OBJECTIVE To evaluate the frequency and associated factors in the post-endoscopic retrograde cholangiopancreatography (ERCP) pancreatitis. STUDY DESIGN Cross-sectional analytical study. PLACE AND DURATION OF STUDY Endoscopy Suite of Surgical Unit IV, Civil Hospital, Karachi, from December 2009 to November 2010. METHODOLOGY Patients undergoing ERCP were included. Patients who had presented...

Conventionally, choledocholithiasis is managed by endoscopic retrograde cholangiopancreatography (ERCP), and it accounts for at least 50% of the approximately 52000 ERCPs performed in the UK each year [1–5]. Bile duct stone clearance traditionally involves the performance of ERCP with biliary sphincterotomy (or sphincteroplasty), followed by the removal of stones from the biliary tree using an ...

BACKGROUND The purpose of this study was to perform a meta-analysis assessing the efficacy and predictors of success of endoscopic therapy in the management of patients with pancreas divisum. METHODS An electronic database search (PubMed and ScienceDirect) was performed for relevant studies. Studies were selected based on predefined criteria and data were extracted on patient population, foll...

BACKGROUND Studies have demonstrated that anal reconstruction with a gracilis graft pressing the dominant nerve could be used to treat fecal incontinence. However, the detailed mechanism by this remains unknown. Herein, we evaluated the alteration in muscle fiber types and contractility of the peroneus longus muscle in rats after pressing its dominant nerves. MATERIAL AND METHODS The rat sole...

BACKGROUND Long-term outcomes of minor papilla endotherapy (MPE) in pancreas divisum are limited. OBJECTIVE To determine the efficacy of MPE in symptomatic pancreas divisum subgroups. DESIGN This was a retrospective study of patients from an endoscopy database. The data collection instrument included preprocedure and postprocedure pain score, narcotic use, acute pancreatitis episodes, emerg...

Bile duct stones are routinely removed during endoscopic retrograde cholangiopancreatography (ERCP) with biliary sphincterotomy, using standard balloon or basket extraction techniques. However, in approximately 10%–15% of patients, bile duct stonesmay be difficult to remove owing to challenging access to the bile duct, large bile duct stones (>15mm in diameter), intrahepatic stones, or impacted...

Purpose: To evaluate, in dogs, the functions of biliary sphincter subjected to dilation hydrostatic balloon by the point of view of the radiographic and manometric alterations. Methods: Twenty dogs were submitted to laparotomy, duodenotomy, and enlargement of the major duodenal papillaGA(n=10) with balloon of 8mm inflated with pressure of 0,5atm, during 2 minutes or to the sham procedure GB(n=1...

Pelviperineology 2012; 31: 62-64 http://www.pelviperineology.org The fifth section of the book “Pelvic floor disordersImaging and Multidisciplinary Approach to Management” entitled “Fecal Incontinence” consists of twelve chapters divided into two subsections describing diagnostic modalities and management for this disorder. In the first chapter “Three-dimensional Endoluminal Ultrasonography” G....