ERCP & EUS

Deadline: 
Sun, 10/05/2020 - 13:07
1
ERCP - Basic Principles
2
Multidisciplinary approach to the bile tract
3
EUS
4
Clinical Cases

Presentation

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25 lessons
13 speakers
06:49 hours
13 followers
Objectives students manipulating an endoscope

Objectives

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ERCP - Basic Principles

Bile duct injury: prevention and management during surgery

Laparoscopic cholecystectomy has been performed on a large scale since the early nineties. 

15 min
Bernard Dallemagne

Biliary and pancreatic anatomy: understanding endoscopic and radiologic images

Understanding bilio-pancreatic anatomy is fundamental in ERCP. ERCP is the most difficult procedure in gastrointestinal endoscopy, and most of it is related to anatomy. Anatomy in ERCP is expressed on X-rays on cholangiopancreatography. 

Lecture during Nov 19 session.

15 min
Ivo Boskoski

ERCP: Indications

Successful endoscopic therapy in the bilio-pancreatic region is dependent on a correct understanding of the indications and possibilities of endoscopic therapy.

15 min
T. Voiosu

Getting started / Techniques and devices

ERCP is an endoscopic procedure that requires a good understanding of the anatomy of the bilio-pancreatic region and the use of dedicated accessories and instruments.

15 min
T. Voiosu

Biliary stenting indications and type of stent

Placement of plastic and metal stents in the bile duct and the pancreatic duct is one of the most common therapeutical maneuvers during ERCP. According to the indication of the procedure and the etiology of the disease (bening vs. malignant), stenting can be temporary or definitive.

15 min
T. Voiosu

Bonus - Complications in ERCP and how to prevent

Lecture during Nov 19 session.

15 min
Ivo Boskoski

Bonus - Appropriate use of fluoroscopy 

Lecture during Nov 19 session.

15 min
Alain Garcia

Bonus - Bile duct injury prevention: a surgical-technical journey towards safer laparoscopic cholecystectomy

Lecture during Nov 19 session.

15 min
Pietro Mascagni

Multidisciplinary approach to the bile tract

Bile duct injuries The anatomy

Iatrogenic bile duct injuries after surgery remain a substantial problem in gastrointestinal surgery. A variety of injuries can occur.

15 min
Guido Costamagna

Percutaneous biliary drainage techniques

Obstructive jaundice and bile leaks are indications for percutaneous biliary interventions. Uncomplicated obstructive jaundice is not an emergency, while septic cholangitis needs urgent intervention.

16 min
H. D'Agostino

Drainage of biliary tract technique and results

Since the first report of the opacification of the biliary system by percutaneous direct puncture of the gallbladder in 1921, biliary interventions have evolved a great deal becoming readily available in most hospital settings.

20 min
E. Houghton

Management of bile duct injuries - Endoscopic approach

Multiple classification schemes exist for bile duct injuries (BDI). While the classification by Bismuth and Lazorthes is customary for open surgery, it has been extended by various authors for laparoscopic surgery (such as the Strasberg and Stewart-Way classifications).

18 min
Gianfranco Donatelli

Management of bile duct injuries - New approaches

Management of bile duct injuries requires hepatobiliary expertise and transdisciplinary collaboration. Minimally invasive approaches such as endoscopic and percutaneous treatment options have traditionally served as a bridge to surgical repair.

25 min
Mariano Giménez

Percutaneous cholecystostomy

There is an increasing number of percutaneous cholecystostomies carried out in the last years in patients unfit for surgery. The access can be subcostal or intercostal, transhepatic or transperitoneal. Generally, a direct approach using ultrasound is preferred to CT- or fluoroscopy guidance.

17 min
Benoit Gallix

Complex biliary stones percutaneous approach

The incidence of open and laparoscopic common bile duct exploration for choledocholithiasis has remarkably declined during the last 2 decades. Endoscopic and percutaneous treatment options provide a minimally invasive solution to even complex biliary lithiasis cases.

14 min
Mariano Giménez

Endoscopic approach for refractory complications after various biliary operations

Biliary leaks and strictures are the most frequent complications after HPB surgery. When suspecting a bile leak after liver resection ERCP allows to both confirm and localize the leak and to treat it by sphincterotomy and stent placement.

25 min
DK LEE

Use of magnets in total biliary stricture technical tips

Although nonsurgical methods produce high clinical success rates in the treatment of benign biliary stricture, conventional methods are not always successful in cases of severe biliary stricture or complete obstruction. 

13 min
DK LEE

Management of malignant biliary obstructions

Malignant biliary obstruction most commonly arises from cholangiocarcinoma and pancreatic cancer or as a metastasis from other cancer types. Most of the patients, at the time of diagnosis, are at an advanced stage of the disease that precludes surgical resection.

13 min
E. Houghton

EUS

Clinical Cases