ERCP topics

Introduction

More than 200 abstracts were devoted to endoscopic retrograde cholangiopancreatography (ERCP) at this year’s Digestive Diseases Week. This again confirms the sustained rate of new developments in this area. For this review, we have selected some of the main highlights, including effective means of preventing post-ERCP pancreatitis, techniques for removing self-expandable metal stents, the contribution of intraductal ultrasonography and peroral cholangioscopy for the evaluation of biliary strictures, large balloon (20 mm) for biliary stone extraction, and several promising new techniques.

References

• 1 Abbas Fehmi M S, Schoenfeld S P, Scheiman M J. et al . 5 Fr prophylactic pancreatic stents are easier to place and require fewer guide wires than 3 Fr stents.  Gastrointest Endosc. 2008;  67 AB328-AB329
• 2 Elmunzer B J, Waljee K A, Elta H G. et al . A meta-analysis of NSAIDs in the prevention of post-ERCP pancreatitis.  Gastrointest Endosc. 2008;  67 AB330
• 3 Ito K, Fujita N, Noda Y. et al . The usefulness and safety of pancreatic guidewire placement for achieving deep cannulation of the bile duct.  Gastrointest Endosc. 2008;  67 AB94
• 4 Cennamo V, Fuccio L, Repici A. et al . Timing of precut procedure does not influence success rate and complications of ERCP procedure. A prospective randomized comparative study.  Gastrointest Endosc. 2008;  67 AB93
• 5 Irani S, Shayan D A, Ayub K. et al . Papillectomy for ampullary neoplasm: results of a single referral center from 1997 to 2007.  Gastrointest Endosc. 2008;  67 AB152-AB153
• 6 Cognein P, Caserta L, Parodi M C. Efficacy of endoscopic stenting on biliary strictures after orthotopic liver transplantation: a prospective study.  Gastrointest Endosc. 2008;  67 AB168-AB169
• 7 Perez-Miranda M, Gonzalez P, Gonzalez-Huix F. et al . Endoscopic removal of uncovered, partially and fully covered biliary SEMS: problems and salvage techniques. A GEPED multicenter descriptive study.  Gastrointest Endosc. 2008;  67 AB93
• 8 Vienne A, Chryssostalis A, Buffet C. et al . Per endoscopic drainage of biliary malignant stenosis: predictive success factors.  Gastrointest Endosc. 2008;  67 AB166
• 9 Costamagna G, Reddy D N, Deviere J. et al . A multi-center, single arm, prospective study of a new partially covered nitinol self-expanding stent for the palliative treatment of malignant bile duct obstruction.  Gastrointest Endosc. 2008;  67 AB169
• 10 Moon J H, Choi H J, Kim H K. et al . The usefulness of IDUS-guided transpapillary bile duct biopsy for the diagnosis of malignant biliary strictures.  Gastrointest Endosc. 2008;  67 AB208
• 11 Noda Y, Fujita N, Kobayashi G. et al . Prospective study of intraductal ultrasonography before biliary drainage (IDUS-BD), transpapillary biopsy (TPB) and peroral cholangioscopy (POCS) in assessment of the longitudinal extent of bile duct cancer.  Gastrointest Endosc. 2008;  67 AB156-AB157
• 12 Chen K Y, Parsi A M, Binmoeller F K. et al . Peroral cholangioscopy (PO) using a disposable steerable single operator catheter for biliary stone therapy and assessment of indeterminate strictures – a multi-center experience using Spyglass.  Gastrointest Endosc. 2008;  67 AB103
• 13 Chen K Y, Tarnasky R P, Raijman I. et al . Peroral pancreatoscopy (PP) for pancreatic stone therapy and investigation of susptected pancreatic lesions – first human experience using the Spyglass Direct Visualization System (SDVS).  Gastrointest Endosc. 2008;  67 AB108
• 14 Sethi A, Chen K Y, Austin L G. et al . ERCP with cholangiopancreatoscopy (CP) is associated with higher rates of endoscopic complications than ERCP alone.  Gastrointest Endosc. 2008;  67 AB102-AB103
• 15 Minami A, Hirata S, Hyakawa S. SES+EPLBD method makes the treatment of large common bile duct stones easy and long term result was acceptable: 5th report.  Gastrointest Endosc. 2008;  67 AB94
• 16 Liu F, Li F, Zhou Y. et al . Minor endoscopic sphincterotomy plus endoscopic balloon dilation is an effective and safer alternative for endoscopic sphincterotomy during ERCP in patients with periampullary diverticula and bile duct stones.  Gastrointest Endosc. 2008;  67 AB230
• 17 Kubota K, Inamori M, Nakajima A. Three clinicopathological subtypes of autoimmune pancreatitis stratified by the duodenal papillary findings and the serum IgG4.  Gastrointest Endosc. 2008;  67 AB326
• 18 Talreja P J, Shami M V, Ku J. et al . Endoscopic drainage of pancreatic fluid collections with fully covered metallic stents (CSEMS). How does it compare to conventional drainage with plastic stents?.  Gastrointest Endosc. 2008;  67 AB108
• 19 Lo K S, Gupta G, Kozarek A R. et al . Double balloon enteroscopy (DBE) can be routinely employed to perform ERCP in bariatric gastric bypass (RYGB) patients.  Gastrointest Endosc. 2008;  67 AB235
• 20 Hammond P D, Raju R, Loew J B. et al . Is percutaneous drainage of intra-abdominal bile necessary for post-cholecystectomy bile leaks in the era of successful ERCP management?.  Gastrointest Endosc. 2008;  67 AB152
• 21 Choudhary A, Bechtold L M, Puli R S. et al . Prophylactic somatostatin for prevention of post-ERCP pancreatitis: a meta-analysis.  Gastrointest Endosc. 2008;  67 AB108-AB109
• 22 Choi C W, Kang D H, Kim G-H. et al . Use of nafamostat mesilate and gabexate mesylate in the prevention of post-ERCP pancreatitis and risk factor analysis: a prospective, randomized trial.  Gastrointest Endosc. 2008;  67 AB244-AB245
• 23 Galindo Marines S, Flores Rendon R, Castaneda-Sepulveda R. et al . A prospective application of a risk score for post-ERCP pancreatitis.  Gastrointest Endosc. 2008;  67 AB154-AB155
• 24 Raju R, Howell A D, Delenick B M. et al . Deep cannulation of intra-diverticular papilla at ERCP: advanced techniques and results.  Gastrointest Endosc. 2008;  67 AB156
• 25 Iqbal S, Sharma P, Shah S. et al . Role of double guide wire cannulation during ERCP.  Gastrointest Endosc. 2008;  67 AB158
• 26 Petersen T B, Kahaleh M, Kozarek A R. et al . A multi-site, single arm, prospective study of a new nitinol, self-expanding, biliary fully-covered stent for the palliative treatment of malignant bile duct obstruction.  Gastrointest Endosc. 2008;  67 AB232
• 27 Ben-Soussan E, Lefebvre J-F, Pauphilet C. et al . Endoscopic treatment of malignant hilar strictures: plea for unilateral drainage with a single expandable metallic stent.  Gastrointest Endosc. 2008;  67 AB170-AB171
• 28 Liu F, Li F, Zhou Y. et al . Intraductal ultrasound improves diagnostic yield for ERCP and cytology brushing in detecting malignant bile duct strictures for patients without biliary mass lesions on CT or MRI.  Gastrointest Endosc. 2008;  67 AB228
• 29 Loew J B, Howell A D, Raju R. et al . ERCP tissue sampling of cholangiocarcinoma presenting with biliary obstruction permits intra-procedural diagnosis and results in high positive yield.  Gastrointest Endosc. 2008;  67 AB229-AB230
• 30 Mutignani M, Galasso D, Familiari P. et al . Comparison of standard and jumbo endobiliary biopsy for histological diagnosis of hilar biliary strictures: interim report of a prospective randomized trial.  Gastrointest Endosc. 2008;  67 AB169
• 31 Orlandi M, Noesberger M, Kuelling D. et al . Safety of non-anesthetist sedation with propofol during endoscopic retrograde cholangiopancreatography (ERCP): 10 years of experience.  Gastrointest Endosc. 2008;  67 AB157-AB158
• 32 Pleskow A D, Parsi A M, Chen K Y. et al . Biopsy of indeterminate biliary strictures – does direct visualization help? A multicenter experience.  Gastrointest Endosc. 2008;  67 AB103
• 33 Parsi A M, Neuhaus H, Pleskow A D. et al . Peroral cholangioscopy guided stone therapy – report of an international multicenter registry.  Gastrointest Endosc. 2008;  67 AB102
• 34 Cha D, Yoo B. A comparative study of outcomes between endoscopic papillary large balloon dilatation (EPLBD) and endoscopic mechanical lithotripsy (EML) in patients with difficult CBD stones.  Gastrointest Endosc. 2008;  67 AB159
• 35 Cheon Y K, Kim H G, Cho Y D. et al . Prospective comparative study of minor sphincterotomy combined with endoscopic papillary large balloon dilation and sphincterotomy for large bile duct stones.  Gastrointest Endosc. 2008;  67 AB142
• 36 Kamisawa T, Egawa N, Tsuruta K, Okamoto A. Strategy for differentiating autoimmune pancreatitis from pancreatic cancer.  Gastrointest Endosc. 2008;  67 AB232
• 37 Jamidar A P, Cadeddu M, Mosse A C. et al . Hinged metallo-plastic anastomosis device: a novel intraluminal method for choledochoduodenostomy.  Gastrointest Endosc. 2008;  67 AB161-AB162
• 38 Chang K. Endoscopic choledocho-duodenostomy (ECD) for the treatment of biliary obstruction using prototype compression coil and interventional endosonography (EUS): a “proof of principle” canine study.  Gastrointest Endosc. 2008;  67 AB109
• 39 Rajoriya N, Mee S A. A UK national survey into safety awareness and practice in diagnostic and therapeutic ERCP.  Gastrointest Endosc. 2008;  67 AB231-AB232
• 40 Ruff K C, Triester L S, Crowell D M, Harrison M E. The effect of sildenafil on sphincter of Oddi pressure in patients undergoing ERCP for suspected sphincter of Oddi dysfunction.  Gastrointest Endosc. 2008;  67 AB231
• 41 Irani S, Arai D A, Ayub K. et al . Adenomatous vs non-adenomatous ampullary lesions: 10 year results from a single referral center.  Gastrointest Endosc. 2008;  67 AB254