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Endoscopic retrograde cholangiopancreatography and pancreaticobiliary endoscopy

14 articles

Biliary drainage

Biliary drainage is a procedure that relieves bile duct obstruction by rerouting bile with endoscopic stents or percutaneous catheters, used for jaundice, cholangitis, and malignant blockage.

Biliary stenting

Biliary stenting is a gastroenterology and surgery procedure that places a tube across a blocked or leaking bile duct so bile can drain again, relieving jaundice, cholangitis, and pruritus.

Cholangioscopy

Cholangioscopy is an endoscopic technique in which a very thin endoscope is advanced into the bile ducts, most often during ERCP, to fragment difficult stones and biopsy indeterminate strictures.

Choledochoscopy

Choledochoscopy is direct endoscopic visualization of the common bile duct, performed intraoperatively or peroral during ERCP to remove stones, evaluate strictures, and assess tumors; first performed in 1923.

DFG trial

DFG trial (NCT03582540), Early Versus Delayed Double-guidewire Technique in Difficult Biliary Cannulation: French multicenter randomized ERCP trial by Société Française d'Endoscopie Digestive; early double-guidewire use achieved 84% vs 50% cannulation within 10 minutes.

Duodenoscopes

Duodenoscopes, also called ERCP endoscopes, are flexible side-viewing endoscopes passed into the duodenum for pancreatobiliary therapy; over 500,000 US ERCP procedures yearly, with reprocessing challenges and infection risk driving disposable designs.

Endoscopic papillectomy

Endoscopic papillectomy is an endoscopic procedure that removes benign tumors of the ampulla of Vater, the junction of the bile and pancreatic ducts with the duodenum, as a less invasive alternative to surgical resection.

Endoscopic retrograde cholangiography

Endoscopic retrograde cholangiography (ERC) is an endoscopic technique, performed within ERCP, in which contrast injected into the bile or pancreatic ducts shows stones, strictures, and tumors.

Endoscopic sphincterotomy

Endoscopic sphincterotomy, also called endoscopic papillotomy, is an ERCP procedure that cuts the sphincter of Oddi to widen the bile duct opening for stone removal and drainage.

Hepaticogastrostomy

Hepaticogastrostomy is a procedure creating a connection between an intrahepatic bile duct and the stomach, usually performed endoscopically under ultrasound guidance to drain bile when ERCP fails, most often in malignant biliary obstruction.

Pancreatic stent placement

Pancreatic stent placement is an endoscopic procedure that inserts a small tube into the pancreatic duct to prevent post-ERCP pancreatitis, drain an obstructed duct, or bridge a leak.

Pancreatoscopy

Pancreatoscopy is an endoscopic technique in which a small scope passed through a duodenoscope during ERCP directly views the pancreatic duct, sampling strictures and treating stones.

Peroral cholangioscopy

Peroral cholangioscopy (POCS) is an endoscopic technique that passes a small cholangioscope through the mouth into the bile ducts to diagnose strictures and remove difficult stones.

Sphincterotomy

Sphincterotomy is an endoscopic procedure that cuts the biliary sphincter with high-frequency current, usually during ERCP, most often to treat gallstones lodged in the common bile duct.