Endoscopic retrograde cholangiopancreatography (ERCP) was introduced over 4 decades ago. This challenging procedure has evolved significantly with experienced endoscopists performing this procedure safely and effectively with almost 100% biliary cannulation success rates. Since first used for biliary drainage in patients with choledocholithiasis, ERCP continues to play a critical role in the ma...

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...

Splenic injury is a rare but potentially life-threatening complication of endoscopy, with very few cases of endoscopic retrograde cholangiopancreatography (ERCP)-induced injury reported in the literature. Here we report a patient with chronic alcoholic pancreatitis who was diagnosed with a sub-capsular splenic laceration nearly 6 days after an ERCP. Clinicians should be alerted to the potential...

This study aimed to determine the values of half-effective dose (ED50) and 95% effective (ED95) remimazolam besylate used in procedural sedation endoscopic retrograde cholangiopancreatography (ERCP). Sixty patients who fulfilled inclusion exclusion criteria this were selected. Sufentanil was administered intravenously 2 min later. ERCP treatment feasible when modified alertness/sedation (MOAA/S...

Annular pancreas (AP) is a rare congenital abnormality in which the ventral portion of fails to rotate with duodenum during embryological development, thus causing remain partially or fully enveloped around duodenum. The actual incidence AP unknown, as many cases are asymptomatic and undiagnosed. Adults may present variety symptoms suggestive gastric outlet obstruction, gastrointestinal bleedin...

We present a unique case of crowned dens syndrome (CDS) that developed after endoscopic retrograde cholangiopancreatography (ERCP) in a patient who presented with fever and neck pain. Administration of non-steroidal anti-inflammatory drugs was extremely effective for relieving fever and neck pain, and in the improvement of inflammatory markers. To the best of our knowledge, this is the first ca...

Endoscopic retrograde cholangiopancreatography (ERCP) is an invasive procedure which carries a complication rate of 5-10%. Splenic injury is a very rare and potentially lethal complication following ERCP. We report a case of a 64-year-old man with a mass at the pancreatic head and obstructive jaundice, who sustained a splenic injury following ERCP. Six hours after the procedure, the patient pre...

Endoscopic retrograde cholangiopancreatography (ERCP) is a diagnostic method and treatment approach for biliary diseases. However, biliary cannulation can be difficult in some cases. We performed ERCP in a 97-year-old woman with abdominal pain resulting from acute cholangitis caused by choledocholithiasis and observed difficult biliary cannulation. Eventually, the patient was successfully treat...

AIM To determine the sensitivity and specificity of endoscopic ultrasonography (EUS) in patients with inconclusive magnetic resonance imaging/magnetic resonance cholangiopancreatography (MRI/MRCP) in pancreatobiliary abnormalities. METHODS During 10 months, patients with pancreatobiliary diseases referred to endoscopic retrograde cholangiopancreatography (ERCP) because of inconclusive MRI/MRC...

one of the routine methods for diagnosis and treatment of cholelithiasis is endoscopic retrograde cholangiopancreatography. it is an effective method but is associated with some complications (9.8%) which the most common is pancreatitis (5.4%). one of the rare complications is basket impaction in the common bile duct which is treated with different methods. a 58 years male history of laparoscop...