Difficult endoscopic retrograde cholangiopancreatography in cancer patients

Difficult endoscopic retrograde cholangiopancreatography.

JB Most endoscopists who are asked this question would immediately think of anatomic problems that limit or prevent access to the main duodenal papilla for cannulation, such as prior upper gastrointestinal surgery (eg, Billroth II gastrectomy, Roux-en-Y biliary diversion, or gastric bypass procedures) or gastric outlet obstruction (Figure 1). However, the difficulty of an endoscopic retrograde ...

Endoscopic retrograde cholangiopancreatography in elderly patients

Background: the presentation of common bile duct disease, value of investigations and treatment outcome in elderly patients undergoing endoscopic retrograde cholangiopancreatography (ERCP) were assessed. Methodology: the clinical presentation, liver function tests, full blood counts, abdominal ultrasound and ERCP results were assessed retrospectively in 101 patients (59 women, 42 men; mean age ...

Endoscopic retrograde cholangiopancreatography in elderly patients.

BACKGROUND the presentation of common bile duct disease, value of investigations and treatment outcome in elderly patients undergoing endoscopic retrograde cholangiopancreatography (ERCP) were assessed. METHODOLOGY the clinical presentation, liver function tests, full blood counts, abdominal ultrasound and ERCP results were assessed retrospectively in 101 patients (59 women, 42 men; mean age ...

Endoscopic Retrograde Cholangiopancreatography in Post Gastrectomy Patients

Endoscopic retrograde cholangiopancreatography (ERCP) in post-gastrectomy patients with Billroth II (BII) reconstruction and Roux-en-Y (RY) reconstruction presents a challenge to therapeutic endoscopists. Major difficulties, including intubation to the ampulla of Vater, selective cannulation, and ampullary intervention, must be overcome in these patients. Recent data have shown that device-assi...

Endoscopic retrograde cholangiopancreatography (E.R.C.P.).