safely practice endoscopic retrograde cholangiopancreatography. High-quality images, illustrative diagrams, and coverage of the latest techniques guide you through this complex topic and help you achieve optimal outcomes. Consult this title on your favorite e-reader with intuitive search tools and adjustable font sizes. Elsevier eBooks provide instant portable access to your entire library, no matter what device you’re using or where you’re located. Deliver the most effective therapy with an in-depth review of intricate ERCP procedures, and equip yourself with the latest techniques, therapeutic modalities, and guidelines. Master the latest diagnostic and therapeutic techniques with ERCP - your visual and interactive guide to this increasingly important procedure! Apply the latest ERCP techniques with 11 new chapters covering Cholangioscopy: Videocholangioscopy; Echoendoscopic Ultrasound; Endoscopic Ultrasound; Combined Biliary and Duodenal Obstruction; and more. Enhance your learning with the help of summaries following each chapter, updated images throughout, and a wealth of illustrative diagrams demonstrating key information. See how it's done. Over 40 videos feature the latest procedures, such as Needle Knife Sphincterotomy, Biliary Sphincterotomy, Cannulation, and Fistulotomy. Access the fully searchable text, download all the images, and watch key videos online at www.expertconsult.com!
Endoscopic ultrasound has revolutionized the approach to lesions inside and outside the gastrointestinal tract. It has opened the door for gastroenterologists to explore organs outside of the GI lumen, such as the lymph nodes, lung, pancreas, and liver. Endoscopic Ultrasound covers all aspects of endoscopic ultrasound, from the basics to the interventional indications. Richly detailed chapters describe the utility of EUS in different parts of the body and are organized based on body site Pioneers in the field summarize new studies, and the direction of EUS in practice. Endoscopic Ultrasound provides a ready reference that will help physicians and support staff that are beginning EUS, as well as trained ultrasonographers who wish to arm themselves with a comprehensive reference and explore the future of the field.
Dr. Gress has assembled top experts to discuss the latest advances of using endoscopic ultrasound for diagnostic and therapeutic purposes. The issue has review articles devoted to the following topics: EUS Elastography; Contrast-Enhanced EUS; New developments in EUS- FNA Tissue Acquisition; EUS FNA: Cytologic and histologic using new techniques for interpretation; New EUS Techniques for diagnosing pancreatic neoplasms; EUS for diagnosing and treating pancreatic cysts; The role of EUS in the diagnosis of Autoimmune Pancreatitis; Therapeutic EUS for cancer treatment; and EUS-guided techniques in biliary drainage, pancreatic drainage, necrosectomy, pelvic fluid collections, hemostasis techniques, and gastrojejunostomy. The issue ends with articles that look at training issues and the future of EUS. Readers should leave with the clinical information they need to embrace the latest advances of endoscopic ultrasonography.
Endosonography—by Drs. Robert H. Hawes, Paul Fockens, and Shyam Varadarjulu—is a rich visual guide that covers everything you need to effectively perform EUS, interpret your findings, diagnose accurately, and choose the best treatment course. World-renowned endosonographers help beginners apply endosonography in the staging of cancers, evaluating chronic pancreatitis, and studying bile duct abnormalities and submucosal lesions. Practicing endosonographers can learn cutting-edge techniques for performing therapeutic interventions such as drainage of pancreatic pseudocysts and EUS-guided anti-tumor therapy. This updated 2nd edition features online access to the fully searchable text, videos detailing various methods and procedures, and more at www.expertconsult.com. You’ll have a complete overview of all aspects of EUS, from instrumentation to therapeutic procedures. Gain a detailed visual understanding on how to perform EUS using illustrations and high-quality images. Understand the role of EUS with the aid of algorithms that define its place in specific disease states. Locate information quickly and easily through a consistent chapter structure, with procedures organized by body system. Access the fully searchable text online at www.expertconsult.com, along with 60 procedural video clips, 300 downloadable PowerPoint slides, and 400 downloadable images, and regular updates reflecting the latest findings. Stay abreast of the most recent studies thanks to downloadable tables that summarize new information, updated on a quarterly basis. Master the technique of systematically performing EUS, then download the hundreds of slides and videos available online to teach and train the newer generation of endoscopists. Find coverage relevant to your needs with detailed chapters, illustrations, and videos on how to perform EUS for the beginner; a new section on international EUS and technical tips on how to handle difficult FNAs for the advanced user; a totally revised chapter on cytopathology for the pathologist; and a chapter on EBUS and EUS dedicated to the mediastinum for the pulmonologist. Get a clear overview of everything you need to know to establish an endoscopic practice, from what equipment to buy to providing effective cytopathology service. Tap into the expertise of world-renowned leaders in endosonography, Drs. Robert H. Hawes, Paul Fockens, and Shyam Varadarajulu.
This book provides an up-to-date review of therapeutic EUS with an equal focus on technical descriptions with ample endoscopic images/video clips by world experts and the scientific evidence behind the described techniques. The book provides an overview of the field in a structured manner, starting with general topics on equipment and service development and extending to the fields of EUS-guided drainage, anti-tumor therapies, and other specific EUS-guided interventional treatments. Therapeutic Endoscopic Ultrasound is a key resource for endoscopists, gastroenterologists, surgeons, and GI oncologists.
Medical by Douglas G. Adler, MD, FACG, AGAF, FASGE
This volume provides a comprehensive, state-of-the-art overview on interventional endoscopic ultrasound (EUS). Each chapter covers a single procedure or related group of procedures, features a detailed literature evaluation and tips on these cutting edge endoscopic techniques, and is accompanied by a comprehensive endoscopic video and illustrative endoscopic and ultrasonographic images. The text also reviews adverse events related to interventional EUS, both how to avoid them and how to manage them when they arise. Written by to endoscopic experts in the field, Interventional Endoscopic Ultrasound is a valuable resource for practicing gastroenterologists who perform advanced endoscopy.
Year on year, there continue to be dramatic changes in endoscopic ultrasonography (EUS) since it was first introduced 30 years ago. Advances in technology have meant that as well as being used in the diagnosis of gastrointestinal disorders, EUS is now one of the primary diagnostic and therapeutic modalities used in GI endoscopy. Back and improved for a new edition, Endoscopic Ultrasonography is the market-leading book covering the topic. Written by leading experts in the field, it provides a technical how-to approach to learning this advanced endoscopic procedure. The highly-acclaimed authors provide step-by-step guidance to the fundamentals of EUS, giving clear instructions on the instruments involved, the correct sedation procedures to follow and how EUS should be performed safely and effectively. Every chapter discusses a specific aspect of EUS as it relates to a particular gastrointestinal disorder or organ system. Brand new to this edition are: 1) Seven new chapters on the hottest topics in EUS: Learning Anatomy for EUS; Elastography; Lung Cancer; Autoimmune Pancreatitis; EUS for Liver Disease; Biliary Access; Pancreatic Fluid Collection Drainage 2) A complete update of all previous chapters to reflect the most current clinical recommendations 3) A host of new color images in every chapter Endoscopic Ultrasonography 3rd edition is the ideal tool to consult to improve EUS skills and improve patient management, and an essential purchase for all gastroenterologists and endoscopists.