Over the past 40 years, ERCP has become an effective therapeutic modality with diagnostic purposes that are continually improved.. The 3rd Edition of this practical reference helps you make the most of today's endoscopic retrograde cholangiopancreatography in your practice. You'll find authoritative, highly illustrated guidance on every aspect of ERCP, including coverage of the latest techniques both in print and on video.

New to this Edition
•Includes new chapters that cover duodenoscope reprocessing; endomicrocopy; EUS-guided endotherapy related to pancreatobiliary disorders; and CT and MRCP related to pancreatobiliary disorders.


•Contains updated information on radiofrequency ablation for cancer, percutaneous vs. endoscopic drainage, scope cleaning practices, and pancreatic necrosis.



•Expert Consult™ eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, and references from the book on a variety of devices.


Key Features
•Clearly depicts each step of ERCP procedures in dozens of step-by-step videos, including Needle Knife Sphincterotomy, Biliary Sphincterotomy, Cannulation, and Fistulotomy.


•Provides clear guidelines on when and when not to perform ERCP.

•Features superb, full-color images, and a wealth of illustrative diagrams.

Section I GENERAL TOPICS

1. Four Decades: The History and Future of ERCP

2. The ERCP Room

3. Radiologic Issues and Radiation Safety During ERCP

4. Endoscopes, Guidewires and Accessories

5. Duodenoscope Reprocessing

6. Sedation in ERCP

7. Indications for and Contraindications to ERCP including when and when not to perform ERCP

8. Adverse Events of ERCP: Prediction, Prevention and Management

9. ERCP Training

10. Preparation for ERCP

11. Principles of Electrosurgery

12. Quality Issues and Measures in ERCP

13. Medicolegal Issues in ERCP


Section II TECHNIQUES

14. Cannulation of the Major Papilla

15. Access (Precut) Papillotomy

16. Sphincter of Oddi Manometry

17. Biliary Sphincterotomy

18. Balloon Dilation of the Native and Postsphincterotomy Papilla

19. Stone Extraction

20. Pancreatic Sphincterotomy

21. Minor Papilla Cannulation and Papillotomy

22. Plastic Pancreaticobiliary Stents and Nasopancreaticobiliary Tubes: Concepts and Insertion Techniques

23. Biliary Metal Stent Insertion: Indications and insertion techniques

24. Pancreaticobiliary Stent Removal: Migrated and Non-Migrated

25. Papillectomy and Ampullectomy

26. Pancreatoscopy

27. Cholangioscopy

28. Endomicroscopy Ninepoint of the Pancreaticobiliary Tree

29. ERCP in Children

30. ERCP in Pregnancy

31. ERCP in Surgically Altered Anatomy

32. Endoscopic Ultrasound-Guided Biliary Drainage

33. Endoscopic Ultrasound and EUS Guided Endotherapy


Section III APPROACH TO CLINICAL PROBLEMS

34. Pancreaticobiliary Disorders. What is the role of CT, MRCP, and EUS relative to ERCP?

35. Pancreas Divisum, Biliary Cysts, and Other Congenital Anomalies

36. Approach to the Dilated Bile Duct and Pneumobilia

37. The Dilated Pancreatic Duct

38. Ampullary Neoplasia

39. Malignant Biliary Obstruction: Distal

40. Malignant Biliary Obstruction of the Hilum and Proximal Bile Ducts including Radiofrequency Ablation for Cancer and percutaneous vs. endoscopic drainage

41. Indeterminate Biliary Stricture

42. Combined Biliary and Duodenal Obstruction w/EUS including percutaneous versus endoscopic drainage

43. Benign Biliary Strictures

44. Biliary Surgery Adverse Events including Liver Transplantation

45. ERCP for Acute and Chronic Adverse Events of Pancreatic Surgery and Pancreatic Trauma

46. Choledocholithiasis

47. Pancreatobiliary Pain and Suspected Sphincter of Oddi Dysfunction

48. Sclerosing Cholangitis

49. Tropical Parasitic Infections

50. Recurrent Pyogenic Cholangitis

51. Cystic Lesions of the Pancreas

52. Unexplained Acute Pancreatitis and ARP

53. Biliary Intervention in Acute Gallstone Pancreatitis

54. Pancreatic Interventions in Acute Pancreatitis: Ascites, Fistulae, Leaks, and Other Disruptions

55. Chronic Pancreatitis: Stones and Strictures

56. Endoscopic Drainage of Pancreatic Pseudocysts, Abscesses and Walled-Off (Organized) Necrosis with Update on Pancreatic Necrosis