Idiopathic Acute Pancreatitis and Sphincter of Oddi Dysfunction: Diagnostic and Therapeutic Role of ERCP and Sphincter of Oddi Manometry

May 30, 2017 by in GASTROENTEROLOGY Comments Off on Idiopathic Acute Pancreatitis and Sphincter of Oddi Dysfunction: Diagnostic and Therapeutic Role of ERCP and Sphincter of Oddi Manometry

Fig. 14.1 A flow diagram showing the initial investigations that should be performed for acute pancreatitis. * Smoking is an independent risk factor for AP; † A specific threshold for…

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EUS-Guided Bilio-Pancreatic Drainage

May 30, 2017 by in GASTROENTEROLOGY Comments Off on EUS-Guided Bilio-Pancreatic Drainage

Fig. 34.1 6F cystostome (Endoflex Company) Dilators are required to enlarge the fistula tract following puncture. Bougie (6-7F) or balloon (4–6 mm) dilators such as the Soehendra biliary dilation catheter (Cook…

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ERCP in Other Pancreatic Disorders

May 30, 2017 by in GASTROENTEROLOGY Comments Off on ERCP in Other Pancreatic Disorders

Fig. 15.1 Pancreatography obtained by ERCP showing a small ventral pancreas (a) and two images showing increasing filling of the dorsal duct via the minor papilla (b, c) Fig. 15.2…

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Equipment and Approach

May 30, 2017 by in GASTROENTEROLOGY Comments Off on Equipment and Approach

Fig. 22.1 Radial echoendoscope Radial echoendoscopes can be subdivided into two types: mechanical and electronic (Table 22.1). The mechanical echoendoscope is the predecessor of the electronic technology and currently Olympus is…

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Biliary Stones

May 30, 2017 by in GASTROENTEROLOGY Comments Off on Biliary Stones

Fig. 5.1 a. ERCP with a smooth eccentric narrowing ( arrows) in the distal biliary tree without evidence of a mobile filling defect or a distinct stone. b. Stent is…

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Choledochal Cysts: Evaluation and Management

May 30, 2017 by in GASTROENTEROLOGY Comments Off on Choledochal Cysts: Evaluation and Management

Fig. 10.1 ERCP cholangiogram revealing a variant of a type I choledochal cyst, with cystic dilation of the proximal extrahepatic biliary tree just below the bifurcation. ERCP endoscopic retrograde cholangiopancreatography…

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ERCP in Chronic Pancreatitis

May 30, 2017 by in GASTROENTEROLOGY Comments Off on ERCP in Chronic Pancreatitis

Fig. 13.1 Pre-ESWL plain abdominal x-ray image showing multiple small to large stones along the pancreatic duct in the head and body region Fig. 13.2 MRCP showing diffusely dilated pancreatic…

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Acute Biliary Pancreatitis: Image, Intervene, or Observe?

May 30, 2017 by in GASTROENTEROLOGY Comments Off on Acute Biliary Pancreatitis: Image, Intervene, or Observe?

Fig. 11.1 Transabdominal ultrasound showing hyperechoic structure with postacoustic shadowing representing cholelithiasis Questions: 1. Which of the aforementioned liver function test abnormalities are most important for medical decision making for…

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Ampullectomy

May 30, 2017 by in GASTROENTEROLOGY Comments Off on Ampullectomy

Score (points) 1 2 3 No. of polyps 1–4 5–20 > 20 Size (mm) 1–4 5–10 > 10 Histology Tubular Tubulovillous Villous Dysplasia Mild Moderate Severe Stage 0: 0 point, Stage I:…

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