INTRODUCTION Roux-en-Y gastric bypass is increasingly performed in the United States. In addition, liver transplantation and other complex hepatobiliary surgeries are increasingly performed with creation of a Roux-en-Y hepaticojejunostomy. Consequently, endoscopists more frequently need to carry out endoscopic procedures in patients with Roux-en-Y anatomy. MATERIALS AND METHODS The present ar...

Endoscopic retrograde cholangiopancreatography (ERCP) is essential for the diagnosis and treatment of pancreatobiliary diseases but is invasive and may induce various complications, such as pancreatitis, cholangitis, hemorrhage and perforation. For successful and safe ERCP procedures first, initial selective cannulation without complications is essential. However, even in experts, selective bil...

A case of Fasciola gigantica-induced biliary obstruction and cholestasis is reported in Turkey. The patient was a 37- year-old woman, and suffered from icterus, ascites, and pain in her right upper abdominal region. A total of 7 living adult flukes were recovered during endoscopic retrograde cholangiopancreatography (ERCP). A single dose of triclabendazole was administered to treat possible rem...

Endoscopic ultrasound (EUS) was developed as a diagnostic modality but rapidly gained a role for a variety of therapeutic applications. Endoscopic ultrasonography (EUS)‐guided cholangio pancreatic drainage has been reported as an alternative to surgery or percutaneous transhepatic cholangiography if endoscopic retrograde cholangiopancreatography (ERCP) is unsuccessful. Its concept includes EUS‐...

We thank Dr. Dib for his interest in our prospective study, in which we assessed the accuracy of the American Society for Gastrointestinal Endoscopy guidelines for the prediction of choledocholithiasis (CL). The guidelines suggest the option of using a less-invasive initial test including endoscopic ultrasonography (EUS) or magnetic resonance cholangiopancreatography (MRCP) in patients with int...

context different approaches are routinely applied in the treatment of concomitant cholecystocholedocholithiasis. most patients are treated by preoperative endoscopic sphincterotomy followed by laparoscopic cholecystectomy in a two-stage approach. however one-stage approach carrying out intraoperative endoscopic sphincterotomy (ioes) is emerging as a minimally invasive alternative option. our r...

background: juxta-ampullary diverticulum is an acquisitive disorder generally observed in patients over the age of forty years. the purpose of this study is to evaluate the relationship between this abnormality and the incidence of post-ercp complications. â  materials and methods: this was a case-control cross-sectional study that compared post- ercp complications between patients with juxta-a...

A 42-year-old woman underwent endoscopic retrograde cholangiopancreatography (ERCP) for cholangitis due to choledocholithiasis and biliary sphincterotomy with double pigtail biliary stent placement was performed. Four-six hours after the procedure, she developed subcutaneous swelling over the neck with crepitus over it. In the next

Double gallbladder is a rare congenital biliary anomaly, but an accessory gallbladder arising from the left hepatic duct is a more remarkably rare congenital anomaly. We report a case of double gallbladder with adenocarcinoma and gallstones, which was preoperatively diagnosed by endoscopic retrograde cholangiopancreatography (ERCP) and then confirmed by open laparotomy. A review of the literatu...

  Abstract   Acase of 48-year-old male, hepatitis B cirrhosis , hepatic hydatid cyst, jaundice,   fever, chills suffered from severe abdominal pain in the right upper quadrant. He was   suffered from acute cholangitis and spontaneous bacterial peritonitis, and received   intravenous antibiotics but his condition rapidly deteriorated to sepsis and severe hepatic   failure. The presence of dilate...