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The American Society for Gastrointestinal Endoscopy (ASGE) Technology Committee provides reviews of existing, new, or emerging endoscopic technologies that have an impact on the practice of GI endoscopy. Evidence-based methodology is used, with a MEDLINE literature search to identify pertinent clinical studies on the topic, and a …
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Pancreatic stones (PS) are a frequent complication of chronic calcifying pancreatitis (CCP), which may lead to pancreatic duct obstruction and consequently to chronic abdominal pain [1, 2].This may have a negative impact on the quality of life for the patient [], especially when other complications such as recurrent acute pancreatitis and …
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Biliary or pancreatic cannulation was impossible with endoscopic retrograde cholangiopancreatography (ERCP) using a short‐type single‐balloon enteroscope (SBE, SIF‐H290S; Olympus Medical ...
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Biliary and pancreatic stones, also known collectively as gallstones, are small, pebble-like objects formed from hardened fluids from the pancreas or the gallbladder.These stones can get lodged in the ducts that go from those organs to the small intestine. What are biliary stones? Bile, a fluid made by the liver to help digest foods, is composed of water, …
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cal, electrohydraulic, or laser devices at the time of endo-scopic (via ERCP) or percutaneous access, or by extracorporeal shock wave lithotripsy (ESWL). This docu-ment will review devices and methods for biliary and pancreatic lithotripsy and is an update of a previously published ASGE Technology Committee document on this topic.1
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Biliary and pancreatic stone extraction devices. ... Biliary and pancreatic lithotripsy devices. DiSario J, Chuttani R, Croffie J, Liu J, Mishkin D, Shah R, Somogyi L, Tierney W, Song LM, Petersen BT. Gastrointest Endosc, (6):750-756 2007 MED: 17383651 Endoscopic retrograde cholangiopancreatography in the management of pancreatic …
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Pancreaticobiliary (PB) endotherapy continues to progress in the era of therapeutic endosonography. Endoscopic retrograde cholangiopancreatography (ERCP) remains the primary method for PB access in native and altered anatomy. In altered anatomy, PB access can be obtained via enteroscopy-assisted ERCP (e-ERCP) or …
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Background and aims: Lithotripsy is a procedure for fragmentation or destruction of stones to facilitate their removal or passage from the biliary or pancreatic ducts. Although most stones may be removed endoscopically using conventional techniques such as endoscopic sphincterotomy in combination with balloon or basket …
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The American Society for Gastrointestinal Endoscopy (ASGE) Technology Committee provides reviews of existing, new, or emerging endoscopic technologies that have an impact on the practice of GI endoscopy. Evidence-based methodology is employed by using a MEDLINE literature search to identify pertinent clinical studies on the topic and a …
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Pull- or traction-type precut papillotomy is a variation of the precut papillotomy technique, originally used after successful cannulation of the bile duct. 28 However, the same device is now used as a method of obtaining access to the bile duct. In this technique, a short-nosed sphincterotome is used instead of a needle-knife.
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BD: bile duct, GB: gallbladder Figure 2. An endoscopic image showing periampullary di-verticulum. Clear visualization of the papilla could not be ob-tained. Figure 3. a) A radiograph showing a common bile duct stone after selective bile duct cannulation. b) A radiograph showing biliary stent placement. a b traction using traction devices.
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In favor of a benign biliary stricture: smooth and gradual tapering of the bile duct, concentric narrowing. (b) Dilatation of both the common bile duct and the main pancreatic duct. (c) To identify a mass, bile duct wall thickening or adjacent lymph nodes. In patients who are candidates for LT, EUS-guided sampling of a hilar mass should be ...
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Europe PMC is an archive of life sciences journal literature.
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commonly used in biliary or pancreatic duct obstructions. In their first use, an angiography catheter was cut and adapted into a single-pigtail plastic stent to relieve malignant biliary obstruction.1 Endoscopists now have multiple stent choices, which include plastic stents, self-expandable metal stents
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Stents are tubular devices made of plastic or metal. Endoscopic stenting is the most common treatment for obstruction of the common bile duct or of the main pancreatic duct, but also employed for the treatment of bilio-pancreatic leakages, for preventing post- endoscopic retrograde cholangiopancreatography pancreatitis and to …
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2. Mechanical Lithotripsy. Stone size is a well-recognized factor that can influence the success of the procedure and, in particular, size above 15 mm has been identified as a risk factor for difficult extraction [13,14] (Figure 1).Other factors that can associate with difficult or incomplete stone extraction are summarized in Table …
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Recently, there have been reports of biliary/pancreatic duct cannulation using the S–O clip (Zeon Medical, Tokyo, Japan) or rubber band in cases where cannulation is difficult owing to anatomical reasons. 1-3 There are some reports on the M-loop method using a self-made multiloop device and others on the method with the …
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Methods: In this document, we review devices and methods for biliary and pancreatic lithotripsy and the evidence regarding efficacy, safety, and financial considerations.
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Biliary and pancreatic stents are tubular devices made of plastic or metal used primarily to establish patency of an obstructed bile or pancreatic duct. ... facilitating complete stone clearance in more than 90% of cases on subsequent ERCP. 54-56 A small case series showed a similar success ... Treatment of asymptomatic distal common bile duct ...
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Biliary and pancreatic stents are cylindrical devices used for multiple indications. These stents are typically placed during ERCP, although therapeutic EUS has created an additional avenue for stent placement for pancreas and biliary drainage. This technology document provides an overview of the different types of biliary and …
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Inability to cannulate the common bile duct is the commonest reason for being unable to perform a biliary sphincterotomy, and strategies for achieving this have already been discussed. However, even after successful wire cannulation of the common bile duct the endoscopist can still encounter problems. These can include one or more …
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Stone extraction balloons and baskets are widely available and highly effective tools for the removal of biliary and pancreatic stones. These devices allow …
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Endoscopic Retrograde Biliary and/or Pancreatic Stone Extraction or Destruction Procedures . 2022 CODING AND REIMBURSEMENT GUIDE Coverage, coding and payment for medical procedures and devices can be complicated and confusing. This guide was developed to assist with Medicare reporting and reimbursement when performing …
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Lithotripsy is a procedure for fragmentation or destruction of stones to facilitate their removal or passage from the biliary or pancreatic ducts. Although most stones may be removed endoscopically using conventional techniques such as endoscopic sphincterotomy in combination with balloon or basket extraction, lithotripsy may be …
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Pancreatic lithotripsy is a common off-label use for these EHL systems. Anecdotally, higher-power settings are needed for fragmentation of pancreatic stones. The Nortech bipolar biliary EHL …
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The application of traction devices in endoscopic submucosal dissection may be a promising technique in cases in which endoscopic biliary intervention is difficult due to PAD. View full-text Article
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Biliary and pancreatic stone extraction in the context of ERCP uses many different techniques and devices. This document will review the biliary and pancreatic stone …
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Intrahepatic bile duct (IHBD) stones are one of the most common late complications of Roux-en-Y hepaticojejunostomy for congenital biliary dilatation (CBD). We report the current treatment strategies for IHBD stones and their outcomes in our institute. Between 1983 and 2021, 117 patients with CBD were surgically treated in our institute. …
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The indications for ES are reviewed in Table 1 and can be subdivided into those that require selective biliary, pancreatic, or dual sphincterotomies, and/or those that facilitate access in cases of difficult cannulation, often referred to as "pre-cut sphincterotomy." Unlike biliary sphincterotomy, data supporting pancreatic sphincterotomy are sparse; however, …
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The majority of common bile duct (CBD) stones can be considered "not difficult" since it can be removed with Fogarty balloon and/or Dormia basket following endoscopic sphincterotomy [1, 2].When stone clearance of the biliary system is not possible with standard devices (balloon, basket), these stones are termed as "difficult," …
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