BACKGROUND Concomitant cholelithiasis and choledocholithiasis is a disease where incidence increases with age and can have serious complications such as pancreatitis, cholangitis and liver abscesses, but its management is controversial, because there are minimally invasive laparoscopic and endoscopic surgical procedures. OBJECTIVE To compare the efficiency in the management of cholelithiasis ...

OBJECTIVE To assess the value and the associated morbidity of endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic endoprosthesis insertion in the treatment of patients with Klatskin tumors. DESIGN Retrospective study. SETTING A tertiary referral center. PATIENTS Fifty-five consecutive patients with Klatskin tumors diagnosed through typical cholangiographic and computed to...

Endoscopic ultrasound-guided pancreatic duct intervention (EUS-PDI) is an emerging endoscopic approach allowing access and intervention to the pancreatic duct (PD) for patients with failed endoscopic retrograde pancreatography (ERP) or patients with surgically altered anatomy. As opposed to biliary drainage for which percutaneous drainage is an alternative following failed endoscopic retrograde...

Perforation is one of the major complications encountered during endoscopic procedures. The standard of care for these complications is either surgical intervention or nonoperative medical approach with antibiotics and bowel rest with or without parenteral alimentation. Metallic clips, initially developed to secure hemostasis in bleeding, have been successfully used to close perforations in the...

Endoscopic retrograde cholangiopancreatography (ERCP) is essential for the diagnosis and treatment of pancreatobiliary diseases but is invasive and may induce various complications, such as pancreatitis, cholangitis, hemorrhage and perforation. For successful and safe ERCP procedures first, initial selective cannulation without complications is essential. However, even in experts, selective bil...

ackground and Objectives: Ultrasound (US) is the initial imaging test used in the evaluation of patients with biliary tract disease. Our retrospective study was designed to evaluate the capacity of ultrasound to determine the cause and site of bile ducts dilatation, and to compare the accuracy of ultrasound with endoscopic retrograde cholangiopancreatography (ERCP), a well-accepted procedure an...

Biliary stent migration is one of the late complications endoscopic retrograde cholangiopancreatography. Most biliary asymptomatic and successfully managed by removal. A 66-year-old man with unresectable pancreatic cancer, common bile duct obstruction, duodenal third portion obstruction underwent plastic placement uncovered metallic in two separate sessions. After 3 weeks from stenting, he pres...