233 results
ERCP - Obtaining a good Cholangiogram
 • General Tips
 • Patient Positioning
 • Image Capture
 •
ERCP - Obtaining ... @enrrikke #ERCP ... Cholangiogram #management ... #tricks #tips #gastroenterology
Approach to Conjugated Hyperbilirubinemia - Differential Diagnosis Algorithm

1. Definition: T.bili elevation + >20% conjugated
2. Obtain RUQ
MRCP, ERCP, liver ... Diagnosis #Algorithm #gastroenterology
Acute Pancreatitis - Diagnosis and Management - GrepMed Handbook

Presentation: 
 • Epigastric abdominal pain (90%, characteristically
Diagnosis and Management ... HyperCa2+ • Other: ERCP ... Gallstones: Urgent ERCP ... cholangitis, consider ERCP ... #Treatment #Gastroenterology
Endoscopic Bleeding Risk - Summary points from ASGE guideline 

Low Risk Procedures 
 - Diagnostic endoscopy
enteroscopy - ERCP ... resection - ERCP ... Bleeding #Risks #Gastroenterology ... HighRisk #Diagnosis #Management
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 ... #gastroenterology
Common Bile Duct Biliary Stone removal on ERCP

Dr. Joaquín Berrueta Mezzera @DrJBerrueta

#Biliary #Stone #removal #extraction #ERCP
Stone removal on ERCP ... removal #extraction #ERCP ... #gastroenterology
Indications for ERCP
1. Biliary Tract Diseases:
 • Biliary obstruction: Choledocholithiasis, Malignant biliary strictures, Benign biliary strictures
Indications for ERCP ... Therapeutic ERCP ... major papilla #ERCP ... #Indications #management ... #gastroenterology
Primary sclerosing cholangitis (PSC) - Malignancy Screening and Surveillance Recommendations 

Cholangiocarcinoma 
 - Annual US or
- Annual US or MRCP ... #Surveillance #Gastroenterology ... #Management #Diagnosis
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 ... Ascaris #parasite #gastroenterology
Inherited Colorectal Cancer (CRS) Syndromes
Adenomatous Polyposis Syndromes:
 • Familial Adenomatous Polyposis (FAP), Attenuated FAP (AFAP), MUTYH
Peutz-Jeghers Syndrome (PJS ... Syndromes #diagnosis #management ... #gastroenterology