By Douglas G. Adler
This quantity offers a finished advisor to complicated endoscopic tactics and strategies. basically thinking about Endoscopic Retrograde Cholangiopancreatography (ERCP) and Endoscopic Ultrasound (EUS), the publication additionally explores comparable subject matters reminiscent of cholangioscopy, pancreatoscopy, complicated pancreaticobiliary imaging, stenting, and endoscopic potential to accomplish ache regulate. The textual content additionally offers a plethora of suggestions and methods on the right way to practice those approaches correctly, emphasizes universal errors and the way to prevent them, and contours prime quality video clips illustrating key procedural features for each chapter.
Written via most sensible specialists within the box, Advanced Pancreaticobiliary Endoscopy is a useful source for gastrointestinal endoscopists and fellows attracted to complex endoscopic tactics.
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Extra info for Advanced Pancreaticobiliary Endoscopy
It contains a Spy Scope access and delivery catheter, Spyglass optical probe, and Spy Bite biopsy forceps . The device has separate channels for the Spyglass optical probe and therapeutic intervention accessories and dual irrigation . Unlike mother-daughter POCS, it only requires one operator and does not require a separate image processer, light source, and water-air pump . In addition, the Spy Scope’s ability for four-way tip deﬂection allows for signiﬁcantly improved maneuverability in the bile duct when compared to the previous generation POCS [6, 10, 24].
Cholangioscopeguided EHL or LL for difﬁcult biliary stone management is preferred over ESWL given the decreased number of treatment sessions, less complications, and overall higher success rates in patients requiring stone removal . Extracorporeal Shock Wave Lithotripsy Initially used for urolithiasis, extracorporeal shock wave lithotripsy (ESWL) represents another additional modality in the management for biliary stones not amenable to traditional extraction . During ESWL, high-pressure shock waves are generated outside the body in a water medium by water spark gap (electrohydraulic), or electromagnetic membrane technologies [11, 13].
Parasher into two variants based on ERCP ﬁndings [6, 78]. Type I Mirizzi syndrome involves external compression of the common hepatic duct or common bile duct by a stone impacted in the cystic duct or Hartmann’s pouch (Fig. 8a, b). Type I is subdivided into type IA (cystic duct still present) or type IB (cystic duct obliterated). Type II–IV variants of Mirizzi syndrome results when a stone erodes into the cystic duct wall and produces a cholecysto-choledochal ﬁstula into the common hepatic duct or common bile duct.