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Effect of duodenal papilla morphology on biliary cannulation and complications in patients with common bile duct stones.
Hepatobiliary Pancreat Dis Int
December 2024
Department of Hepatobiliary Surgery, the First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China. Electronic address:
Background: The endoscopic appearance of the major duodenal papilla influences biliary cannulation and complications. This study aimed to investigate the role of major duodenal papillae in the endoscopic treatment of common bile duct (CBD) stones.
Methods: This retrospective study was conducted at Bishan Hospital of Chongqing Medical University between January 2018 and August 2022.
Implementation of trans-cystic biliary stenting during acute cholecystectomy to facilitate elective ERCP: a quality improvement initiative.
ANZ J Surg
November 2024
Department of General Surgery, Royal Melbourne Hospital, Parkville, Victoria, Australia.
Background: A predominantly endoscopic approach for acute admissions with choledocholithiasis with a gallbladder in situ (CGIS) resulted in prolonged hospital length of stay due to delays at investigation and treatment junctures. We initiated a quality improvement program of trans-cystic biliary stenting to facilitate efficient patient progress to acute cholecystectomy and outpatient ERCP if required.
Methods: We utilized implementation frameworks with regular re-assessment for this quality improvement project.
Endoscopic ultrasound-guided biliary interventions.
Indian J Gastroenterol
October 2024
Institute of Digestive and Liver Care, SL Raheja Hospital, Mumbai, 400 016, India.
Endoscopic ultrasound (EUS)-guided biliary drainage (EUS-BD) includes EUS-guided hepaticogastrostomy (EUS-HGS), EUS-guided choledochoduodenostomy (EUS-CDS), EUS-guided gallbladder drainage (EUS-GBD), EUS-guided antegrade stenting (EUS-AG) and EUS-guided rendezvous (EUS-RV). While EUS-HGS, EUS-CDS and EUS-GBD are transluminal drainage procedures, EUS-AG is a traspapillary drainage procedure and EUS-RV is a procedure intended to facilitate endoscopic retrograde cholangio pancreatography (ERCP) in instances of failed cannulation. These procedures were initially developed as options for endoscopic salvage of failed ERCP, but have evolved to become first-line interventions also for select indications over time as the technique and expertise improved.
View Article and Find Full Text PDFA Study on the Spectrum of Imaging Findings of Post-ERCP-Specific Complications: A Retrospective Descriptive Study.
Indian J Radiol Imaging
July 2024
Department of Radiodiagnosis & Imaging, Army Hospital Research & Referral, Delhi Cantonment, New Delhi, India.
Article Synopsis
- The study aimed to analyze imaging signs of complications following endoscopic retrograde cholangiopancreatography (ERCP) using CT scans to facilitate quicker diagnosis and treatment.
- A total of 41 cases of post-ERCP complications were reviewed, revealing common issues like intra-abdominal collections (51.2%), pancreatitis (48.7%), and bowel perforation (21%).
- Recognizing these complications through imaging is crucial as untreated cases can lead to severe health risks, making it essential for healthcare providers to understand normal and abnormal post-ERCP findings.
Laparoscopic-Assisted ERCP in Gastric Bypass Patients-No Stones Left Unturned: A Single Center Retrospective Cohort Study.
Obes Surg
August 2024
Department of Surgical Gastroenterology, Hospital South West Jutland, Region of Southern Denmark, Finsensgade 35, Skolebakken 141, 6705, Esbjerg, Denmark.
Purpose: The long-term need for biliary duct intervention following Roux-en-Y gastric bypass surgery (RYGB) is uncertain. We investigated the rate of laparoscopic assisted retrograde cholangiopancreatography (LAERCP) following RYGB. Also, the pre-LAERCP diagnostic workup together with the true rate of choledocholithiasis in patients with or without prior cholecystectomy was investigated.
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