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gastroenterology management endoscopy diagnosis clinical algorithm basics cannulation checklist choledocholithiasis fasciola flukes hepatica hepatology indications inpatient liver parasites primary accessories
Biliary Ascariasis - Balloon Extraction on Endoscopy/ERCP 8 years old patient with acute pancreatitis and a MRCP
Biliary Ascariasis ... Extraction on Endoscopy/ERCP ... we perform an ERCP ... ManearrietaGar #Biliary ... #clinical #EGD
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 Indications for ERCP 1. Biliary Tract Diseases: • Biliary obstruction: Choledocholithiasis, Malignant biliary strictures, Benign biliary strictures
Indications for ERCP ... Biliary Tract Diseases ... Therapeutic ERCP ... neoplasms of the major papilla ... #ERCP #Indications
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 ... in a 20F with cholangitis ... Liver #Flukes #ERCP ... parasites #clinical #EGD
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 Classification of Jaundice Unconjugated hyperbilirubinemia (predominantly indirect bilirubin) • Increased bilirubin production (eg, hemolytic anemias, hemolytic reactions,
Dysfunction - Biliary ... certain drugs, biliary ... mononucleosis, cholangitis ... , carcinoma of biliary ... duct, sclerosing cholangitis
Difficult Selective Biliary Cannulation (SBC) Factors associated with difficult SBC: - SMALL PAPILLA: can be difficult to
Difficult Selective Biliary ... SBC: - SMALL PAPILLA ... site - OTHERS: biliary ... #Selective #Biliary ... SBC #Difficult #ercp
The 6 C’s of Primary Sclerosing Cholangitis (PSC) PSC is a chronic, cholestatic, immune-mediated disease characterized by
Primary Sclerosing Cholangitis ... to multi-focal biliary ... • CHOLANGITIS ... colorectal and hepato-biliary ... judicious use of ERCP
Protruding / Bulging Papilla on ERCP biliary stone extraction - Dr. Bibek Purbey #Protruding #Bulging #Papilla #ERCP #endoscopy
Protruding / Bulging Papilla ... on ERCP biliary ... Protruding #Bulging #Papilla ... #ERCP #endoscopy
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 Acute Pancreatitis - Diagnosis and Management - GrepMed Handbook Presentation: • Epigastric abdominal pain (90%, characteristically
HyperCa2+ • Other: ERCP ... • Imaging: US (biliary ... (necrosis, biliary ... Gallstones: Urgent ERCP ... (w/in 24h) if cholangitis
ACUTE CHOLANGITIS Legend says that Cholangitis was first defined in 1877 by Jean-Martin Charcot, at which time
ACUTE CHOLANGITIS ... Today, cholangitis ... infection of the biliary ... commonly occurs post- ERCP ... individuals with biliary
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) Give Antibiotics: - PEG tube placement (or PEG-J)
mediastinal cysts - Biliary ... obstruction without cholangitis ... GI tract) - Biliary ... obstruction without cholangitis ... Prophylaxis #Endoscopy #EGD
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