19 results
Biliary Ascariasis - Balloon Extraction on Endoscopy/ERCP

8 years old patient with acute pancreatitis and a MRCP
Ascariasis - Balloon Extraction ... on Endoscopy/ERCP ... we perform an ERCP ... Ascariasis #Endoscopy #ERCP ... #clinical #EGD
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
The 6 C’s of Primary Sclerosing Cholangitis (PSC)
PSC is a chronic, cholestatic, immune-mediated disease characterized by
Primary Sclerosing Cholangitis ... • CHOLANGITIS ... judicious use of ERCP ... , and end-stage ... clinical trial evaluation
Acute Pancreatitis - Diagnosis and Management - GrepMed Handbook

Presentation: 
 • Epigastric abdominal pain (90%, characteristically
HyperCa2+ • Other: ERCP ... Imaging: US (biliary evaluation ... Gallstones: Urgent ERCP ... (w/in 24h) if cholangitis ... , consider ERCP
Chronic Diarrhea - Workup
Osmotic:
 • Consider food diary and trial avoiding certain foods or meds, Consider
diet), Endoscopy (EGD ... +/- ERCP +/- colonoscopy ... ultrasound, or MRCP ... differential #testing #evaluation
Emergency Department ED Chest Pain Evaluation Pathway

Dr. Reuben Strayer @ https://twitter.com/emupdates

#ChestPain #Evaluation #Algorithm #Pathway #EmergencyDepartment #Diagnosis
Emergency Department ED ... Chest Pain Evaluation ... #ChestPain #Evaluation ... #Algorithm #Pathway
Liver Flukes on Endoscopy
Here are liver flukes (Fasciola hepatica) extracted from the bile duct during ERCP
bile duct during ERCP ... in a 20F with cholangitis ... Liver #Flukes #ERCP ... parasites #clinical #EGD
Gastroenterology Endoscopy Tools and Accessories - A Visual Catalog for Trainees and Young Gastroenterologists
Biopsy Forceps:
instruments in ERCP ... • STONE EXTRACTION ... Facilitates stone extraction ... sphincteroplasty • STONE EXTRACTION ... #accessories #EGD
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
management checklist Evaluation ... ERCP - Not routinely ... evidence of ascending cholangitis
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
obstruction without cholangitis ... : ERCP incomplete ... obstruction without cholangitis ... : ERCP complete ... Prophylaxis #Endoscopy #EGD