64 results
Biliary Ascariasis - Balloon Extraction on Endoscopy/ERCP

8 years old patient with acute pancreatitis and a MRCP
Biliary Ascariasis ... tubular image in the bile ... we perform an ERCP ... ManearrietaGar #Biliary ... #clinical #EGD
Common Bile Duct Biliary Stone removal on ERCP

Dr. Joaquín Berrueta Mezzera @DrJBerrueta

#Biliary #Stone #removal #extraction #ERCP
Common Bile Duct ... Biliary Stone removal ... on ERCP Dr. ... DrJBerrueta #Biliary ... removal #extraction #ERCP
Liver Flukes on ERCP
Here are liver flukes (Fasciola hepatica) extracted from the bile duct during ERCP
Liver Flukes on ERCP ... extracted from the bile ... , and into the bile ... Inside the bile ... parasites #clinical #EGD
Classification of Jaundice
Unconjugated hyperbilirubinemia (predominantly indirect bilirubin)
 • Increased bilirubin production (eg, hemolytic anemias, hemolytic reactions,
genes coding for bile ... cholestasis, and some cases ... miscellaneous causes ... external pressure on bile ... #differential #causes
Indications for ERCP
1. Biliary Tract Diseases:
 • Biliary obstruction: Choledocholithiasis, Malignant biliary strictures, Benign biliary strictures
Indications for ERCP ... Biliary Tract Diseases ... Oddi manometry • Bile ... Therapeutic ERCP ... major papilla #ERCP
Elevated Liver Enzymes - Differential Diagnosis Algorithm
Severe ALT > 15x ULN
 • Viral
 • Drugs/Toxins
 •
Differential Diagnosis Algorithm ... US - Dilated Bile ... Duct Stone • Biliary ... Differential #Diagnosis #Algorithm ... #Causes
Gastroenterology Endoscopy Tools and Accessories - A Visual Catalog for Trainees and Young Gastroenterologists
Biopsy Forceps:
energy or heat to cause ... instruments in ERCP ... stones in the bile ... pictures as it passes ... #accessories #EGD
Biliary Stone Extraction from the Common Bile Duct on ERCP

Karl Kwok, MD @GI_Guy

#Biliary #Stone #removal #extraction
Biliary Stone Extraction ... from the Common Bile ... Duct on ERCP ... MD @GI_Guy #Biliary ... removal #extraction #ERCP
Extraction of Multiple Biliary Stones from the Common Bile Duct on ERCP

Gastromdp @gastrohigamdp

#Biliary #Stone #removal #extraction
Extraction of Multiple Biliary ... from the Common Bile ... Duct on ERCP ... gastrohigamdp #Biliary ... removal #extraction #ERCP
Approach to Conjugated Hyperbilirubinemia - Differential Diagnosis Algorithm

1. Definition: T.bili elevation + >20% conjugated
2. Obtain RUQ
Differential Diagnosis Algorithm ... non-ICU vs ICU causes ... MRCP, ERCP, liver ... Differential #Diagnosis #Algorithm