Download Advanced digestive endoscopy : ERCP by Peter B. Cotton PDF

By Peter B. Cotton

ISBN-10: 0470987499

ISBN-13: 9780470987490

ISBN-10: 1405120797

ISBN-13: 9781405120791

ISBN-10: 1405150246

ISBN-13: 9781405150248

Complex Digestive Endoscopy: ERCP addresses one of the most advanced diagnostic and healing systems for endoscopists. It offers the newest pondering and transparent guide at the thoughts, that have been built-in with total sufferer care. Written via the prime foreign names in endoscopy, the textual content has been expertly edited via Peter Cotton right into a succinct, instructive layout. provided in brief paragraphs dependent with headings, subheadings and bullet issues and richly illustrated all through with full-color pictures

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Extra info for Advanced digestive endoscopy : ERCP

Example text

1 Room set-up and floor plan. A, assistant; E, endoscopist; N, nurse. 2) Correct layout of the ERCP room is easier if it is located in a purpose-built endoscopy suite with in-house fluoroscopy facilities, rather than a shared facility in the radiology department. A purpose-built room with fluoroscopy offers the advantage of a better floor plan, organization, and ready access to stored accessories required for the procedures. Daily activities can be better organized and there is less hassle in moving equipment and endoscopists.

Tip of scope is too distal The tip of the scope is inserted into the third part of the duodenum. This is sometimes encountered in a very short patient or as a result of over-energetic pushing of the endoscope. Fluoroscopy is useful for checking the position of the scope. In this situation, relax the angulations and withdraw the scope slowly back into the second part of the duodenum, looking for the landmarks of the papilla. In a short patient (or child), the marking on the scope may read 50 or 55 cm and the scope may appear very straight on fluoroscopy.

Successful cannulation of both ductal systems is commonly achieved in 85–90% of cases with experts achieving rates of over 95%. g. Billroth II gastrectomy. Minor papilla cannulation The minor papilla is located proximally and to the right of the main papilla. It can be identified as a small protruding structure. It may not be obvious or may appear as a slightly pinkish nipple between the duodenal folds. When prominent, it can sometimes be mistaken for the main papilla; however, it does not have a distinct longitudinal fold and the small opening usually resists cannulation.

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Advanced digestive endoscopy : ERCP by Peter B. Cotton

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