Michael J Levy
Michael J Levy
The role of endoscopic ultrasound (EUS) has greatly expanded since the first clinical examination performed nearly 30 years ago. The introduction of linear instruments allowed tissue sampling (Kulesza and Eltoum Clin Gastroenterol Hepatol 5...
Difficult biliary cannulation [0.03%]
困难胆道插管
Sean P Lynch,John A Evans
Sean P Lynch
Endoscopic retrograde cholangiopancreatography (ERCP) is the most technically challenging procedure routinely performed by endoscopists. ERCP cannulation requires the insertion of a subcentimeter catheter through a tiny orifice at a distanc...
John Baillie
John Baillie
Sphincter of Oddi dysfunction (SOD) is a poorly-understood disorder, typically presenting as postcholecystectomy, "biliary-type," right-sided abdominal and/or chest wall pain. Most patients referred to specialist clinics for work-up of pres...
Marcus W Chin,Robert Enns
Marcus W Chin
Hemobilia is an uncommon medical problem that presents in a varied fashion and is increasingly of iatrogenic origin. The diagnosis of hemobilia needs to be considered in patients presenting with upper gastrointestinal bleeding, particularly...
Nabil Elia Choueiri,Numan Cem Balci,Samer Alkaade et al.
Nabil Elia Choueiri et al.
Chronic pancreatitis is characterized by continuing inflammation, destruction, and irreversible morphological changes in the pancreatic parenchyma and ductal anatomy. These changes lead to chronic pain and/or loss of function. Although thes...
Christopher D Jolley
Christopher D Jolley
Many childhood pancreatic disorders are rare, although they can represent significant and potentially severe disease. The spectrum of disease is very broad, ranging from the complex and bizarre congenital anomalies to the more typical acqui...
Pancreatic cystic lesions: when to watch, when to operate, and when to ignore [0.03%]
何时观察、手术和忽视胰腺囊性病变？
Brian G Turner,William R Brugge
Brian G Turner
Pancreatic cystic lesions are being increasingly identified with the widespread use of state-of-the-art imaging. These lesions are categorized into a broad range of neoplastic cysts and inflammatory pseudocysts. Identification of a pancreat...
Aravind Sugumar,Naoki Takahashi,Suresh T Chari
Aravind Sugumar
Both autoimmune pancreatitis (AIP) and pancreatic cancer frequently present with obstructive jaundice. However, AIP is a rare disease and its diagnosis carries vastly different therapeutic and prognostic implications compared with that of p...
Bechien U Wu,Darwin L Conwell
Bechien U Wu
Acute pancreatitis is a common cause for hospitalization that carries a substantial burden of disease in the United States and worldwide. Recent reports have encompassed a wide array of topics including new insights into the acinar cell pH ...
Cynthia H Seow,Shanika de Silva,Gilaad G Kaplan et al.
Cynthia H Seow et al.
Successful management of the patient with inflammatory bowel disease (IBD) involves not only the induction and maintenance of remission, but also the optimization of the benefit-to-risk equation to achieve the greatest gain in quality of li...