ERCP 4th Edition Recent years have brought major shifts in the way endoscopic retrograde cholangiopancreatography is used in everyday practice, including the incorporation of endoscopic ultrasound (EUS) techniques with ERCP. The 4th Edition of this practical reference helps you make the most of today’s ERCP in your practice, with authoritative, highly illustrated guidance on every aspect of this complex tool, including coverage of the latest techniques both in print and on video.

• Provides detailed, full-color illustrations and in-depth instructions for performing all procedures.
• Depicts each procedure in dozens of step-by-step videos that clearly show ERCP techniques and imaging interpretation, including many new or recently improved procedures.
• Covers recent advancements in balloon assisted endoscopy, and provides guidance on performing ERCP on patients with surgically altered anatomy.
• Includes new chapters on endoscopic disinfection to address antibiotic resistant bacterial infections traced back to duodenoscopes; the environmental implications of ERCP; and magnetic biliary anastomosis.
• Contains clear therapeutic guidelines that help you determine when and when not to perform ERCP.

Video Contents

۱. ۹.۱: Postsphincterotomy oozing.
۲. ۹.۲: Postampullectomy bleeding management by hemoclip placement.
۳. ۹.۳: Zipper clip closure of postampullectomy perforation after placement of pancreatic and biliary stents.
۴. ۹.۴: Retroperitoneal perforation.
۵. ۹.۵: Retroperitoneal sphincterotomy perforation.
۶. ۹.۶: Guidewire perforation of the bile duct.
۷. ۱۵.۱: Wire access into the biliary tree minimizes local tissue trauma and facilitates cannulation.
۸. ۱۵.۲: Guidewire used to selectively cannulate the bile duct.
۹. ۱۵.۳: Pancreatic stent placement in a difficult cannulation.
۱۰. ۱۵.۴: Note needle-knife pancreatic septotomy to gain access to the biliary tree in this individual in whom en face scope position proved difficult.
۱۱. ۱۶.۱: The papilla is located in a periampullary diverticulum (PAD)
۱۲. ۱۶.۲: Failure of selective biliary cannulation
۱۳. ۱۶.۳: Failure of selective biliary cannulation
۱۴. ۱۶.۴: Papilla located inside a periampullary diverticulum (PAD)
۱۵. ۱۶.۵: Exposure of the major papilla at the outer margin of a duodenal diverticulum with the tip of a sphincterotome
۱۶. ۱۷.۱: Limited endoscopic sphincterotomy (EST) plus endoscopic papillary large balloon dilation (EPLBD).
۱۷. ۱۷.۲: Endoscopic papillary large balloon dilation (EPLBD) alone for large common bile duct (CBD) stone removal.
۱۸. ۱۷.۳: Endoscopic sphincterotomy (EST) plus endoscopic papillary large balloon dilation (EPLBD) in a patient with periampullary diverticulum.
۱۹. ۱۷.۴: Bleeding after minor endoscopic sphincterotomy (EST) and endoscopic papillary large balloon dilation (EPLBD) in a patient with Billroth II gastrectomy.
۲۰. ۱۸.۱: Papillotomy and basket stone extraction.
۲۱. ۱۸.۲: Papillotomy and papillotome-assisted stone extraction followed by basket stone extraction.
۲۲. ۱۸.۳: Papillotomy, balloon sphincteroplasty, and stone extraction with balloon.
۲۳. ۱۸.۴: Impacted ampullary stone.
۲۴. ۱۹.۱: Pancreatic sphincterotomy using pull-type technique followed by pancreatic stent placement.
۲۵. ۲۰.۱: Minor papilla cannulation and sphincterotomy in a patient with pancreas divisum and acute recurrent pancreatitis.
۲۶. ۲۲.۱: Placement of uncovered biliary self-expanding metal stent.
۲۷. ۲۲.۲: Palliation of occluded previously placed uncovered biliary self-expanding metal stent.
۲۸. ۲۳.۱: Retrieval of a proximally migrated fully covered metal biliary stent (FCSEMS)
۲۹. ۲۳.۲: Endoscopic removal of proximally migrated plastic biliary stent placed 7 years prior for stone-related disease.
۳۰. ۲۳.۳: Dormia basket used to remove an internally migrated pancreatic duct stent.
۳۱. ۲۳.۴: Pancreatic duct stent cannulated with sphincterotome as attempt to maintain position of the wire, which was advanced through the stent lumen, then upstream to the tail.
۳۲. ۲۳.۵: Pancreatoscopy-guided retrieval of 5-Fr 3 3-cm stent in tail placed 6 years prior and causing relapsing pancreatitis.
۳۳. ۲۵.۱: Intraductal papillary mucinous neoplasm biopsy under direct vision.
۳۴. ۲۵.۲: Intraductal papillary mucinous neoplasm with narrow-band imaging.
۳۵. ۲۵.۳: SpyGlass-guided electrohydraulic lithotripsy (EHL) and laser lithotripsy (LL) of obstructing main pancreatic duct (MPD) calculi.
۳۶. ۲۶.۱: Videocholangioscopy.
۳۷. ۲۶.۲: Image-enhanced videocholangioscopy using narrow-band imaging.
۳۸. ۲۶.۳: ۱.۹- to 3-Fr electrohydraulic lithotripsy or laser lithotripsy using holmium:YAG and FREDDY.
۳۹. ۳۰.۱: Magnetic compression anastomosis in a patient with benign biliary stricture after living donor liver transplantation.
۴۰. ۳۰.۲: Magnetic compression anastomosis in a patient with benign biliary stricture after cholecystectomy.
۴۱. ۳۶.۱: Pancreatoscopy showing villous mass
۴۲. ۳۸.۱: ERCP showing distal malignant biliary stricture with placement of self-expandable metal stent (SEMS).
۴۳. ۳۸.۲: Single-operator cholangioscopy (SOC) targeted biopsies of malignant
۴۴. ۴۱.۱: Endoscopic ultrasound–guided gastrojejunostomy (EUS-GJ).
۴۵. ۴۱.۲: Endoscopic ultrasound–guided choledochoduodenostomy (EUS-CDS).
۴۶. ۴۱.۳: Endoscopic ultrasound–guided hepaticogastrostomy (EUS-HGS).
۴۷. ۴۳.۱: Multistenting treatment of a post–orthotopic liver transplantation anastomotic biliary stricture.
۴۸. ۴۵.۱: Second-generation peroral cholangioscopy and holmium
۴۹. ۴۹.۱: The hallmark of recurrent pyogenic cholangitis
۵۰. ۴۹.۲: Direct peroral cholangioscopy using an ultraslim upper endoscope introduced directly into the biliary tree.
۵۱. ۴۹.۳: Direct peroral cholangioscopic biopsy using an ultraslim upper endoscope.
۵۲. ۴۹.۴: Laser lithotripsy of common hepatic duct stones by peroral digital single-operator cholangioscopy.
۵۳. ۴۹.۵: Electrohydraulic lithotripsy using an ultraslim upper endoscope.
۵۴. ۴۹.۶: Percutaneous transhepatic cholangioscopic examination and biopsy of a malignant biliary
۵۵. ۴۹.۷: Ductal changes after stone removal.
۵۶. ۴۹.۸: Alterations in ductal mucosa after stone removal. (Courtesy Prof. Dong Wan Seo, South Korea.)
۵۷. ۵۳.۱: Transduodenal Pancreatic Duct Decompression.
۵۸. ۵۳.۲: Transpapillary Pseudocyst Drainage and Disconnected Pancreatic Duct Decompression in Pancreatic Pleural Effusion.
۵۹. ۵۳.۳: Internal Fistula/Duodenal Abscess Treated With Pancreatic Duct Stone Retrieval/Stent Placement.
۶۰. ۵۵.۱: Endoscopic gastric drainage of pancreatic pseudocyst.
۶۱. ۵۵.۲: Endoscopic transduodenal drainage of pancreatic necrosis.
۶۲. ۵۵.۳: Endoscopic transduodenal debridement of pancreatic necrosis.
۶۳. ۵۵.۴: Endoscopic transduodenal debridement of pancreatic necrosis.
۶۴. ۵۵.۵: Use of partially covered and fully covered self-expandable stents to establish percutaneous access for endoscopic necrosectomy.
۶۵. ۵۵.۶: Transgastric drainage of pancreatic necrosis.