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Endoscopic Retrograde Cholangiopancreatography on Pediatric Patients: Experienc...

Abstract Introduction: Experience with endoscopic retrograde cholangiopancreatography (ERCP) in the pediatric population is limited. Few medical centers have experts specifically trained in pediatric therapeutic endoscopy. As a result, patients are generally referred to adult endoscopists with high experience in the procedure. The aim of this study was to characterize the experience of an adult endoscopy unit w...

Standard Cannulation versus Fistulotomy for Biliary Access in Endoscopic Retrog...

Abstract Introduction: To access the common bile duct in endoscopic retrograde cholangiopancreatography (ERCP), needle-knife fistulotomy (NKF) can be associated with a shorter sphincterotomy compared to standard cannulation. We aimed to compare the success and safety of NKF versus standard cannulation in the treatment of choledocholithiasis. Methods: A cohort of 379 naïve patients with choledocholithiasis who un...

Side-Viewing Duodenoscope versus Forward-Viewing Gastroscope for Endoscopic Ret...

Abstract Introduction: Endoscopic retrograde cholangiopancreatog-raphy (ERCP) in patients with Billroth II gastrectomy is still a challenging procedure. The optimal approach, namely the type of endoscope and sphincter management, has yet to be defined. Aim : To compare the efficacy and safety of forward-viewing gastroscope and the side-viewing duodenoscope in ERCP of patients with Billroth II gastrectomy. Metho...

Lumen-Apposing Metal Stents (Lams) in the Management of Refractory Gi Stenosis:...

Recurrent Acute Pancreatitis with a Bulging Papilla: An Unexpected Diagnosis

Endoscopic Treatment of Post-Cholecystectomy Biliary Leaks

Abstract: Postcholecystectomy leaks may occur in 0.3-2.7% of patients. Bile leaks associated with laparoscopy are often more complex and difficult to treat than those occurring after open cholecystectomy. Furthermore, their incidence has remained unchanged despite improvements in laparoscopic training and technological developments. The management of biliary leaks has evolved from surgery into a minimally invas...

Endoscopic Palliation of Hilar Cholangiocarcinoma: Usefulness of Selective Occl...

Outcomes of Different Methods for Analysis of Biliary Brush Cytology and of Fac...

Background and Aims: Brush cytology during endoscopic retrograde cholangiopancreatography (ERCP) is the most frequently used strategy for obtaining a tissue sample from an indeterminate biliary stricture. A recent study reported that age is a factor associated with positive yields, but further analysis of how age influences the results was lacking. We aimed to evaluate clinical effectiveness of biliary cytology...

ERCP in Portugal: A Wide Survey on the Prevention of Post-ERCP Pancreatitis and...

Background/Aims: Recently the European Society of Gastrointestinal Endoscopy delivered guidelines on the prevention of post-endoscopic retrograde cholangiopancreatography pancreatitis (PEP) and on the papillary cannulation and sphincterotomy techniques at endoscopic retrograde cholangiopancreatography (ERCP). There are no data concerning current practices in Portugal. The aim of this study was to capture practi...

Outcomes of Single-Operator Cholangioscopy-Guided Lithotripsy in Patients with ...

Background and Aims: Endoscopic retrograde cholangiopancreatography is the preferred strategy for the management of biliary and pancreatic duct stones. However, difficult stones occur, and electrohydraulic (EHL) and laser lithotripsy (LL) have emerged as treatment modalities for ductal clearance. Recently, single-operator cholangioscopy was introduced, permitting the routine use of these techniques. We aimed to...