7508 results
Biliary Ascariasis - Balloon Extraction on Endoscopy/ERCP

8 years old patient with acute pancreatitis and a MRCP
Extraction on Endoscopy/ERCP ... pancreatitis and a MRCP ... we perform an ERCP ... Ascariasis #Endoscopy #ERCP ... #clinical #EGD
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 ... hepatica #parasites #clinical ... #EGD #ERCP #gastroenterology
Duodenal knuckle perforation from prolonged ERCP

Andy Tau, MD @DrBloodandGuts

#Duodenal #knuckle #perforation #endoscopy #clinical #egd #gastroenterology
from prolonged ERCP ... perforation #endoscopy #clinical ... #egd #gastroenterology
Liver Flukes on Endoscopy
Here are liver flukes (Fasciola hepatica) extracted from the bile duct during ERCP
bile duct during ERCP ... Liver #Flukes #ERCP ... hepatica #parasites #clinical ... #EGD #Endoscopy
Endoscopic Bleeding Risk - Summary points from ASGE guideline 

Low Risk Procedures 
 - Diagnostic endoscopy
forceps biopsy (EGD ... enteroscopy - ERCP ... resection - ERCP ... - Resections (ESD ... Gastroenterology #EGD
Approach to Conjugated Hyperbilirubinemia - Differential Diagnosis Algorithm

1. Definition: T.bili elevation + >20% conjugated
2. Obtain RUQ
MRCP, ERCP, liver
Chronic Diarrhea - Workup
Osmotic:
 • Consider food diary and trial avoiding certain foods or meds, Consider
diet), Endoscopy (EGD ... +/- ERCP +/- colonoscopy ... ultrasound, or MRCP
EGD Nail Removal in the Duodenum
6y M, Hx of 2.5" carpenter's Nail ingestion 3hrs. Very sharp
EGD Nail Removal ... hold from sharp end ... not, trail sharp end ... Removal #Endoscopy #egd ... gastroenterology #retrieval #clinical
Procedure Risks and Platelet Targets for Transfusion
LOW RISK - Transfuse ≥ 20,000/uL
 • Paracentesis, EGD or
Paracentesis, EGD ... balloon enteroscopy, ERCP ... polypectomy, EMR or ESD ... tumor ablation, ERCP
ERCP - Obtaining a good Cholangiogram
 • General Tips
 • Patient Positioning
 • Image Capture
 •
ERCP - Obtaining ... @enrrikke #ERCP