On the other hand, if the acute cholangitis is mild-to-moderate, when performing early ERCP
, it has been reported that EST does not increase the bleeding rate and that it shortens the length of hospital stay .
After completing ERCP
, the patient was positioned supine and LC was performed.
Currently a wide range of imaging tools are available, such as multi detector computerized tomography (MDCT), magnetic resonance (MR) imaging, endoscopic sonography, endoscopic retrograde cholangiopancreaticography (ERCP
), and angiography.6,7 Endoscopic ultrasound (EUS) and EUS-guided fine needle aspiration with cytological examination are the procedures of choice to confirm the tissue diagnosis.8 Rapidly developing novel imaging techniques, including dual energy, low tube voltage CT techniques, iterative reconstruction CT algorithms, functional MRI methods, and hybrid positron emission tomography/MR, are expected to show excellent performance for pancreatic cancer imaging in the near future.4
The CME programmes were organized on Liver symposium, ERCP
, GI Endoscopy, RFA for HCC hands on training.
However, due to the multiple complications including 2 faulty heart valves, rare but severe hypertension in the lungs and an irregular heartbeat, the risks associated with sedating the patient and conducting ERCP
She represented to the emergency department 48 hours after ERCP
with severe right upper quadrant pain that radiated to the back.
Our patient underwent ERCP
and the stone was removed and she had significant symptom improvement.
An extensive search of the English language literature in PubMed and MEDLINE[R] from 1950 onwards, including references, was carried out to obtain all published cases of retained biliary extraction baskets during ERCP
for biliary or pancreatic stones.
In the rendezvous technique for EUS-BD, a temporary fistula at the stomach or the bulb is created followed by placement of a guidewire through the biliary duct and the ampulla into the duodenum; then, ERCP
is reperformed using the EUS-guided placed wire.
He underwent ERCP
; cholangiogram showed a CBD stone difficult to be extracted.
Group I patients received 100 mg of diclofenac per rectally while group II patients received a glycerine suppository per rectally (placebo) before the start of ERCP
. Post ERCP
pancreatitis (PEP) was diagnosed by clinical evaluation and raised serum amylase levels after four hours of the procedure in both groups (study vs control).
was done to delineate the biliary anatomy and assess the level of injury.