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Simulation of gastroscopy and endoscopic retrograde cholangiopancreatography for medical student education.
ANZ J Surg
December 2024
RPA Institute of Academic Surgery, Sydney, New South Wales, Australia.
Background: Simulation training has become part of medical student education, however endoscopy simulators have mostly been reserved for speciality training. Evidence suggests that simulation training has the potential to educate future doctors about endoscopy procedures and improve their communication with patients. Endoscopic retrograde cholangiopancreatography (ERCP) is an endoscopic procedure that is technically challenging and poorly understood by medical students.
View Article and Find Full Text PDFStapfer I and II duodenal perforations after endoscopic procedures: how surgical delay impacts outcomes.
Surg Endosc
November 2024
Department of Surgical Oncology, Institut Paoli-Calmettes, 232 Boulevard Sainte Marguerite, 13009, Marseille, France.
Background: Post-endoscopic duodenal perforation is a severe adverse event with high morbidity and mortality rates. Managing this rare event is challenging owing to limited clear guidelines. This retrospective study aimed to examine the relationship between time-to-treatment and morbidity among patients with post-endoscopic duodenal perforations.
View Article and Find Full Text PDFDelayed post-sphincterotomy bleeding: hemostatic powder is a safe and effective option.
Rev Esp Enferm Dig
October 2024
Gastroenterology , Centro Hospitalar e Universitário de Coimbra.
We present the case of a 72-year-old woman admitted for epigastric pain, elevated inflammatory parameters and liver enzymes, with a total bilirubin of 6mg/dL. Abdominal ultrasound identified cholelithiasis and posteriorly endoscopic ultrasound showed a 5.8mm stone distally in the biliary tract.
View Article and Find Full Text PDFDuodenal lipoma - An unusual finding, location and presentation.
Rev Esp Enferm Dig
December 2023
Gastrenterology, Unidade Local de Saúde do Alto Minho, Portugal.
An 82-year-old man was admitted for acute cholangitis. He presented with jaundice and elevated hepatic cholestasis enzymes and C-reactive protein. Abdominal ultrasound and CT scan showed no evidence of gallstones and the main bile duct had 6 mm of diameter.
View Article and Find Full Text PDFExerting Forces and Wall Load during Duodenoscopy for ERCP: An Experimental Measurement in an Artificial Model.
Bioengineering (Basel)
April 2023
Department for General, Visceral and Transplantation Surgery at the University Hospital of Tübingen, Workgroup for Experimental Endoscopy, Development and Training, Waldhörnlestrasse 22, 72072 Tübingen, Germany.
Background: Endoscopic retrograde cholangiopancreatography (ERCP) is crucial to the treatment of biliopancreatic diseases with iatrogenic perforation as a potential complication. As of yet, the wall load during ERCP is unknown, as it is not directly measurable during an ERCP in patients.
Methods: In a life-like, animal-free model, a sensor system consisting of five load cells was attached to the artificial intestines (sensors 1 + 2: pyloric canal-pyloric antrum, sensor 3: duodenal bulb, sensor 4: descending part of the duodenum, sensor 5: distal to the papilla).
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