By Douglas G. Adler
This quantity presents a entire consultant to complex endoscopic systems and methods. essentially all for Endoscopic Retrograde Cholangiopancreatography (ERCP) and Endoscopic Ultrasound (EUS), the publication additionally explores comparable issues reminiscent of cholangioscopy, pancreatoscopy, complex pancreaticobiliary imaging, stenting, and endoscopic ability to accomplish discomfort regulate. The textual content additionally offers a plethora of suggestions and tips on how you can practice those approaches effectively, emphasizes universal errors and the way to prevent them, and lines top of the range video clips illustrating key procedural points for each chapter.
Written through most sensible specialists within the box, Advanced Pancreaticobiliary Endoscopy is a useful source for gastrointestinal endoscopists and fellows drawn to complicated endoscopic strategies.
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Additional info for Advanced Pancreaticobiliary Endoscopy
The device has separate channels for the Spyglass optical probe and therapeutic intervention accessories and dual irrigation . Unlike mother-daughter POCS, it only requires one operator and does not require a separate image processer, light source, and water-air pump . In addition, the Spy Scope’s ability for four-way tip deﬂection allows for signiﬁcantly improved maneuverability in the bile duct when compared to the previous generation POCS [6, 10, 24]. The second generation Spyglass system, released in March of 2015, provides a much higher resolution, digital image with an integrated cholangioscope that requires no assembly or pre-focusing whatsoever.
27. 28. 29. 30. 31. 32. 33. R. G. Adler Group. Double-guidewire technique for difﬁcult bile duct cannulation: a multicenter randomized, controlled trial. Gastrointest Endosc. 2009;70(4):700–9. Ito K, Fujita N, Noda Y, Kobayashi G, Obana T, Horaguchi J, Takasawa O, Koshita S, Kanno Y, Ogawa T. Can pancreatic duct stenting prevent post-ERCP pancreatitis in patients who undergo pancreatic duct guidewire placement for achieving selective biliary cannulation? A prospective randomized controlled trial.
In practice, these devices will often break both the basket (allowing removal) and crush the stone simultaneously (Fig. 5a) [5, 14]. When using an emergency device, the handle of the basket and outer plastic sheath is physically detached from the rest of the device, usually with a wire cutter. This allows the duodenoscope to be withdrawn from the patient. At this point, the basket/stone complex will still be in the CBD and the wires from the basket device, now stripped of their sheath and handle, will be coming out of the patient’s mouth.