ERCP has become an indispensable tool for treatment of many biliary and pancreatic diseases. It has developed into a mature and well-established means but still continues to be enriched by new approaches and recent innovations. This book highlights the last edge scientific background of current ERCP practice and transfers this knowledge into the 'real life' practice of performing ERCP. It reflects the vast experience of the contributing authors who share their personal way of 'How I do it'. Thereby, the reader is involved in current practice of high-end ERCP and gets an outlook on future perspectives of ERCP.
Inhalt
1.Introduction182.Anatomy of the biliary and pancreatic ducts222.1.Embryology of the liver and pancreas222.2.Anatomy of the biliary tree232.2.1.The gallbladder232.2.2.The bile ducts242.3.Anatomy of the pancreatic ducts272.4.Summary and conclusions293.Indications and contraindications for ERCP323.1.Two sides of risk of complications333.2.The risk factors to be considered and if possible to be avoided by the endoscopist333.3.The risk from contrast agents353.4.The risk of concomitant medications: Antiplatelet agents (APA) and anticoagulation354.Approaching the papilla384.1.The way to the papilla384.1.1.Endoscopes384.1.2.Passing the endoscope to the papilla384.1.3.Finding to papilla384.1.4.The normal papilla394.2.Cannulation technique of the papilla394.2.1.Cannulation of the papilla published data394.2.2.Special situations404.2.3.Pancreatic guidewire ("double" guidewire) technique404.2.4.Precut techniques424.2.5.Cannulation of the minor papilla444.3.Endoscopic sphincterotomy and papillary large balloon dilatation444.3.1.The technique of endoscopic sphincterotomy444.3.2.Outcome of endoscopic sphincterotomy at long-term follow-up454.3.3.Endoscopic papillary large balloon dilatation454.3.4.How I do it454.4.Endoscopic retrograde cholangio-pancreatography (ERCP) in patients with operatively altered anatomy474.4.1.Published data474.4.2.How I do it505.Bile ducts565.1.Choledochal stones565.1.1.Extraction technique575.1.2.The large stone585.1.3.Hepatolithiasis585.1.4.Lithotripsy techniques595.1.5.Biliary stenting615.2.Malignant biliary obstruction: Why and when should I do ERCP?625.2.1.Published data645.2.2.How I do it665.3.The use of non-expandable plastic stents (NEPS) in ERCP705.3.1.Introducing the subject705.3.2.Indications for placement of NEPS705.3.2.1.Malignant bile duct stenosis715.3.2.2.Benign biliary strictures715.3.2.3.Bile duct leakage715.3.3.Comparative studies of the efficacy of different types of NEPS725.3.3.1.Comparative studies of NEPS versus SEMS725.3.3.2.NEPSs vs UC-SEMS735.3.3.3.NEPSs vs C-SEMS735.3.4.Adverse events and complications735.3.5.The experience of our centre745.3.6.Summary755.3.7.Figures755.3.8.References775.4.The use of self-expandable metal stents (SEMS, C-SEMS) in ERCP 795.4.1.Uncovered or covered SEMS?805.4.2.How I do it825.5.Radiofrequency ablation and photodynamic therapy in biliary malignacy855.5.1.Photodynamic therapy (PDT)855.5.2.Reason for introducing PDT as a local tumor ablation in cholangiocarcinoma865.5.3.Indications of PDT in CCA865.5.4.Techniques of PDT865.5.5.Effect and outcomes of PDT885.5.6.Photodynamic therapy in unresectable CCA885.5.7.PDT in advanced hilar CCA895.5.8.PDT for recurrent tumors after resection or as a neoadjuvant treatment895.5.9.Assessment of response to PDT905.5.10.Morbidity and adverse events905.5.11.Future directions of PDT and conclusions905.5.12.Endoscopic intraductal radiofrequency ablation (RFA)915.5.13.The radiofrequency catheter device915.5.14.Indications925.5.15.Endobiliary RFA prior to self-expanding metal stent (SEMS) placement925.5.16.Endobiliary RFA application in the management of obstructing SEMS935.5.17.Complications935.5.18.Conclusion945.6.Sclerosing cholangitis975.6.1.Primary sclerosing cholangitis (PSC)975.6.1.1.How I do it985.6.1.2.Complications of ERCP in PSC patients995.6.1.3.Screening for biliary malignancy in PSC995.6.1.4.Treatment of biliary lesions in PSC995.6.1.5.IgG4-associated cholangitis (IAC)1015.6.2.Secondary sclerosing cholangitis (SSC)1055.6.3.Published data1065.6.4.How I do it1065.6.5.The author's experience1085.7.Role of ERCP in post-operative biliary complications1095.7.1.Why and when should I do ERCP?1095.7.2.ERCP in biliary complications after cholecystectomy1095.7.3.Bile duct injuries after liver transplantation1105.7.4.Other post-operative complications1145.7.5.How I do it1155.7.6.References1155.8.Hemobilia and portal hypertensive biliopathy1165.8.1.Hemobilia1165.8.2.Published data1175.8.3.Portal hypertensive biliopathy (PHB)1185.8.4.How I do it1195.9.Biliary "rendezvous" procedures and role of ERCP in infected bilioma1205.9.1.Percutaneous and EUS-guided access for biliary rendezvous procedures1205.9.1.1.Published data1215.9.1.2.How I do it1215.9.2.Role of ERCP in hepatic abscess with biliary communication and in bilioma1235.9.2.1.Published data1245.9.2.2.How I do it1245.9.3.Referenzes and further literature1276.Pancreas1306.1.Role of ERCP in acute biliary pancreatitis1306.1.1.Initial diagnosis of biliary pancreatitis1316.1.2.Delayed diagnosis of biliary pancreatitis1336.1.3.Diagnosis of "idiopathic pancreatitis" and biliary pancreatitis due to microlithiasis1336.1.4.ERCP1336.1.4.1.Preparing for ERCP1346.1.4.2.ERCP technique1346.1.4.3.Complications post ERCP in acute biliary pancreatitis1356.1.4.4.Areas of uncertainty1356.1.5.Special cases1366.1.5.1.Indications for ERCP in ABP-type of disease and timing1366.1.5.2.Early ERCP in ABP without ch...
Titel
Endoscopic Retrograde Cholangio-Pancreatography (ERCP) - Current Practice and Future Perspectives
Autor
EAN
9783837454857
Format
E-Book (pdf)
Hersteller
Genre
Veröffentlichung
06.05.2015
Digitaler Kopierschutz
Wasserzeichen
Dateigrösse
12.97 MB
Anzahl Seiten
175
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