2345 results
Dilated Distal Common Bile Duct on POCUS

Male with RUQ abdominal pain for 2 days.  GB
Distal Common Bile ... Duct on POCUS ... ALT, Alk Phos, T Bili ... ERCP/cholecystectomy ... BileDuct #CBD #POCUS
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 ... duct during ERCP ... , and into the bile ... Inside the bile
Common Bile Duct Biliary Stone removal on ERCP

Dr. Joaquín Berrueta Mezzera @DrJBerrueta

#Biliary #Stone #removal #extraction #ERCP
Common Bile Duct ... Stone removal on ERCP ... removal #extraction #ERCP
Liver Flukes on Endoscopy
Here are liver flukes (Fasciola hepatica) extracted from the bile duct during ERCP
extracted from the bile ... duct during ERCP ... , and into the bile ... Inside the bile ... Liver #Flukes #ERCP
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 ... tubular image in the bile ... we perform an ERCP ... Ascariasis #Endoscopy #ERCP
Indications for ERCP
1. Biliary Tract Diseases:
 • Biliary obstruction: Choledocholithiasis, Malignant biliary strictures, Benign biliary strictures
Indications for ERCP ... Oddi manometry • Bile ... Therapeutic ERCP ... major papilla #ERCP
Approach to Conjugated Hyperbilirubinemia - Differential Diagnosis Algorithm

1. Definition: T.bili elevation + >20% conjugated
2. Obtain RUQ
MRCP, ERCP, liver
Mechanism of Action of Bile Acid Sequestrants
Bile Acid Sequestrants → ↓ Hepatic Bile Acid Pool →
Mechanism of Action of Bile ... Sequestrants Bile ... Sequestrants → ↓ Hepatic Bile ... Pool → ↑ Hepatic Bile
ACUTE CHOLANGITIS
Legend says that Cholangitis was first defined in 1877 by Jean-Martin Charcot, at which time
the obstructed bile ... cholē” meaning bile ... commonly occurs post- ERCP
Liver Function Test (LFTs) Elevation
AST - Cardiac and skeletal muscle, kidney, brain
ALT - More specific for
Biliary tree or bile ... abnormality vs bone Bili