Lee Linda S. (ed.) ERCP and EUS: A Case-Based Approach

Springer, 2015. — 587 p. — ISBN: 978-1-4939-2319-9This text provides a comprehensive review of ERCP and EUS and the clinical conditions for which they are employed. Presented in a case-based format with accompanying videos, it will serve as a valuable practical clinical resource for gastroenterologists with an interest in ERCP and EUS. The text highlights major techniques involved in ERCP, reviews complications and recent data on preventing post-ERCP pancreatitis, and discusses important issues in training in ERCP including use of endoscopic simulators and assessment of competency as emphasized in the new ACGME guidelines. For biliary diseases, new techniques for managing biliary stones, novel technologies for diagnosing indeterminate biliary strictures, and new devices for treating benign and malignant strictures are also highlighted. For pancreatic diseases, advances in minimally invasive endoscopic techniques for pancreatic stones and strictures, and management of the complications of pancreatitis are reviewed. Furthermore, ERCP is not limited by age, pregnancy or history of abdominal surgeries and special considerations particular to these patient populations are also discussed.The EUS chapters review the breadth of equipment available for performing EUS and EUS-FNA, detail the technique of performing EUS-FNA, and explore pertinent issues with training and assessing competency analogous to ERCP training. Valuable insights on the basics of cytopathology relevant to the endosonographer are summarized. The classic indication for EUS of staging luminal cancers is examined in detail while pancreaticobiliary indications are discussed highlighting newer adjunctive technologies including elastography and contrast-enhanced EUS. Although in its infancy, the brave new world of therapeutic EUS is explored with a focus on endoscopic necrosectomy, EUS-guided biliary and pancreatic access as well as the exciting possibilities of EUS-guided radiofrequency ablation and injection of anti-tumor agents.ERCP and EUS: A Case Based Approach will serve as a very useful resource for physicians who perform or refer patients for ERCP and EUS. It provides a concise yet comprehensive summary of the current status of ERCP and EUS that will help guide patient management and stimulate clinical research. ​Overview of ERCP
Training in Endoscopic Retrograde Cholangiopancreatography
Indications for ERCP
Overview of ERCP Complications: Prevention and Management
ERCP from Soup to Nuts: Evaluation, Preparation, Execution, and Follow-Up
Biliary Cases
Biliary Stones
Biliary Infections
Diagnosing Biliary Strictures and Indeterminate Biliary Strictures
Management of Biliary Strictures and Bile Duct Injury
Other Benign Biliary Strictures: Sclerosing Cholangitis, Autoimmune Cholangitis, Post-Liver Transplant
Choledochal Cysts: Evaluation and Management
Pancreatic Cases
Acute Biliary Pancreatitis: Image, Intervene, or Observe?
Endoscopic Management of Complications in Acute Pancreatitis
ERCP in Chronic Pancreatitis
Idiopathic Acute Pancreatitis and Sphincter of Oddi Dysfunction: Diagnostic and Therapeutic Role of ERCP and Sphincter of Oddi Manometry
ERCP in Other Pancreatic Disorders
Special Considerations
Bleeding from the Papilla
ERCP in Post-Surgical Patients
Ampullectomy
ERCP in Pregnancy
Pediatric Endoscopic Retrograde Cholangiopancreatography
EUS – Overview
Training in Endoscopic Ultrasound
Equipment and Approach
Techniques of Endoscopic Ultrasound-Guided Fine Needle Aspiration
Essential Cytopathology Concepts for the Endosonographer
Diagnostic EUS in Luminal Disorders
Esophageal Cancer
Gastric Cancer and Thickened Gastric Wall
Rectal Cancer and Anal Sphincter Disorders
Subepithelial Lesions
Diagnostic EUS in Extraluminal Disorders
Endosonography of the Mediastinum
EUS in Pancreatic Tumors
EUS in Pancreatic Cysts
EUS in Acute Pancreatitis, Chronic Pancreatitis, and Autoimmune Pancreatitis
EUS in Therapeutics
Endoscopic Ultrasound-Guided Fine-Needle Injection
EUS-Guided Bilio-Pancreatic Drainage