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 ... stones in the bile ... pictures as it passes
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