22 results
Common Bile Duct Biliary Stone removal on ERCP

Dr. Joaquín Berrueta Mezzera @DrJBerrueta

#Biliary #Stone #removal #extraction #ERCP
Common Bile Duct Biliary ... DrJBerrueta #Biliary ... gastroenterology #cbd #endoscopy
Liver Function Test (LFTs) Elevation
AST - Cardiac and skeletal muscle, kidney, brain
ALT - More specific for
the liver ALP - Biliary ... Phosphatase, ALT ≥ 3x ULN ... Transaminase, ALP ≥ 2x ULN ... Value = (ALT / ULN ... ALT) / (ALP / ULN
Elevated Liver Enzymes - Differential Diagnosis Algorithm
Severe ALT > 15x ULN
 • Viral
 • Drugs/Toxins
 •
Severe ALT > 15x ULN ... Moderate ALT 5-15x ULN ... Mild ALT < 5x ULN ... Duct Stone • Biliary
Gastroenterology Endoscopy Tools and Accessories - A Visual Catalog for Trainees and Young Gastroenterologists
Biopsy Forceps:
access to both biliary ... sweeping of the biliary ... DILATOR - For biliary ... stents from the biliary ... collection of biliary
Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis
Hepatocellular Pattern (ALT or AST > ALP):
Severe - ALT >15X ULN ... Moderate - ALT 5-15X ULN ... Mild - ALT < 5x ULN ... - CBD stone, Biliary
Indications for ERCP
1. Biliary Tract Diseases:
 • Biliary obstruction: Choledocholithiasis, Malignant biliary strictures, Benign biliary strictures
Biliary Tract Diseases ... : • Biliary obstruction ... Choledocholithiasis, Malignant biliary ... strictures, Benign biliary ... Stone extraction, Endoscopic
Primary Biliary Cirrhosis (PBC) - Summary

PBC Epidemiology:
 • Female:Male 9:1
 • Common European descent
 • Age:
Primary Biliary ... No extrahepatic biliary ... • ALP > 1.5 x ULN ... malignancy #Primary #Biliary
Basics of Biliary Strictures on Endoscopy
 - Causes of Biliary strictures
 - Benign Strictures Classification
 -
Basics of Biliary ... Strictures on Endoscopy ... - Causes of Biliary ... @AgnihotriGI #Biliary ... #Strictures #Endoscopy
Endoscopy in the Management of Malignant Hilar Biliary Obstruction

 • Stent Selection
 • Drainage Strategy
 •
Endoscopy in the ... Malignant Hilar Biliary ... EmoryGastroHep #ERCP #Endoscopy ... Malignant #Hilar #Biliary
Acute Pancreatitis - Diagnosis and Management - GrepMed Handbook

Presentation: 
 • Epigastric abdominal pain (90%, characteristically
2) Lipase > 3x ULN ... • Imaging: US (biliary ... MRCP (necrosis, biliary