ERCP (eBook)

Peter B. Cotton, MD, FRCP, FRCS, is Professor of Medicine and Director of the Digestive Disease Centre, Medical University of South Carolina, Charleston, SC, USA. Joseph W. Leung, MD, FRCP, FACP, MACG, FASGE, is Professor of Medicine, Department of Gastroenterology and Hepatology, University of California, Davis School of Medicine, Sacramento; and Chief of Gastroenterology, VA Northern California Health Care System, GI Unit, Sacramento VAMC, Mather, CA, USA.

List of Contributors ix

Introduction: Developments in ERCP over 50 Years xiii

Section 1 Preparation 1

1 Training and Assessment of Competence (Preparing the Endoscopist) 3
Joseph W. Leung and Peter B. Cotton

2 Preparing the Facilities and Equipment 17
Joseph W. Leung and Andrew Yen

3 ERCP: The Team 29
Phyllis Malpas

4 Minimizing Duodenoscope Infections 39
Catherine Bauer

5 Patient Education and Consent 45
Peter B. Cotton

6 Risk Assessment and Reduction 49
Erin Forster and Joseph Romagnuolo

7 Sedation, Anesthesia, and Medications 67
John J. Vargo, II

Section 2 Techniques 75

8 Standard Devices and Techniques 77
Joseph W. Leung

9 When Standard Cannulation Approaches Fail 131
Sundeep Lakhtakia and Shyam Varadarajulu

10 Intraductal Therapies 149
Zaheer Nabi and D. Nageshwar Reddy

11 Endoscopic Ampullectomy 165
Michael Bourke

12 The Radiology of ERCP 181
Stuart Ashley Roberts and Derrick Martin

13 ERCP Reporting and Documentation 199
Lars Aabakken

Section 3 Clinical Applications 209

14 ERCP in Acute Cholangitis 211
Wei-Chih Liao and Hsiu-Po Wang

15 ERCP Peri-Cholecystectomy 223
Paul R. Tarnasky

16 Difficult Bile Duct Stones 243
Majid A. Almadi and Alan Barkun

17 Patients with Obscure Biliary Pain; Sphincter of Oddi Dysfunction 257
Peter B. Cotton

18 Benign Biliary Strictures 263
John T. Cunningham

19 The Role of ERCP in Pancreaticobiliary Malignancies 275
John G. Lee

20 ERCP in Acute and Recurrent Acute Pancreatitis 291
Robert A. Moran and Gregory A. Coté

21 Chronic Pancreatitis 305
Benjamin L. Bick, Evan L. Fogel, and Stuart Sherman

22 Role of ERCP in Complicated Pancreatitis 321
Todd H. Baron

23 ERCP in Children 333
Moises Guelrud and Andres Gelrud

Section 4 Quality and Safety 357

24 Adverse Events: Definitions, Avoidance, and Management 359
Peter B. Cotton and B. Joseph Elmunzer

25 Ensuring Really Competent Practice 385
Peter B. Cotton

Index 393