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Advanced Pancreaticobiliary Endoscopy PDF

245 Pages·2016·22.815 MB·English
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Douglas G. Adler Editor Advanced Pancreaticobiliary Endoscopy 123 Advanced Pancreaticobiliary Endoscopy Douglas G. Adler Editor Advanced Pancreaticobiliary Endoscopy Editor Douglas G. Adler Salt Lake City , Utah USA Videos can also be accessed at h ttp://link.springer.com/book/10.1007/978-3-319-26854-5 ISBN 978-3-319-26852-1 ISBN 978-3-319-26854-5 (eBook) DOI 10.1007/978-3-319-26854-5 Library of Congress Control Number: 2016933447 © Springer International Publishing Switzerland 2016 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifi cally the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfi lms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. T he use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specifi c statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. Printed on acid-free paper This Springer imprint is published by Springer Nature The registered company is Springer International Publishing AG Switzerland For my family Pref ace Therapeutic endoscopy is at the leading edge of gastroenterology today. Endoscopic proce- dures that are now performed on a routine basis have, in many cases, replaced surgeries that were in widespread use only a few years ago. The greatest areas of advancement have, without a doubt, come in the realm of pancreaticobiliary endoscopy. Endoscopic retrograde cholangio- pancreatography (ERCP) and endoscopic ultrasound (EUS) are the dominant therapeutic modalities in gastroenterology, and this is very unlikely to change in the coming years. The treatment of pseudocysts or walled-off pancreatic necrosis is now primarily endoscopic with surgery being reserved for only a small subset of these patients, to give one such example. This trend will only continue as our tools, training, and technology continue to develop. For many therapeutic endoscopists, the fi rst few years after the completion of their training are marked by continuous growth and development, both in cognitive and technical terms. Early on, “bread and butter” cases (such as the treatment of small bile duct stones and uncom- plicated bile leaks) are often very appealing as they allow the endoscopist to hone their skills in a relatively low-risk patient cohort. Over time, many therapeutic endoscopists master these basic skills and seek out and/or are called upon to perform more invasive, complex, and high- risk procedures. This can be an exciting, if challenging, transition. Years ago, my fi rst job after completing my advanced training required me to provide advanced endoscopic procedure services at two very large urban academic hospitals, 365 days a year, with no backup whatsoever. Although I was very well trained as a fellow, nothing could have prepared me for everything I encountered in those fi rst few years in practice. I know that my own endoscopic development was a mixture of formal training, didactic learning, hard won boots-on-the-ground experience, and in more than a few cases I had to teach myself to do new and more complex procedures because there was simply no one else available. The proverbial buck stopped with me! This book germinated out of the idea that an all-in-one guide to advanced pancreaticobiliary procedures would be both highly desirable and eminently useful to those who want to move out of the realm of routine ERCP and EUS and look for greater challenges. Another reason I put this book together was that I would have loved to have had something like it as a junior therapeutic endoscopist. In this book, I have tried to cover the entire range of advanced pancreaticobiliary proce- dures. The book starts off with a discussion of advanced cannulation and sphincterotomy in ERCP and moves on to such topics as cholangioscopy and pancreatoscopy, ERCP to remove pancreatic duct stones, endoscopic ampullectomy, minor papilla interventions, interventional EUS for pancreaticobiliary duct access, fi ducial placement, pancreatic fl uid collection drain- age, endoscopic necrosectomy, and many other advanced procedures. My goal is that this book can serve as a vital reference for just about any advanced pancreaticobiliary procedure and can help guide endoscopists to clinical success. vii viii Preface Each chapter covers a specifi c topic or set of related topics and is lavishly illustrated with endoscopic, ultrasonographic, and fl uoroscopic images. Each chapter also is accompanied by one or more high-quality videos to further illustrate the tools and techniques discussed therein. These videos give this volume a multimedia dimension as readers can watch key procedures from start to fi nish as they are performed in real patients. As you move forward in your own endoscopic career and undertake more advanced procedures, I hope that this volume becomes a well-worn resource for years to come. Salt Lake City, UT Douglas G. Adler Contents 1 Cannulation and Sphincterotomy: Beyond the Basics . . . . . . . . . . . . . . . . . . . . . . . 1 Kathryn R. Byrne and Douglas G. Adler 2 Endoscopic Management of Large and Difficult Common Bile duct Stones . . . . 15 Thomas Queen and Gulshan Parasher 3 ERCP in Patients with Chronic Pancreatitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37 Virendra Joshi and Laura Alder 4 Cholangioscopy and Pancreatoscopy: Their Role in Benign and Malignant Disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51 Mansour A . Parsi 5 The Endoscopic Management of Biliary and Pancreatic Injury . . . . . . . . . . . . . . 67 Matthew J. Hudson , Raymond G. Kim , and Eric Goldberg 6 ERCP in Postsurgical Patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93 Meir Mizrahi , Tyler M. Berzin , Jeffrey D. Mosko , and Douglas Pleskow 7 ERCP On-Call Emergencies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 107 Anand R. Kumar and Jeffrey L. Tokar 8 Endoscopic Treatment of Simultaneous Malignant Biliary and Gastric Outlet Obstruction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 121 Brian P. Riff and Christopher J. DiMaio 9 Pancreas Divisum and Minor Papilla Interventions . . . . . . . . . . . . . . . . . . . . . . . 135 Jay Luther and Brenna W. Casey 10 Endoscopic Ampullectomy: Who, When, and How . . . . . . . . . . . . . . . . . . . . . . . . 147 Matthew E. Feurer , Eric G. Hilgenfeldt , and Peter V. Draganov 11 ERCP in Children, Pregnant Patients, and the Elderly . . . . . . . . . . . . . . . . . . . . 159 Mohamed O. Othman and Waqar A. Qureshi 12 Post-ERCP Pancreatitis Prevention . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 169 Mariano Gonzalez-Haba and Uzma D. Siddiqui 13 EUS for Pancreaticobiliary Duct Access and Drainage . . . . . . . . . . . . . . . . . . . . . 183 Norio Fukami 14 Endoscopic Drainage of Pancreatic Fluid Collections . . . . . . . . . . . . . . . . . . . . . . 193 Natalie Danielle Cosgrove , Pushpak Taunk , Haroon Shahid , and Ali Ahmed Siddiqui 15 EUS for Pain Control in Chronic Pancreatitis and Pancreatic Cancer . . . . . . . . 205 Alexander Lee and Linda S. Lee 16 Additional Interventions in EUS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 215 Truptesh H. Kothari , Shivangi T. Kothari , and Vivek Kaul Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 229 ix

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