7 results
Difficult Selective Biliary Cannulation (SBC)
Factors associated with difficult SBC:
 - SMALL PAPILLA: can be difficult to
(SBC) Factors associated ... insertion into the BD ... tract of the MPD & CBD ... ST upward (the BD ... #ercp #gastroenterology
Intestinal Ultrasound (IUS) in IBD - IBD Algorithm

IUS Pros (+): no radiation, cost-effective, real-time data, well
Intestinal Ultrasound ... (IUS) in IBD - ... IBD Algorithm ... #IBD #Algorithm ... #IBDAlgorithm #
ERCP Management Algorithm for Patient with Symptomatic Choledocholithiasis 

Predictors of choledocholithiasis
Very strong
 - CBD stone on
ERCP Management ... Very strong - CBD ... Clinical Ascending cholangitis ... Strong - Dilated CBD ... Choledocholithiasis #Biliary
The 6 C’s of Primary Sclerosing Cholangitis (PSC)
PSC is a chronic, cholestatic, immune-mediated disease characterized by
to multi-focal biliary ... have concomitant IBD ... COLITIS - PSC-IBD ... distinct from IBD ... judicious use of ERCP
IBD Mimics
Infectious - Always RULE OUT infection (CMV, C. diff esp.) obtain travel & exposures history:
IBD Mimics Infectious ... Salmonella • Colon: C. difficile ... segmental colitis associated ... inflammation: IBS ... lymphomas, others) #IBD
Acute Pancreatitis - Diagnosis and Management - GrepMed Handbook

Presentation: 
 • Epigastric abdominal pain (90%, characteristically
) • Imaging: US ... (biliary evaluation ... (necrosis, biliary ... (w/in 24h) if cholangitis ... gemfibrozil 600 bid
Celiac disease is an immune-mediated, multisystem disorder that affects genetically susceptible individuals who are exposed to
causing small intestinal ... CD can be associated ... diseases (primary biliary ... cholangitis, autoimmune ... primary sclerosing cholangitis