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Recent years have brought major shifts in the way endoscopic retrograde cholangiopancreatography is used in everyday practice, including the incorporation of endoscopic ultrasound (EUS) techniques with ERCP. The 4th Edition of this practical reference helps you make the most of today’s ERCP in your practice, with authoritative, highly illustrated guidance on every aspect of this complex tool, including coverage of the latest techniques both in print and on video.

  • Provides detailed, full-color illustrations and in-depth instructions for performing all procedures.
  • Depicts each procedure in dozens of step-by-step videos that clearly show ERCP techniques and imaging interpretation, including many new or recently improved procedures.
  • Covers recent advancements in balloon assisted endoscopy, and provides guidance on performing ERCP on patients with surgically altered anatomy.
  • Includes new chapters on endoscopic disinfection to address antibiotic resistant bacterial infections traced back to duodenoscopes; the environmental implications of ERCP; and magnetic biliary anastomosis.
  • Contains clear therapeutic guidelines that help you determine when and when not to perform ERCP.

1. Cover image - p. i 2. Title page - p. ii 3. Table of Contents - p. iii 4. Copyright - p. iv 5. Contributors - p. v 6. Preface - p. xi 7. Acknowledgments - p. xii 8. List of Illustrations - p. xv 9. List of Tables - p. xix 10. Videos - p. xx 11. SECTION 1. General Topics - p. xx 12. 1.  ERCP—50 years and beyond - p. 1 13. 2.  The ERCP room - p. 10 14. 3.  Radiologic issues and radiation safety in ERCP - p. 17 15. 4.  Endoscopes, guidewires, and accessories - p. 27 16. 5.  Duodenoscope reprocessing - p. 43 17. 6.  Environmental implications of ERCP/green endoscopy - p. 50 18. 7.  Sedation in ERCP - p. 55 19. 8.  Indications for and contraindications to ERCP - p. 62 20. 9.  Adverse events of ERCP: Prediction, prevention, and management - p. 67 21. 10.  ERCP training - p. 78 22. 11.  Preparation of the patient for ERCP - p. 88 23. 12.  Principles of electrosurgery - p. 94 24. 13.  Quality issues and measures in ERCP - p. 101 25. 14.  Medicolegal issues in ERCP - p. 107 26. SECTION 2. Techniques - p. 118.e2 27. 15.  Cannulation of the major papilla and access sphincterotomy - p. 119 28. 16.  Biliary sphincterotomy - p. 135 29. 17.  Balloon dilation of the native and postsphincterotomy papilla - p. 148 30. 18.  Stone extraction - p. 161 31. 19.  Pancreatic sphincterotomy - p. 172 32. 20.  Minor papilla cannulation and sphincterotomy - p. 184 33. 21.  Plastic pancreaticobiliary stents and nasopancreaticobiliary tubes: Concepts and insertion techniques - p. 198 34. 22.  Biliary metal stent insertion: Indications and insertion techniques - p. 209 35. 23.  Pancreaticobiliary stent retrieval - p. 219 36. 24.  Papillectomy/ampullectomy - p. 236 37. 25.  Pancreatoscopy - p. 249 38. 26.  Cholangioscopy - p. 256 39. 27.  ERCP and EUS in children - p. 267 40. 28.  ERCP in pregnancy - p. 298 41. 29.  ERCP in surgically altered anatomy - p. 305 42. 30.  Magnetic biliary anastomosis - p. 326 43. 31.  Endoscopic ultrasonography–guided biliary drainage - p. 337 44. 32.  Endoscopic ultrasound and EUS-guided endotherapy - p. 350 45. SECTION 3. Approach to Clinical Problems - p. 360.e2 46. 33.  Pancreaticobiliary disorders: What are the roles of CT, MRCP, and EUS relative to ERCP? - p. 361 47. 34.  Pancreas divisum, biliary cysts, and other congenital anomalies - p. 370 48. 35.  Dilated bile duct and pneumobilia - p. 381 49. 36.  The dilated pancreatic duct - p. 389 50. 37.  Ampullary neoplasia - p. 401 51. 38.  Malignant biliary obstruction: Distal - p. 412 52. 39.  Malignant biliary obstruction of the hilum and proximal bile ducts - p. 426 53. 40.  Indeterminate biliary strictures - p. 435 54. 41.  Endoscopic approaches to concomitant malignant biliary obstruction and gastric outlet obstruction - p. 447 55. Concomitant GOO and MBO - p. 447 56. Anatomic and clinical scenarios - p. 448 57. Covered versus uncovered SEMS for GOO - p. 451 58. Results - p. 452 59. EUS-guided gastroenterostomy - p. 453 60. Conclusions (Figures 41.14A and B) - p. 463 61. References - p. 464.e1 62. 42.  Benign biliary strictures - p. 465 63. 43.  Biliary surgery adverse events, including liver transplantation - p. 473 64. 44.  ERCP and EUS for acute and chronic adverse eve nts of pancreatic surgery and pancreatic trauma - p. 485 65. 45.  Choledocholithiasis - p. 494 66. 46.  Pancreaticobiliary pain and suspected sphincter of oddi dysfunction - p. 503 67. 47.  Sclerosing cholangitis - p. 512 68. 48.  Tropical parasitic infestations - p. 520 69. 49.  Recurrent pyogenic cholangitis - p. 527 70. 50.  Cystic lesions of the pancreas to include ablation - p. 540 71. 51.  Unexplained acute pancreatitis and acute recurrent pancreatitis - p. 547 72. 52.  Biliary intervention in acute gallstone pancreatitis - p. 560 73. 53.  Pancreatic interventions in acute pancreatitis: Ascites, fistulae, leaks, and other disruptions - p. 568 74. 54.  Chronic pancreatitis: Stones and strictures - p. 578 75. 55.  Endoscopic drainage of pancreatic pseudocysts, abscesses, and walled-off necrosis - p. 586 76. Index - p. 598

Descripcion
Descripción

Recent years have brought major shifts in the way endoscopic retrograde cholangiopancreatography is used in everyday practice, including the incorporation of endoscopic ultrasound (EUS) techniques with ERCP. The 4th Edition of this practical reference helps you make the most of today’s ERCP in your practice, with authoritative, highly illustrated guidance on every aspect of this complex tool, including coverage of the latest techniques both in print and on video.

  • Provides detailed, full-color illustrations and in-depth instructions for performing all procedures.
  • Depicts each procedure in dozens of step-by-step videos that clearly show ERCP techniques and imaging interpretation, including many new or recently improved procedures.
  • Covers recent advancements in balloon assisted endoscopy, and provides guidance on performing ERCP on patients with surgically altered anatomy.
  • Includes new chapters on endoscopic disinfection to address antibiotic resistant bacterial infections traced back to duodenoscopes; the environmental implications of ERCP; and magnetic biliary anastomosis.
  • Contains clear therapeutic guidelines that help you determine when and when not to perform ERCP.

1. Cover image - p. i 2. Title page - p. ii 3. Table of Contents - p. iii 4. Copyright - p. iv 5. Contributors - p. v 6. Preface - p. xi 7. Acknowledgments - p. xii 8. List of Illustrations - p. xv 9. List of Tables - p. xix 10. Videos - p. xx 11. SECTION 1. General Topics - p. xx 12. 1.  ERCP—50 years and beyond - p. 1 13. 2.  The ERCP room - p. 10 14. 3.  Radiologic issues and radiation safety in ERCP - p. 17 15. 4.  Endoscopes, guidewires, and accessories - p. 27 16. 5.  Duodenoscope reprocessing - p. 43 17. 6.  Environmental implications of ERCP/green endoscopy - p. 50 18. 7.  Sedation in ERCP - p. 55 19. 8.  Indications for and contraindications to ERCP - p. 62 20. 9.  Adverse events of ERCP: Prediction, prevention, and management - p. 67 21. 10.  ERCP training - p. 78 22. 11.  Preparation of the patient for ERCP - p. 88 23. 12.  Principles of electrosurgery - p. 94 24. 13.  Quality issues and measures in ERCP - p. 101 25. 14.  Medicolegal issues in ERCP - p. 107 26. SECTION 2. Techniques - p. 118.e2 27. 15.  Cannulation of the major papilla and access sphincterotomy - p. 119 28. 16.  Biliary sphincterotomy - p. 135 29. 17.  Balloon dilation of the native and postsphincterotomy papilla - p. 148 30. 18.  Stone extraction - p. 161 31. 19.  Pancreatic sphincterotomy - p. 172 32. 20.  Minor papilla cannulation and sphincterotomy - p. 184 33. 21.  Plastic pancreaticobiliary stents and nasopancreaticobiliary tubes: Concepts and insertion techniques - p. 198 34. 22.  Biliary metal stent insertion: Indications and insertion techniques - p. 209 35. 23.  Pancreaticobiliary stent retrieval - p. 219 36. 24.  Papillectomy/ampullectomy - p. 236 37. 25.  Pancreatoscopy - p. 249 38. 26.  Cholangioscopy - p. 256 39. 27.  ERCP and EUS in children - p. 267 40. 28.  ERCP in pregnancy - p. 298 41. 29.  ERCP in surgically altered anatomy - p. 305 42. 30.  Magnetic biliary anastomosis - p. 326 43. 31.  Endoscopic ultrasonography–guided biliary drainage - p. 337 44. 32.  Endoscopic ultrasound and EUS-guided endotherapy - p. 350 45. SECTION 3. Approach to Clinical Problems - p. 360.e2 46. 33.  Pancreaticobiliary disorders: What are the roles of CT, MRCP, and EUS relative to ERCP? - p. 361 47. 34.  Pancreas divisum, biliary cysts, and other congenital anomalies - p. 370 48. 35.  Dilated bile duct and pneumobilia - p. 381 49. 36.  The dilated pancreatic duct - p. 389 50. 37.  Ampullary neoplasia - p. 401 51. 38.  Malignant biliary obstruction: Distal - p. 412 52. 39.  Malignant biliary obstruction of the hilum and proximal bile ducts - p. 426 53. 40.  Indeterminate biliary strictures - p. 435 54. 41.  Endoscopic approaches to concomitant malignant biliary obstruction and gastric outlet obstruction - p. 447 55. Concomitant GOO and MBO - p. 447 56. Anatomic and clinical scenarios - p. 448 57. Covered versus uncovered SEMS for GOO - p. 451 58. Results - p. 452 59. EUS-guided gastroenterostomy - p. 453 60. Conclusions (Figures 41.14A and B) - p. 463 61. References - p. 464.e1 62. 42.  Benign biliary strictures - p. 465 63. 43.  Biliary surgery adverse events, including liver transplantation - p. 473 64. 44.  ERCP and EUS for acute and chronic adverse eve nts of pancreatic surgery and pancreatic trauma - p. 485 65. 45.  Choledocholithiasis - p. 494 66. 46.  Pancreaticobiliary pain and suspected sphincter of oddi dysfunction - p. 503 67. 47.  Sclerosing cholangitis - p. 512 68. 48.  Tropical parasitic infestations - p. 520 69. 49.  Recurrent pyogenic cholangitis - p. 527 70. 50.  Cystic lesions of the pancreas to include ablation - p. 540 71. 51.  Unexplained acute pancreatitis and acute recurrent pancreatitis - p. 547 72. 52.  Biliary intervention in acute gallstone pancreatitis - p. 560 73. 53.  Pancreatic interventions in acute pancreatitis: Ascites, fistulae, leaks, and other disruptions - p. 568 74. 54.  Chronic pancreatitis: Stones and strictures - p. 578 75. 55.  Endoscopic drainage of pancreatic pseudocysts, abscesses, and walled-off necrosis - p. 586 76. Index - p. 598

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