Pediatric Endoscopic Retrograde Cholangiopancreatography

May 30, 2017 by in GASTROENTEROLOGY Comments Off on Pediatric Endoscopic Retrograde Cholangiopancreatography

Device Manufacturer Comments ERCP cannulation catheters Boston Scientific, ConMed, Mediglobe, Telemed Curved, straight, or tapered tip, 0.018–0.035 in wire Sphincterotomes Cook Medical, Mediglobe, Olympus Limited to double lumen, cannot take…

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Diagnosing Biliary Strictures and Indeterminate Biliary Strictures

May 30, 2017 by in GASTROENTEROLOGY Comments Off on Diagnosing Biliary Strictures and Indeterminate Biliary Strictures

Benign Malignant Inflammatory Primary Cancer Primary sclerosing cholangitis Pancreatic Chronic pancreatitis Biliary Acute pancreatitis Hepatocellular Recurrent cholangitis Ampullary Gallstone induced Gallbladder Autoimmune (cholangitis or pancreatitis)  Iatrogenic Metastatic Cancer Post cholecystectomy…

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Subepithelial Lesions

May 30, 2017 by in GASTROENTEROLOGY Comments Off on Subepithelial Lesions

Fig. 28.1 A subepithelial lesion identified in the proximal rectum in a patient with a prior history of sigmoid colon cancer What is the Differential Diagnosis of Subepithelial Lesions? The…

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EUS in Pancreatic Cysts

May 30, 2017 by in GASTROENTEROLOGY Comments Off on EUS in Pancreatic Cysts

Benign (no malignant potential) Premalignant or malignant Serous cystadenomaa Intraductal papillary mucinous neoplasm Pseudocyst Mucinous cystic neoplasm Lymphoepithelial cyst Solid pseudopapillary neoplasm Retention cyst Cystic neuroendocrine tumor Mucinous nonneoplastic cyst…

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Indications for ERCP

May 30, 2017 by in GASTROENTEROLOGY Comments Off on Indications for ERCP

Fig. 2.1 a Probe-confocal laser endomicroscopy ( pCLE) image of normal bile duct with reticular network of thin dark branching bands and light gray background. b pCLE image of bile…

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Esophageal Cancer

May 30, 2017 by in GASTROENTEROLOGY Comments Off on Esophageal Cancer

Fig. 25.1 White light endoscopy showing near circumferential mass in distal esophagus (Courtesy Dr. Tamas Gonda, Columbia University Medical Center, New York, NY) Diagnosis of Esophageal Cancer Esophageal cancer is…

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ERCP in Pregnancy

May 30, 2017 by in GASTROENTEROLOGY Comments Off on ERCP in Pregnancy

Disease Pregnancy trimester Laboratory abnormalities Hyperemesis gravidarum First Elevated AST, ALT Intrahepatic cholestasis of pregnancy Second and third trimester and postpartum Elevated serum bile acids Elevated AST, ALT, Bilirubin Normal…

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