Indu Srinivasan,Michel Kahaleh
Indu Srinivasan
Strictures at the hilum are caused by varied conditions and don't usually become symptomatic until obstructing the bile ducts, thus posing diagnostic and therapeutic challenges to physicians. ERCP is the method of choice for tissue diagnosi...
Claudio Navarrete,Jaquelina M Gobelet
Claudio Navarrete
The treatment of common biliary duct injuries after surgery is a permanent challenge for physicians, and management by a multidisciplinary team is often required. The endoscopic approach is a valuable tool because it is able to assess the p...
Calvin H Y Chan,Jennifer J Telford
Calvin H Y Chan
Endoscopic retrograde cholangiopancreatography (ERCP) is the first-line management in most situations when a benign biliary stricture is suspected. Although management principles are similar in all subgroups, the anticipated response rates,...
Endoscopic ultrasonography-guided endoscopic retrograde cholangiopancreatography: endosonographic cholangiopancreatography [0.03%]
内镜超声引导的内镜逆行胰胆管造影术：超声内镜胆胰管造影术
Manuel Perez-Miranda,Robert L Barclay,Michel Kahaleh
Manuel Perez-Miranda
Endoscopic retrograde cholangiopancreatography (ERCP) is the standard approach to gaining access to the biliary and pancreatic ductal systems. However, in a small subset of cases anatomic constraints imposed by disease states or abnormal an...
Endoscopic retrograde cholangiopancreatography for distal malignant biliary stricture [0.03%]
远端恶性胆道狭窄的内镜逆行胰胆管造影术
Hiroyuki Isayama,Yousuke Nakai,Kazumichi Kawakubo et al.
Hiroyuki Isayama et al.
Endoscopic biliary stent placement is widely accepted as palliation for malignant biliary obstruction or as a treatment of benign biliary stricture. Although various biliary stent designs have become available since self-expandable metallic...
Jean-Marc Dumonceau
Jean-Marc Dumonceau
Sampling at ERCP may be performed at the level of the papilla or of the biliopancreatic ducts. Samples collected at the level of the biliopancreatic ducts allow for diagnosing malignancy with a specificity close to 100% but present a modera...
Amrita Sethi
Amrita Sethi
Developments in endoscopic retrograde cholangioscopy provide multiple new advanced methods of biliary imaging. Cholangioscopy provides direct visualization of epithelium with white light as well as advanced modalities, such as narrow band i...
Endoscopic retrograde cholangiopancreatography for stone burden in the bile and pancreatic ducts [0.03%]
胆管和胰管结石的内镜逆行胰胆管造影术
Laura Rosenkranz,Sandeep N Patel
Laura Rosenkranz
Stones in biliary and pancreatic ducts are entities that plague hundreds of thousands of patients worldwide every year. Symptoms can be mild (pain) to life threatening (cholangitis, severe acute pancreatitis). In the last few decades, manag...
John Baillie
John Baillie
For most ERCP endoscopists, the greatest hurdle to a successful procedure is deep cannulation of the bile duct. This article explores basic cannulation technique, then reviews a variety of instruments and techniques designed to increase the...
Therapeutic endoscopic retrograde cholangiopancreatography and instrumentation [0.03%]
治疗性内镜逆行胰胆管造影及诊疗操作
Davinderbir S Pannu,Peter V Draganov
Davinderbir S Pannu
Over the last 40 years, endoscopic retrograde cholangiopancreatography (ERCP) has evolved from being a purely diagnostic to a primarily therapeutic procedure. The 2 recent developments in ERCP-based stricture management include the increase...