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
