563 results
Liver Flukes on ERCP
Here are liver flukes (Fasciola hepatica) extracted from the bile duct during ERCP
Liver Flukes on ... ERCP Here are liver ... bile duct during ERCP ... intestines and liver ... #Flukes #ERCP #
Liver Flukes on Endoscopy
Here are liver flukes (Fasciola hepatica) extracted from the bile duct during ERCP
Liver Flukes on ... Endoscopy Here are liver ... bile duct during ERCP ... intestines and liver ... #Flukes #ERCP #
Approach to Conjugated Hyperbilirubinemia - Differential Diagnosis Algorithm

1. Definition: T.bili elevation + >20% conjugated
2. Obtain RUQ
MRCP, ERCP, liver
How a cholangiogram corresponds to liver segments
 - Numbers indicate drained hepatic segments
 - Right anterior
corresponds to liver ... Anatomy #hepatology #ercp ... #liver #segments
Procedure Risks and Platelet Targets for Transfusion
LOW RISK - Transfuse ≥ 20,000/uL
 • Paracentesis, EGD or
balloon enteroscopy, ERCP ... , Transjugular liver ... • Percutaneous liver ... tumor ablation, ERCP
ERCP Management Algorithm for Patient with Symptomatic Choledocholithiasis 

Predictors of choledocholithiasis
Very strong
 - CBD stone on
ERCP Management ... Moderate - Abnormal liver ... pancreatitis #ERCP
Pneumobilia on Abdominal POCUS
S/P ERCP presenting with Reynolds' Pentad. Blood Cx grew GPC on Day1
Compare to
Abdominal POCUS S/P ERCP ... Pneumobilia #air #liver
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
without cholangitis: ERCP ... - Patient s/p liver ... transplant getting ERCP ... without cholangitis: ERCP
The 6 C’s of Primary Sclerosing Cholangitis (PSC)
PSC is a chronic, cholestatic, immune-mediated disease characterized by
progression to end-stage liver ... indications for liver ... judicious use of ERCP ... and end-stage liver
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
Triglyceride level - Liver ... ERCP - Not routinely