Full Description
This volume presents the technical and cultural state of the art of two of the riskiest, most complex and operator-dependent digestive operative techniques: endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic ultrasonography (EUS). The authors compare old and new techniques, shedding light on the most recent and innovative scientific findings, including those in the field of anatomic pathology and molecular biology considered relevant for the analysis of tissue samples collected during EUS.
In view of the technical difficulties specific to these techniques, the book also offers access to online-videos and numerous images, making it a valuable resource both for physicians approaching these techniques for the first time as well as for those already using them.
Organized into 7 sections, it describes in detail all techniques related to ERCP/EUS, together with any specific technical equipment required. It also presents a new paradigm based on the latest results in the areas of prevention, diagnosis and management of the most common complications. Clinical outcomes presented in international literature, as well as algorithms - both based on scientific evidence and expert findings - are illustrated and compared to alternative treatments.
Contents
Part 1 ERCP and EUS: armamentarium and surroundings.- 1 ERCP/ERCP Room.- 2 X-rays in endoscopy.- 3 Ultrasound Equipments.- 4 Endoscopes.- 5 ERCP standard and special devices.- 6 EUS Standard Devices.- 7 Deep sedation and anesthesia for advanced gastrointestinal endoscopy: challenging a continuum.- 8 Anatomy Of The Biliary Tree.- 9 Anatomy of the pancreas.- 10 CT: what we need to know to start to interpret radiological pictures.- 11 MR: what we need to know to start to interpret radiological pictures.- 12 Patients management before and after EUS/ERCP.- Part 2 ERCP: WHAT and HOW.- 13 Cannulation techniques.- 14 Biliary sphincterotomy and precut.- 15 Pancreatic Sphincterotomy.- 16 Biliary Stones Extraction.- 17 Intraductal lithotripsy.- 18 Pancreatico-biliary ESWL.- 19 Biliary Stenting.- 20 Endoscopic Papillectomy.- 21 Ductoscopy.- 22 Intraductal Ablation Techniques.- 23 Stent Removal (plastic and metal).- 24 ERCP in altered anatomy.- 25 PTC and PTC-ERCP rendez-vous procedures.- Part 3 EUS: WHAT and HOW.- 26 EUS Diagnostic Puncture.- 27 Ancillary Diagnostic Techniques In EUS.- 28 EUS-Guided Transenteric Pancreatic Duct Drainage.- 29 EUS Assisted Ablation Techniques.- 30 Intraductal US.- Part 4 Complications: prevention, diagnosis and management.- 31 Acute pancreatitis.- 32 Bleeding.- 33 ERCP-related perforations.- 34 Miscellany.- 35 EUS complications.- Part 5 Bilio-pancreatic diseases: clinical results .- 36 Common bile duct stones.- 37 Intrahepatic stones.- 38 Acute Cholangitis.- 39 Papillectomy: clinical results .- 40 TIPS in Malignant Biliary Strictures.- 41 Results Of Eus Transmural Biliary Drainage.- 42 Post-Operative Biliary Stricture.- 43 Biliary complications after liver transplantation.- 44 Biliary Leaks: Role of ERCP in post-operative biliary complications.- 45 Primary sclerosing cholangitis.- 46 Acute cholecystitis.- 47 Acute biliary pancreatitis.- 48 Chronic Pancreatitis.- 49 Pancreatic Fistulas.- Part 6 The cytopathologist'spoint of view.- 50 EUS Tissue sampling : what are we talking about?.- 51 Molecular Biology Of Biliopancreatic Lesions.- Part 7 Clinical Algorithms.- 52 Suspected common bile duct stones (algorithm).- 53 Acute Cholangitis (algorithm).- 54 Diagnosis of etiology in acute pancreatitis.- 55 Periampullary biliary strictures (algorithm).- 56 Hilar Strictures: Algorithm.- 57 Diagnosis of pancreatic cyst: Algorithm.
