Endoscopic Retrograde Cholangiopancreatography Stenting for Hilar Cholangiocarcinoma
نویسندگان
چکیده
Despite advances in gastrointestinal endoscopic technology, the management of malignant hilar biliary obstruction continues to be a challenge for advanced endoscopists. There has been ongoing debate regarding optimal modality both diagnostic and therapeutic interventions obstruction. Various approaches including endoscopy, interventional radiology guided surgery are available. The should include multidisciplinary approach, planned based on whether patient is candidate curative surgical resection or not. Understanding Bismuth-Corlette classification as well liver segmental anatomy crucial planning drainage. Safe effective drainage requires detailed understanding ductal anatomy, careful adaptation any strategy individual patient's condition, prognosis, collaboration with surgery, oncology, radiology. In this article we review anatomical concepts technical considerations that essential understand while performing retrograde cholangiopancreatography patients
منابع مشابه
Endoscopic Retrograde Cholangiopancreatography: Summary
Diseases of the pancreas and biliary tree are common in the United States. An estimated 6 per 100,000 people are afflicted with common bile duct stones, representing only a small fraction of those with gallstones. There are approximately 57,400 newly diagnosed cases of malignancy of the pancreas, gallbladder, or extrahepatic biliary tract each year, and the prognosis is usually poor. Pancreatit...
متن کاملDifficult 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 ...
متن کاملEndoscopic Retrograde Cholangiopancreatography Pancreatitis
Endoscopic retrograde cholangiopancreatography (ERCP) is an essential modality for the diagnosis and therapy of pancreatobiliary disease. However, complications of ERCP-related procedures are also common. Post-ERCP pancreatitis (PEP), the most common and potentially serious complication of ERCP-related procedures, occurs in 1 9% of all procedures (1-16). Moreover, the PEP rate increases to 10 4...
متن کاملEndoscopic retrograde cholangiopancreatography in children.
Gastroduodenoscopy and retrograde cholangiopancreatography has been performed on 25 occasions in 20 children aged between 7 and 16. Radiographs of the clinically relevant duct or ducts were achieved in 96% of attempts, with no complications. The diagnostic information proved useful clinically; in particular it provided a precise map if biliary or pancreatic surgery was being contemplated. Sever...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
ژورنال
عنوان ژورنال: Techniques and innovations in gastrointestinal endoscopy
سال: 2022
ISSN: ['2666-5107', '2590-0307']
DOI: https://doi.org/10.1016/j.tige.2021.11.006