ERCP : the fundamentals by Peter B. Cotton, Joseph W. Leung

By Peter B. Cotton, Joseph W. Leung

Peter Cotton and Joseph Leung have once more assembled a number of the world's prime specialists during this box to supply transparent and concise tips. There are chapters on "How to do" the entire particular manoeuvers, through chapters on "When to do" them (and while no longer to). Key highlights contain the next: -Full insurance of the complete variety of either regular and complicated suggestions, utilizing a hugely practical Read more...


Authored by way of some of the best, this can be the fitting "how-to" consultant to studying a vital but advanced gastrointestinal strategy.

Peter Cotton and Joseph Leung have once more assembled some of the world's prime specialists during this box to supply transparent and concise guidance. Read more...

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ERCP stands for Endoscopic Retrograde CholangioPancreatography ERCP is a way for a specialist doctor to get access to the bile duct and pancreatic duct, to confirm diagnoses and to provide treatments. It uses a flexible endoscope which is a long narrow tube with a camera at the end. The doctor passes the endoscope through your mouth (under sedation/anesthesia) to get to the papilla of Vater, a small nipple in your upper intestine (duodenum). This papilla is the drainage hole for your bile duct and the pancreatic duct, which bring digestive juices from your liver, gallbladder and pancreas.

X-rays are taken to show whether there are any lesions such as stones or blockages. If so, the doctor may be able to treat them right away with instruments passed through the endoscope. The most common treatments are: Sphincterotomy. This involves making a small cut in the papilla of Vater to enlarge the opening to the bile duct and/or pancreatic duct. This is done to improve the drainage or to remove stones from the ducts. Removed stones are usually dropped in the intestine, and pass through quickly.

Analysis of 59 ERCP Lawsuits; Mainly about Indications. Gastrointest Endosc 2006;63:378–382. 3 Cotton P, Eisen G, Romagnuolo J, et al. Grading the Complexity of Endoscopic Procedures: Results of an ASGE Working Party. Gastrointest Endosc 2011;73:868–874. 4 Cohen J. Training and Credentialing in Gastrointestinal Endoscopy in Endoscopy Practice and Safety. In Cotton Ed. com, 2005: 1–50. 5 Leung J, Lim B. Training in ERCP. In Cohen J. Ed. Successful Training in GI Endoscopy, Wiley-Blackwell, Sommerset, NJ, USA, 2010;85–96.

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