Biliopancreatic Endoscopy


Book Description

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.




Imaging Complications of Gastrointestinal and Biliopancreatic Endoscopy Procedures


Book Description

This practically oriented book illustrates and reviews the imaging appearances of the common and unusual complications that may occur after upper gastrointestinal endoscopy, endoscopic retrograde cholangiopancreatography (ERCP), colonoscopy, polypectomy, stricture dilatation, and stent placement. Detailed attention is devoted to the assessment of complications after percutaneous endoscopic gastrostomy (PEG) positioning, the issues associated with video capsule retention after small bowel capsule endoscopy, and iatrogenic colonic perforations in patients with inflammatory bowel diseases. A dedicated chapter explains the expanding role and possibilities of interventional radiology in the treatment of such complications. The pivotal role of multidetector computed tomography (CT) in the detection and grading of endoscopy-specific iatrogenic complications is highlighted. In addition, normal imaging appearances are presented for comparison and information is provided on such aspects as the mechanisms of complications, patient- and procedure-related risk factors, clinical features, and treatment options according to established guidelines. The book will be invaluable in enabling gastroenterologists, general surgeons, and radiologists to diagnose and treat endoscopy-related complications in timely fashion.




Advanced Pancreaticobiliary Endoscopy


Book Description

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.




Endotherapy in Biliopancreatic Diseases: ERCP Meets EUS


Book Description

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.







Advanced Therapeutic Endoscopy for Pancreatico-Biliary Diseases


Book Description

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.




Management of Benign Pancreatic Disease, An Issue of Gastrointestinal Endoscopy Clinics E-Book


Book Description

With consultation of Dr. Charles J. Lightdale, Consulting Editor, Dr. Poneros has created created a state-of-the-art look at endoscopy for pancreatic disease. Top authors have contributed clinical reviews in the following areas: Acute Pancreatitis: Evidence Based Management Decisions ; Endoscopic Cyst Gastrostomy; ERCP for Recurrent Acute Pancreatitis ; Autoimmune Pancreatitis; Total Pancreatectomy with Autologous Islet Cell Transplantation; Pancreatic Insufficiency: What is the Gold Standard?; Current Guideline Controversies in the Management of Pancreatic Cystic Neoplasms; How to Manage Incidentally Found Pancreatic Neuroendocrine Tumors; Update in Celiac Block; The Use of Biomarkers in Risk Stratification of Cystic Neoplasms; Interventional EUS in the Pancreas; How to Avoid Post-ERCP Pancreatitis; and The Role of Genetic in Pancreatitis. Readers will come away with the clinical information they need to utilize endoscopic procedures in the treatment and management of pancreatic disease.




Pancreatic Endoscopic Ultrasound


Book Description

This text stresses the importance of Endoscopic Ultrasound (EUS) - the combination of flexible endoscopy and ultrasound (U/S) - as a tool to see beyond the digestive tract into the human body, and in particular to visualize the pancreas, an endocrine organ which is hidden deep inside the retroperitoneum. Pancreatic cancer, which is increasing globally, remains one of the most aggressive and morbid cancers, and is only survivable if the cancer is detected early. EUS has become the primary tool used to diagnose such cancers, as well as a variety of other diseases affecting the pancreas. The text is intended for all physicians dealing with patients with pancreatic issues, and will provide them with indications and treatment algorithms for cost-effective referrals and diagnostic testing. For endoscopists an with interest in learning EUS, this book will guide them through this complex technology, helping them to better understand the physical and interpretational skills needed in order to perform pancreatic EUS in a simple and effective fashion.




Imaging Complications of Gastrointestinal and Biliopancreatic Endoscopy Procedur


Book Description

The pivotal role of multidetector computed tomography (CT) in the detection and grading of endoscopy-specific iatrogenic complications is highlighted. In addition, normal imaging appearances are presented for comparison and information is provided on such aspects as the mechanisms of complications, patient- and procedure-related risk factors, clinical features, and treatment options according to established guidelines.




Endoscopy in the Diagnosis and Management of Acute and Chronic Pancreatitis, An Issue of Gastrointestinal Endoscopy Clinics


Book Description

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.