ERCP and EUS: A Case-Based Approach

by Linda S. Lee

Overview

This text provides a comprehensive review of ERCP and EUS and the clinical conditions for which they are employed. Presented in a case-based format with accompanying videos, it will serve as a valuable practical clinical resource for gastroenterologists with an interest in ERCP and EUS. The text highlights major techniques involved in ERCP, reviews complications and recent data on preventing post-ERCP pancreatitis, and discusses important issues in training in ERCP including use of endoscopic simulators and assessment of competency as emphasized in the new ACGME guidelines. For biliary diseases, new techniques for managing biliary stones, novel technologies for diagnosing indeterminate biliary strictures, and new devices for treating benign and malignant strictures are also highlighted. For pancreatic diseases, advances in minimally invasive endoscopic techniques for pancreatic stones and strictures, and management of the complications of pancreatitis are reviewed. Furthermore, ERCP isnot limited by age, pregnancy or history of abdominal surgeries and special considerations particular to these patient populations are also discussed.

The EUS chapters review the breadth of equipment available for performing EUS and EUS-FNA, detail the technique of performing EUS-FNA, and explore pertinent issues with training and assessing competency analogous to ERCP training. Valuable insights on the basics of cytopathology relevant to the endosonographer are summarized. The classic indication for EUS of staging luminal cancers is examined in detail while pancreaticobiliary indications are discussed highlighting newer adjunctive technologies including elastography and contrast-enhanced EUS. Although in its infancy, the brave new world of therapeutic EUS is explored with a focus on endoscopic necrosectomy, EUS-guided biliary and pancreatic access as well as the exciting possibilities of EUS-guided radiofrequency ablation and injection of anti-tumor agents.
ERCP and EUS:A Case Based Approach will serve as a very useful resource for physicians who perform or refer patients for ERCP and EUS. It provides a concise yet comprehensive summary of the current status of ERCP and EUS that will help guide patient management and stimulate clinical research. ​

Product Details

ISBN-13:	9781493947072
Publisher:	Springer New York
Publication date:	10/12/2016
Edition description:	Softcover reprint of the original 1st ed. 2015
Pages:	592
Product dimensions:	7.01(w) x 10.00(h) x 0.05(d)

About the Author

Linda S. Lee, MD

Director, Women’s Health in Gastroenterology

Brigham and Women’s Hospital

Department of Gastroenterology, Hepatology, and Endoscopy

Boston, MA

Table of Contents

Training in Endoscopic Retrograde Cholangiopancreatography.- Indications for ERCP.- Overview of ERCP Complications: Prevention and Management.- ERCP from Soup to Nuts: Evaluation, Preparation, Execution and Follow-up.- Biliary Infections.- Diagnosing Biliary Strictures and Indeterminate Biliary Strictures.- Management of Biliary Structure and Bile Duct Injury.- Other Benign Biliary Strictures (Sclerosing cholangitis, autoimmune cholangitis, post-liver transplant).- Choledochal Cysts: Evaluation and Management.- Acute Biliary Pancreatitis: Image, Intervene or Observe?.- Endoscopic Management of the Complications of Acute Pancreatitis.- ERCP in Chronic Pancreatitis.- Idiopathic Acute Pancreatitis and Sphincter of Oddi Dysfunction: The Diagnostic and Therapeutic Role of ERCP and Sphincter of Oddi Manometry.- ERCP in Other Pancreatic Disorders.- Bleeding From the Papilla.- ERCP in Post-Surgical Patients.- Ampullectomy.- ERCP in Pregnancy.- Pediatric ERCP.- Training in Endoscopic Ultrasound.- Equipment and Approach.- Techniques of Endoscopic Ultrasound-Guided Fine Needle Aspiration.- Essential Cytopathology Concepts for the Endosonographer.- Esophageal Cancer.- EUS in Gastric Cancer and Thickened Gastric Wall.- Rectal Cancer and Anal Sphincter Disorders.- Subepithelial Lesions.- Endosonography of the Mediastinum.- EUS in Pancreatic Tumors.- EUS in Pancreatic Cysts.- EUS and EUS-FNA in Acute Pancreatitis, Chronic Pancreatitis and Autoimmune Pancreatitis.- Endoscopic Ultrasound-Guided Fine Needle Injection.- EUS-guided Bilio-pancreatic Drainage.

Editorial Reviews

The purpose is to provide practical, case‐based evaluations of different ERCP and EUS scenarios. … The usefulness of this book is based on the case reviews of different ERCP and EUS scenarios. This book would be of value to anyone training specifically in ERCP and EUS, as well as to those who find themselves with complicated cases and in need of further ideas and techniques to accomplish treatment goals.” (Matthew M. Lute, Doody's Book Reviews, May, 2016)

From the Publisher

Reviewer: Matthew M Lute, DO (Parkview Medical Center)
Description: This is a case-based review of endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic ultrasound (EUS). Many of the cases start with the description of the initial presenting symptoms and then take a stepwise approach to the evaluation, including the workup, complications, pathophysiology, and key points associated with the procedure. Images throughout depict endoscopic views and radiographic imaging.
Purpose: The purpose is to provide practical, case-based evaluations of different ERCP and EUS scenarios. The book first provides an overview of the key aspects of training and techniques associated with these procedures, then discusses the signature indications for ERCP and EUS and the use of advanced techniques for different types of pathology.
Audience: The intended audience is practitioners who are planning to, or are currently practicing, advanced ERCP and EUS techniques, and the book is appropriate for these readers.
Features: The book starts out with a discussion of training in ERCP and subsequently goes through the initial evaluation of possible ERCP patients. It then reviews some biliary cases, with initial presentations of the patient's history and subsequent interventional techniques, complications, and outcomes. The next part reviews pancreatic diseases and the associated advanced endoscopic evaluation of the pancreas as well as complications associated with ERCP. The second half of the book reviews EUS, with an initial overview of the equipment and techniques used in general for this procedure. It then reviews different cases associated with EUS evaluation from a luminal standpoint and then an extraluminal standpoint. The book has many images as well as useful tables and charts. However, the endoscopic images are of moderate quality, with some making it difficult to visualize the pathology. Improvement in the image quality would be helpful.
Assessment: The usefulness of this book is based on the case reviews of different ERCP and EUS scenarios. This book would be of value to anyone training specifically in ERCP and EUS, as well as to those who find themselves with complicated cases and in need of further ideas and techniques to accomplish treatment goals.

Doody's Review Service