Résumé of a seminar on endoscopic retrograde sphincterotomy (ERS)

Geenen, Joseph E.; Vennes, Jack A.; Silvis, Stephen E.

doi:10.1016/s0016-5107(81)73140-7

Cited by 118 publications

(45 citation statements)

References 20 publications

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“…Failed cannulation happens even in experienced hands [12,13]. The reasons for failed ERCP include anatomic variation (eg Billroth II anastomosis), obstructive processes that preclude access to the duodenum and major papilla, complete obstruction of the duct of interest, inadequate patient sedation, poor patient tolerance of endoscopy, and lack of endosopic expertise [14].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Evaluation of Repeat ERCP: Analysis of a Four-Year Experience

Toros¹

2013

J Gastrointest Digest Sys

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In this trial, a total of 1010 ERCP procedures performed in 410 patients at the endoscopy department of our hospital between 2006 and 2010, were retrospectively evaluated. The age, gender, complaints, pre-procedure diagnosis, the radiologic and clinical results, number of procedure repetitions and the final diagnosis were assessed. The local Ethics Committee approved this retrospective study protocol. All of the procedures were performed by the same team of endoscopists with compatible levels of ERCP experience (Mean 5 years). At our department, pethidine HCl (0.3-0.5 mg/kg), midazolam (0.03-0.07 mg/kg) and hyoscine-N-butylbromide (0.3-0.6 mg/kg) are used in the ERCP procedures for premedication and additionally, cefazolin 1 gram intravenous is routinely administered for prophyllaxis one hour before the examination. During the procedure, oxygen saturation and heart rate are monitored by pulse-oximeter. The patients were those admitted to our hospital or referred from other healthcare centers. Statistical assessment was performed by evaluating the first ERCP procedures and the repeat procedure records. Chi-square test was used to statistically analyze the results. The level of significance was set at p<0.05.

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Section: Discussionmentioning

confidence: 99%

“…The failure rate for cannulation of the duct of interest at ERCP ranges from 5% to 15% [12,13]. Depending on clinical indications, a failed first attempt may lead to a repeat examination, an alternative diagnostic test, or follow-up clinical evaluation.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Repeat ERCP: Analysis of a Four-Year Experience

Toros¹

2013

J Gastrointest Digest Sys

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“…In most patients, EPS with or without a biliary sphincterotomy via the major or minor papilla is performed to facilitate removal of pancreatic stones. The MPD stones are often impacted and difficult to extract, but up to 50% of MPD stones can be removed effectively by standard techniques, including endoscopic sphincterotomy or stone retrieval with a balloon, basket, and/or forceps alone [90,101,[118][119][120]. Endoscopic stent placement, mechanical lithotripsy, intracorporeal lithotripsy with a pulse-dye laser, or electrohydraulic lithotripsy, are other possibilities [90,[121][122][123][124][125].…”

Section: Pancreatic Duct Stonesmentioning

confidence: 99%

Endoscopic Treatment of Pancreatic Diseases

Vladimirov¹,

Getzov²,

Ivanova³

2015

Endoscopy - Innovative Uses and Emerging Technologies

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Endoscopic therapy has been increasingly recognized as an effective method of treatment in selected patients with pancreatic diseases. Various endoscopic procedures, classical and modified, are used for the complex treatment of acute and chronic pancreatitis, as well as their complications. In pancreatic carcinoma, some endoscopic methods are applied mainly as palliative measures. There are still open questions regarding the placing and timing of various endoscopic procedures in the multidisciplinary management approach of pancreatic diseases.

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“…By the end of 1973, the confidence of the endoscopists using the transpapillary route had increased, which brought about the development of a new therapeutic approach, the impact of which was tremendous from the beginning: endoscopic sphincterotomy (ES) [1,4]. Its high success rate (85%-95%), the low morbidity (3%-10%) and mortality (0.4%-1.0%) rates ( [2]; A. Montori, V.R. Buccino, L. Masoni, unpublished work), independent of the patient's general condition and/or associated diseases, makes it preferable to server the sphincter of Oddi via endoscopy in high-risk or emergency (acute biliary pancreatitis, septic cholangitis) cases.…”

mentioning

confidence: 99%

“…Buccino, L. Masoni, unpublished work), independent of the patient's general condition and/or associated diseases, makes it preferable to server the sphincter of Oddi via endoscopy in high-risk or emergency (acute biliary pancreatitis, septic cholangitis) cases. Restenosis does not represent a problem, as it ranges from 1% to 2% [2]. Moreover, ES has become an alternative to surgery in the elective treatment of residual stones, even if the method-related complications appear to be similar.…”

mentioning

confidence: 99%

Impact of biliary tract endoscopy on benign and malignant diseases

Montori

Masoni

1988

Surg Endosc

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In the last 15 years, the management of patients affected with obstructive jaundice has been greatly improved by the introduction into clinical practice of diagnostic and therapeutic biliary tract endoscopy. This method has provided better knowledge of the pathophysiology of diseases of the common bile duct (CBD), with enormous benefit for surgical decision making. Moreover, it has reduced morbidity and mortality in emergency patients as well as in high-risk patients with CBD stones. Even the incidence of retained stones has been reduced to almost 1%-2%. The impact of endoscopy on diseases of the biliary tract has been tremendous.

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Résumé of a seminar on endoscopic retrograde sphincterotomy (ERS)

Cited by 118 publications

References 20 publications

Evaluation of Repeat ERCP: Analysis of a Four-Year Experience

Evaluation of Repeat ERCP: Analysis of a Four-Year Experience

Endoscopic Treatment of Pancreatic Diseases

Impact of biliary tract endoscopy on benign and malignant diseases

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