scholarly journals Irrigation-assisted intraductal ultrasonography with a 3-Fr microcatheter during endoscopic retrograde cholangiography

Endoscopy ◽  
2021 ◽  
Author(s):  
Michihiro Yoshida ◽  
Itaru Naitoh ◽  
Kazuki Hayashi ◽  
Makoto Natsume ◽  
Yasuki Hori ◽  
...  
Keyword(s):  
Endoscopic Retrograde Cholangiography ◽  
Endoscopic Retrograde ◽  
Intraductal Ultrasonography

Pseudomonas aeruginosa liver abscesses following endoscopic retrograde cholangiography

1987 ◽  
Vol 32 (9) ◽  
pp. 1044-1046 ◽  
Author(s):  
Thierry Davion ◽  
Alain Braillon ◽  
Jacques Delamarre ◽  
Richard Delcenserie ◽  
Jean-Paul Joly ◽  
...  
Keyword(s):  
Pseudomonas Aeruginosa ◽  
Endoscopic Retrograde Cholangiography ◽  
Endoscopic Retrograde ◽  
Liver Abscesses

scholarly journals Biliary cannulation in endoscopic retrograde cholangiography: How to tackle the difficult papilla

2021 ◽  
Author(s):  
Mark op den Winkel ◽  
Jörg Schirra ◽  
Christian Schulz ◽  
Enrico N. De Toni ◽  
Christian J. Steib ◽  
...  
Keyword(s):  
Biliary Drainage ◽  
Guide Wire ◽  
A Priori ◽  
Endoscopic Retrograde Cholangiography ◽  
Endoscopic Retrograde ◽  
Biliary Cannulation ◽  
Increased Risk ◽  
Difficult Biliary Cannulation ◽  
Needle Knife ◽  
Transpancreatic Sphincterotomy

Background: In the setting of a naïve papilla, biliary cannulation is a key step in successfully performing endoscopic retrograde cholangiography (ERC). Difficult biliary cannulation (DBC) is associated with an increased risk of post-ERCP-pancreatitis and failure of the whole procedure. Summary: Recommendations for biliary cannulation can be divided in (a) measures to reduce the likelihood of a difficult papilla-situation a priori and (b) rescue techniques in case the endoscopist is actually facing DBC. (a): careful inspection of the papillary anatomy and optimizing its accessibility by scope-positioning is fundamental. A sphincterotome in combination with a soft-tip hydrophilic guide-wire rather than a standard catheter with a standard guide-wire should be used. (b): The most important rescue techniques are needle-knife precut, double-guidewire technique and transpancreatic sphincterotomy. In few cases, anterograde techniques are needed. To this regard, the EUS-guided biliary drainage (EUS-BD) followed by rendezvous is increasingly used as an alternative to percutaneous-transhepatic biliary drainage. Key Messages: Biliary cannulation can be accomplished with alternative retrograde or less frequently by salvage-anterograde techniques, once conventional direct cannulation attempts have failed. Considering recent favorable data for the early use of transpancreatic sphincterotomy, an adopted version of the 2016 European-Society-for-Gastrointestinal-Endoscopy (ESGE)-algorithm on biliary cannulation is proposed.

scholarly journals Arterioportal Fistula Complicating Endoscopic Retrograde Cholangiography

Endoscopy ◽  
2005 ◽  
Vol 37 (1) ◽  
pp. 93-94 ◽  
Author(s):  
G. C. Sotiropoulos ◽  
J. Treckmann ◽  
A. Radtke ◽  
G. Antoch ◽  
E. I. Brokalaki ◽  
...  
Keyword(s):  
Endoscopic Retrograde Cholangiography ◽  
Endoscopic Retrograde ◽  
Arterioportal Fistula
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