The assumption that the endoscopist is an important factor in outcome of ERCP is not easy to document. There are plenty of reasons for the difficulties in defining experience and skill of an endoscopist, and establishing suitable endpoints for their measurement. Suitable proxy variables are ERCP-frequency (ongoing volumes) and ERCP-experience (life-time volumes) of the endoscopist, as well as i...

Gastroduodenoscopy and retrograde cholangiopancreatography has been performed on 25 occasions in 20 children aged between 7 and 16. Radiographs of the clinically relevant duct or ducts were achieved in 96% of attempts, with no complications. The diagnostic information proved useful clinically; in particular it provided a precise map if biliary or pancreatic surgery was being contemplated. Sever...

Intraductal papillary mucinous tumors (IPMTs) are benign and malignant lesions that arise from the epithelial lining of main pancreatic duct and/or branch pancreatic ducts, with excessive mucin production (especially hyperplastic/adenomatous variety). Based on the degree of cytoarchitectural atypia on microscopic examination, IPMTs are classified as benign, borderline, carcinoma in situ and inv...

OBJECTIVES A minimally invasive approach is considered the treatment of choice for gallbladder stones. We report our experience with the treatment of choledocholithiasis. METHODS From January 1993 to December 2002, 3118 patients underwent minimally invasive surgery for symptomatic gallstones, 2681 for gallbladder stones and 437 (14%) for cholecysto-choledocholithiasis. RESULTS We performed ...

  Abstract   Acase of 48-year-old male, hepatitis B cirrhosis , hepatic hydatid cyst, jaundice,   fever, chills suffered from severe abdominal pain in the right upper quadrant. He was   suffered from acute cholangitis and spontaneous bacterial peritonitis, and received   intravenous antibiotics but his condition rapidly deteriorated to sepsis and severe hepatic   failure. The presence of dilate...

Two cases of internal pancreatic fistula, causing pancreatic ascites, were demonstrated by the use of ERCP. This new technique is a useful way of establishing the diagnosis, and treatment may in the future be determined by the ERCP findings.