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Endoscopic Ultrasound-Guided Pancreatobiliary Endoscopy in Surgically Altered Anatomy
- Source :
- Clinical Endoscopy, Clinical Endoscopy, Vol 49, Iss 6, Pp 515-529 (2016)
- Publication Year :
- 2016
- Publisher :
- The Korean Society of Gastrointestinal Endoscopy, 2016.
-
Abstract
- Endoscopic retrograde cholangiopancreatography (ERCP) has become the mainstay of therapy for pancreatobiliary diseases. While ERCP is safe and highly effective in the general population, the procedure remains challenging or impossible in patients with surgically altered anatomy (SAA). Endoscopic ultrasound (EUS) allows transmural access to the bile or pancreatic duct (PD) prior to ductal drainage using ERCP-based techniques. Also known as endosonography-guided cholangiopancreatography (ESCP), the procedure provides multiple advantages over overtube-assisted enteroscopy ERCP or percutaneous or surgical approaches. However, the procedure should only be performed by endoscopists experienced in both EUS and ERCP and with the proper tools. In this review, various EUS-guided diagnostic and therapeutic drainage techniques in patients with SAA are examined. Detailed step-by-step procedural descriptions, technical tips, feasibility, and safety data are also discussed.
- Subjects :
- Enteroscopy
Endoscopic ultrasound
lcsh:Internal medicine
medicine.medical_specialty
Percutaneous
Transmural drainage
Population
Medicine (miscellaneous)
digestive system
Surgically altered anatomy
03 medical and health sciences
0302 clinical medicine
medicine
Radiology, Nuclear Medicine and imaging
In patient
lcsh:RC799-869
Focused Review Series: Pancreatobiliary endoscopy in altered gastointestinal anatomy
lcsh:RC31-1245
Antegrade drainage
education
Pancreatic duct
education.field_of_study
Endoscopic retrograde cholangiopancreatography
medicine.diagnostic_test
Rendezvous
business.industry
Gastroenterology
Anatomy
digestive system diseases
Surgery
Endoscopy
surgical procedures, operative
medicine.anatomical_structure
030220 oncology & carcinogenesis
lcsh:Diseases of the digestive system. Gastroenterology
030211 gastroenterology & hepatology
Radiology
business
Subjects
Details
- ISSN :
- 22342443 and 22342400
- Volume :
- 49
- Database :
- OpenAIRE
- Journal :
- Clinical Endoscopy
- Accession number :
- edsair.doi.dedup.....e4c901f43ce995e155ecea13fb6009ef