ERCP and EUS : A Case-Based Approach

This text provides a comprehensive review of ERCP and EUS and the clinical conditions for which they are employed. Presented in a case-based format with accompanying videos, it will serve as a valuable practical clinical resource for gastroenterologists with an interest in ERCP and EUS. The text highlights major techniques involved in ERCP, reviews complications and recent data on preventing post-ERCP pancreatitis, and discusses important issues in training in ERCP including use of endoscopic simulators and assessment of competency as emphasized in the new ACGME guidelines. For biliary diseases, new techniques for managing biliary stones, novel technologies for diagnosing indeterminate biliary strictures, and new devices for treating benign and malignant strictures are also highlighted. For pancreatic diseases, advances in minimally invasive endoscopic techniques for pancreatic stones and strictures, and management of the complications of pancreatitis are reviewed. Furthermore, ERCP is not limited by age, pregnancy or history of abdominal surgeries and special considerations particular to these patient populations are also discussed. The EUS chapters review the breadth of equipment available for performing EUS and EUS-FNA, detail the technique of performing EUS-FNA, and explore pertinent issues with training and assessing competency analogous to ERCP training. Valuable insights on the basics of cytopathology relevant to the endosonographer are summarized. The classic indication for EUS of staging luminal cancers is examined in detail while pancreaticobiliary indications are discussed highlighting newer adjunctive technologies including elastography and contrast-enhanced EUS. Although in its infancy, the brave new world of therapeutic EUS is explored with a focus on endoscopic necrosectomy, EUS-guided biliary and pancreatic access as well as the exciting possibilities of EUS-guided radiofrequency ablation and injection of anti-tumor agents. __ERCP and EUS: A Case Based Approach__ will serve as a very useful resource for physicians who perform or refer patients for ERCP and EUS. It provides a concise yet comprehensive summary of the current status of ERCP and EUS that will help guide patient management and stimulate clinical research. ​ This Volume Provides A Comprehensive Review Of Ercp And Eus And The Clinical Conditions For Which They Are Employed. Presented In A Case-based Format With Accompanying Videos, It Will Serve As A Valuable Practical Clinical Resource For Gastroenterologists With An Interest In Ercp And Eus. The Text Highlights Major Techniques Involved In Ercp, Reviews Complications And Recent Data On Preventing Post-ercp Pancreatitis, And Discusses Important Issues In Ercp Training. The Eus Chapters Review The Breadth Of Equipment Available For Performing Eus And Eus-fna, Detail The Technique Of Performing Eus-fna, And Explore Pertinent Issues With Training And Assessing Competency Analogous To Ercp Training. Valuable Insights On The Basics Of Cytopathology Relevant To The Endosonographer Are Summarized. The Classic Indication For Eus Of Staging Luminal Cancers Is Also Examined In Detail, While Pancreaticobiliary Indications Are Discussed Highlighting Newer Adjunctive Technologies Including Elastography And Contrast-enhanced Eus. Ercp And Eus: A Case-based Approach Will Serve As A Very Useful Resource For Physicians Who Perform Or Refer Patients For Ercp And Eus. It Provides A Concise Yet Comprehensive Summary Of The Current Status Of Ercp And Eus That Will Help Guide Patient Management And Stimulate Clinical Research. Supplementary Video Files Are Available For This Book And Can Be Accessed At Http://link.springer.com/book/10.1007/978-1-4939-2319-9. Training In Endoscopic Retrograde Cholangiopancreatography -- Indications For Ercp -- Overview Of Ercp Complications: Prevention And Management -- Ercp From Soup To Nuts: Evaluation, Preparation, Execution And Follow-up -- Biliary Infections -- Diagnosing Biliary Strictures And Indeterminate Biliary Strictures -- Management Of Biliary Structure And Bile Duct Injury -- Other Benign Biliary Strictures (sclerosing Cholangitis, Autoimmune Cholangitis, Post-liver Transplant) -- Choledochal Cysts: Evaluation And Management -- Acute Biliary Pancreatitis: Image, Intervene Or Observe? -- Endoscopic Management Of The Complications Of Acute Pancreatitis -- Ercp In Chronic Pancreatitis -- Idiopathic Acute Pancreatitis And Sphincter Of Oddi Dysfunction: The Diagnostic And Therapeutic Role Of Ercp And Sphincter Of Oddi Manometry -- Ercp In Other Pancreatic Disorders -- Bleeding From The Papilla -- Ercp In Post-surgical Patients -- Ampullectomy -- Ercp In Pregnancy -- Pediatric Ercp -- Training In Endoscopic Ultrasound -- Equipment And Approach -- Techniques Of Endoscopic Ultrasound-guided Fine Needle Aspiration -- Essential Cytopathology Concepts For The Endosonographer -- Esophageal Cancer -- Eus In Gastric Cancer And Thickened Gastric Wall -- Rectal Cancer And Anal Sphincter Disorders -- Subepithelial Lesions -- Endosonography Of The Mediastinum -- Eus In Pancreatic Tumors -- Eus In Pancreatic Cysts -- Eus And Eus-fna In Acute Pancreatitis, Chronic Pancreatitis And Autoimmune Pancreatitis -- Endoscopic Ultrasound-guided Fine Needle Injection -- Eus-guided Bilio-pancreatic Drainage. Linda S. Lee, Editor. Includes Bibliographical References And Index. Mode Of Access: World Wide Web. Front Matter....Pages i-xvi Front Matter....Pages 1-1 Training in Endoscopic Retrograde Cholangiopancreatography....Pages 3-18 Indications for ERCP....Pages 19-35 Overview of ERCP Complications: Prevention and Management....Pages 37-56 ERCP from Soup to Nuts: Evaluation, Preparation, Execution, and Follow-Up....Pages 57-76 Front Matter....Pages 77-77 Biliary Stones....Pages 79-94 Biliary Infections....Pages 95-109 Diagnosing Biliary Strictures and Indeterminate Biliary Strictures....Pages 111-130 Management of Biliary Strictures and Bile Duct Injury....Pages 131-146 Other Benign Biliary Strictures: Sclerosing Cholangitis, Autoimmune Cholangitis, Post-Liver Transplant....Pages 147-164 Choledochal Cysts: Evaluation and Management....Pages 165-177 Front Matter....Pages 179-179 Acute Biliary Pancreatitis: Image, Intervene, or Observe?....Pages 181-193 Endoscopic Management of Complications in Acute Pancreatitis....Pages 195-213 ERCP in Chronic Pancreatitis....Pages 215-226 Idiopathic Acute Pancreatitis and Sphincter of Oddi Dysfunction: Diagnostic and Therapeutic Role of ERCP and Sphincter of Oddi Manometry....Pages 227-242 ERCP in Other Pancreatic Disorders....Pages 243-260 Front Matter....Pages 261-261 Bleeding from the Papilla....Pages 263-276 ERCP in Post-Surgical Patients....Pages 277-290 Ampullectomy....Pages 291-303 ERCP in Pregnancy....Pages 305-323 Pediatric Endoscopic Retrograde Cholangiopancreatography....Pages 325-340 Front Matter....Pages 341-341 Training in Endoscopic Ultrasound....Pages 343-356 Equipment and Approach....Pages 357-370 Techniques of Endoscopic Ultrasound-Guided Fine Needle Aspiration....Pages 371-385 Essential Cytopathology Concepts for the Endosonographer....Pages 387-406 Front Matter....Pages 407-407 Esophageal Cancer....Pages 409-422 Gastric Cancer and Thickened Gastric Wall....Pages 423-437 Rectal Cancer and Anal Sphincter Disorders....Pages 439-455 Subepithelial Lesions....Pages 457-478 Front Matter....Pages 479-479 Endosonography of the Mediastinum....Pages 481-493 EUS in Pancreatic Tumors....Pages 495-513 EUS in Pancreatic Cysts....Pages 515-530 EUS in Acute Pancreatitis, Chronic Pancreatitis, and Autoimmune Pancreatitis....Pages 531-548 Front Matter....Pages 549-549 Endoscopic Ultrasound-Guided Fine-Needle Injection....Pages 551-573 EUS-Guided Bilio-Pancreatic Drainage....Pages 575-588 Back Matter....Pages 589-592