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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 is not 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.
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 is not 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.
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