Endoscopic retrograde cholangiopancreatography (ERCP) is technically more challenging in patients with postsurgical anatomy such as Roux-en-Y anastomosis, frequently mandating an operative intervention. Although limited, there is growing evidence that ERCP can be performed using the balloon-overtube-assisted enteroscopy (BOAE) in patients with complex postoperative anatomy. We present the techn...

Introduction: Endoscopic retrograde cholangiopancreatography (ERCP) is one of the most commonly performed minimally invasive procedures for diagnosis and treatment biliary pancreatic diseases. Hepatic hematoma secondary to ERCP a rare potentially serious complication with few cases described in literature. Objective: The objective present case giant hepatic subcapsular (HSH) ERCP, surgically re...

Abstract Obstructive jaundice caused by malignant distal biliary obstruction is a common clinical symptom in patients with inoperable biliary–pancreatic cancer. Endoscopic retrograde cholangiopancreatography (ERCP)-guided stent implantation an effective treatment for obstructive jaundice. Internal drainage more physiologic and associated better quality of life than external methods such as perc...

Background/Objective: The aim of this study was to perform a comparative evaluation of the yields of conventional brush cytology and brush cytology with negative pressure in the diagnosis of malignant biliary strictures. Methods: A total of 132 consecutive patients undergoing endoscopic were identified. Of these, 88.0 had brush cytology after ERCP and 44 were Brush cytology with negative pressu...

Endoscopic retrograde cholangiopancreatography (ERCP) is a unique specialty tool used for the diagnosis and treatment of biliary and pancreatic disease. The procedure is much more available now and can be used in place of surgery or in conjunction with surgery. This article reviews the indications, applications, and personal experiences with the procedure in a rural referral hospital. Discussio...

PGA Endoscopic ultrasound (EUS) has evolved over time into a diagnostic and therapeutic modality that has a major clinical impact on both digestive and mediastinal diseases. Nevertheless, the main indication of EUS has remained the diagnosis and staging of pancreatobiliary diseases, for which EUS is currently considered to be the first-choice examination. Due to its high accuracy, EUS has almos...

Autoimmune pancreatitis (AIP) has historically been considered a rare disorder, but is increasingly recognized due to an improved understanding of its diverse nature and proper means of diagnosis. The current international consensus diagnostic criteria (ICDC) for the diagnosis of AIP incorporate 5 cardinal features: imaging characteristics of the pancreas (parenchyma and duct), serology, other ...

OBJECTIVE This study was conducted to investigate the efficacy of pancreatic drainage for pain relief in advanced pancreatic cancer. METHOD Seventy-one patients with pancreatic carcinoma were divided into two groups: dilated and non-dilated pancreatic ducts. All patients underwent endoscopic retrograde cholangiopancreatography (ERCP), endoscopic biliary stenting and pancreatic stenting. Visua...

Acute pancreatitis is the most common and feared complication of endoscopic retrograde cholangiopancreatography (ERCP). It is associated with substantial morbidity and occasional mortality. The mechanisms that lead to post-ERCP pancreatitis are complex and not fully understood. Rather than having a single pathogenesis, post-ERCP pancreatitis is believed to be multi-factorial, involving a combin...

Agenesis of the right lobe of the liver is a rare congenital anomaly and only 29 cases have been reported in the literature. We encountered a patient with this anomaly diagnosed by ultrasonography, Computed tomography (CT), hepatobiliary scintigraphy, endoscopic retrograde cholangiopancreatography (ERCP) and celiac angiography. The radiological findings, differential diagnosis, and clinical sig...