ERCP: The Fundamentals

Provides the comprehensive knowledge required to perform ERCP safely and effectively Authored by the very best in the field, this “how-to” guide to mastering the crucial yet complex gastrointestinal procedure called endoscopic retrograde cholangiopancreatography (ERCP) covers the entire range of both standard and advanced techniques, using a highly practical approach. It also places a strong emphasis on patient education, safety, and minimizing risks, offering “tips and tricks” and key points throughout to aid rapid understanding. The book is filled with over 250 illustrations Covering ERCP preparation, techniques, clinical applications, and quality and safety, ERCP: The Fundamentals, 3rd Edition begins with chapters on “getting prepared,” including training and competence; facilities and equipment; risk assessment and reduction; sedation, anesthesia, and medications. It then covers “what can be done,” describing standard devices and techniques; intraductal therapies; ampullectomy; and reporting and documentation. Next it has chapters on “what should be done,” clinical applications of ERCP in acute cholangitis; peri-cholecystectomy; difficult bile duct stones; biliary pain; and numerous forms of pancreatitis. The book finishes with coverage of adverse events and how to ensure competent practice. Teaches all of the standard and advanced ERCP techniques Focuses on patient safety/comfort throughout Brilliantly-illustrated with endoscopic, EUS and radiologic images, and anatomical drawings Offers a step-by-step, practical approach to ERCP—highlighting potential technical and anatomical hazards Packed with tips and tricks boxes and key points boxes to assist comprehension 20 high-definition videos of ERCP performed by the experts, perfect to improve clinical technique Full reference to the very latest ASGE, ACG, ASG and UEGW guidelines throughout Brought to you by world pioneers in endoscopy, ERCP: The Fundamentals, 3rd Edition is an essential purchase for gastroenterologists and endoscopists of all levels.

Table of Contents:
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