581 results
ERCP Management Algorithm for Patient with Symptomatic Choledocholithiasis 

Predictors of choledocholithiasis
Very strong
 - CBD stone on
ERCP Management ... with Symptomatic Choledocholithiasis ... Predictors of choledocholithiasis ... dL Strong - Dilated ... pancreatitis #ERCP
Dilated Distal Common Bile Duct on POCUS

Male with RUQ abdominal pain for 2 days.  GB
Dilated Distal Common ... CBD TRV--note dilated ... =choledocholithiasis ... ERCP/cholecystectomy ... RJonesSonoEM #Dilated
Indications for ERCP
1. Biliary Tract Diseases:
 • Biliary obstruction: Choledocholithiasis, Malignant biliary strictures, Benign biliary strictures
Indications for ERCP ... Biliary obstruction: Choledocholithiasis ... Therapeutic ERCP ... major papilla #ERCP
Common Bile Duct Stone on POCUS

Here’s a similar case in a 70yo F with a remote
CBD also looks dilated ... henneberry_ryan #Dilated ... BileDuct #CBD #Stone #Choledocholithiasis
Protruding / Bulging Papilla on ERCP biliary stone extraction

- Dr. Bibek Purbey

#Protruding #Bulging #Papilla #ERCP #endoscopy
Bulging Papilla on ERCP ... Bulging #Papilla #ERCP ... gastroenterology #clinical #choledocholithiasis
Approach to Conjugated Hyperbilirubinemia - Differential Diagnosis Algorithm

1. Definition: T.bili elevation + >20% conjugated
2. Obtain RUQ
MRCP, ERCP, liver
Liver Flukes on ERCP
Here are liver flukes (Fasciola hepatica) extracted from the bile duct during ERCP
Liver Flukes on ERCP ... bile duct during ERCP ... Liver #Flukes #ERCP ... clinical #EGD #ERCP
ERCP - Obtaining a good Cholangiogram
 • General Tips
 • Patient Positioning
 • Image Capture
 •
ERCP - Obtaining ... @enrrikke #ERCP
Acute Pancreatitis - Diagnosis and Management - GrepMed Handbook

Presentation: 
 • Epigastric abdominal pain (90%, characteristically
HyperCa2+ • Other: ERCP ... complications), MRCP ... Gallstones: Urgent ERCP ... cholangitis, consider ERCP
Differentiation between Portal Venous Gas and Pneumobilia #Diagnosis #EM #Rads #Surgery #Differential #Differentiation #HepaticGas #Pneumobilia #PortalVenous
#Venous #Gas #ERCP