[Update on endoscopic management of malignant obstructive jaundice].

The diagnosis of bilio-pancreatic diseases is carried out when patients present symptoms of biliary obstruction. The majority of these patients cannot receive curative treatment at the time of the diagnosis. Laboratory tests can differentiate between intra- or extra-hepatic obstruction, and the different imaging techniques will establish the cause and degree of disease extension.

[Insertion of biliary endoprosthesis as ambulatory procedure].

Background: Because of possible complications, it has been common practice to admit to the hospital most if not all patients undergoing therapeutic ERCP. Therefore, little descriptive data exist on the safety of out-patient therapeutic ERCP for endobiliary stent placement.

Objective: To assure quality patient care and patient safety, we reviewed our experience with out-patient therapeutic ERCP for palliation of benign and malignant common bile duct obstruction by means of endobiliary stent insertion.

[Diagnostic and therapeutic endoscopic cholangiopancreatography in biliary leak after liver transplantation. Report of 2 cases].

Background: The most common biliary tract complications after orthotopic liver transplantation are anastomotic strictures and bile leaks. These remain important causes of morbidity, frequently prompting surgical approach and/or biliary drainage.

Objective: To report our experience using endoscopic retrograde cholangiopancreatography (ERCP) in the diagnosis and management of biliary tract complications in patients with hepatic transplantation.

[Proximal migration of biliary prosthesis. Endoscopic extraction techniques].

Background: Proximal migration of a biliary stent is an uncommon event, but its management can present a technical challenge to the therapeutic endoscopist.

Objective: We reviewed the methods that have been used for retrieval of proximally migrated biliary stents in a referral endoscopic center. PATIENTS-METHOD, AND RESULTS: From January 1995 to December 1998, there were 410 procedures for insertion of biliary stents.

[Incidence and relation of endoscopic sphincterotomy to the proximal migration of biliary prostheses].

Background: Endoprostheses are commonly used in the treatment of biliary disorders. The frequency of and potential risk factors for stent migration, however, remain largely unknown.

Objective: To determine how often biliary duct stents migrate proximally and to quantify the influence of specific risk factors on the occurrence of stent migration.