Download Advanced Pancreaticobiliary Endoscopy by Douglas G. Adler PDF

By Douglas G. Adler

This quantity presents a complete consultant to complicated endoscopic approaches and strategies. essentially fascinated with Endoscopic Retrograde Cholangiopancreatography (ERCP) and Endoscopic Ultrasound (EUS), the booklet additionally explores similar subject matters akin to cholangioscopy, pancreatoscopy, complex pancreaticobiliary imaging, stenting, and endoscopic ability to accomplish ache regulate. The textual content additionally offers a plethora of advice and methods on the best way to practice those tactics adequately, emphasizes universal error and the way to prevent them, and contours prime quality video clips illustrating key procedural facets for each chapter.
Written by means of best specialists within the box, Advanced Pancreaticobiliary Endoscopy is a useful source for gastrointestinal endoscopists and fellows attracted to complex endoscopic techniques.

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Sample text

The study concluded that the only important predictive factor for ML failure was stone impaction in the bile duct, with either the inability to pass the basket proximal to the bile stone or failure of the basket to open fully so that the stone in question could be captured [17]. 20 T. Queen and G. Parasher Fig. 5 (a) The two currently available emergency lithotripter devices. Both are similar and work via the same principle—they can allow a metal sheath to be advanced over an impacted basket. Once fully advanced, the impacted basket and its attendant stone are crushed.

Gastrointest Endosc. 2007;66(2):283–90. Siegel JH. Precut papillotomy: a method to improve success of ERCP and papillotomy. Endoscopy. 1980;12(3):130–3. Davee T, Garcia JA, Baron TH. Precut sphincterotomy for selective biliary duct cannulation during endoscopic retrograde cholangiopancreatography. Ann Gastroenterol. 2012;25(4):291–302. Harewood GC, Baron TH. An assessment of the learning curve for precut biliary sphincterotomy. Am J Gastroenterol. 2002;97(7):1708–12. Bailey AA, Bourke MJ, Kaffes AJ, Byth K, Lee EY, Williams SJ.

This facilitates stone fragmentation and basket removal. (b) Emergency lith- otripter device attached to a retrieval basket after the endoscope has been removed from the patient. Manual cranking of the handle causes tension on the basket wires, resulting in disintegration of the stone or basket wires freeing the basket from impaction Complications related to ML are generally uncommon and mild in severity. In two large retrospective series, the incidence of reported complications from ML ranges from 6 to 13 %, with bleeding and post-ERCP pancreatitis representing the most common adverse outcome [3, 15, 17].

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