By Douglas G. Adler
This quantity offers a accomplished consultant to complex endoscopic methods and methods. essentially desirous about Endoscopic Retrograde Cholangiopancreatography (ERCP) and Endoscopic Ultrasound (EUS), the e-book additionally explores comparable issues resembling cholangioscopy, pancreatoscopy, complex pancreaticobiliary imaging, stenting, and endoscopic capacity to accomplish ache regulate. The textual content additionally offers a plethora of information and tips on find out how to practice those methods thoroughly, emphasizes universal blunders and the way to prevent them, and lines 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 complicated endoscopic methods.
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Additional info for Advanced Pancreaticobiliary Endoscopy
Secondary sclerosing cholangitis), and cholangiocarcinoma . Therapeutic options for intrahepatic stones include surgical resection (hepatectomy), percutaneous transhepatic catheter drainage, percutaneous cholangioscopy, lithotripsy via cholangioscopy performed percutaneously through a T-tube tract or a transhepatic tract, or via POCS lithotripsy. The main treatment for intractable intrahepatic stones is surgical resection of the afﬂicted segment of liver [10, 86]. Surgical resection plays the primary role in therapy as nonoperative treatment is frequently associated with stone recurrence and the potential risk of cholangiocarcinoma [12, 86].
9 % (16/18 patients) . 6 treatment sessions for biliary clearance. No procedure-related complications were observed . 24 Overall, possible complications of using the POC system include cholangitis, pancreatitis, hemobilia, and bile leakage [49, 50]. In addition, DPOC has potential for a rare and fatal complication of an air embolism [6, 51]. However, this potentially fatal complication can be markedly reduced by minimizing air insufﬂation and using CO2 for insufﬂation instead of air .
The main treatment for intractable intrahepatic stones is surgical resection of the afﬂicted segment of liver [10, 86]. Surgical resection plays the primary role in therapy as nonoperative treatment is frequently associated with stone recurrence and the potential risk of cholangiocarcinoma [12, 86]. Surgery should be reserved for patients who have failed less invasive approaches, those with an acceptable functional status, and unilateral stone disease (particularly if lobar atrophy and/or biliary strictures are also present) [3, 86, 87].
Advanced Pancreaticobiliary Endoscopy by Douglas G. Adler