• ASGE | Understanding Therapeutic ERCP

    A variety of balloons and baskets attached to specialized catheters can be passed through the ERCP scope into the ducts allowing stone removal. Very large stones may require crushing in the duct with a specialized basket so the fragments can be pulled out through the sphincterotomy.

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  • A Novel Two-Step Approach for Retrieval of an Impacted ...

     · Basket impaction is an uncommon but recognized complication of ERCP stone extraction, and represents a medical emergency. Whilst some baskets have a built-in safety mechanism to break upon excess force of closure, most baskets require an external crushing sheath such as the Soehendra lithotriptor to either crush the stone or break the basket ...

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  • Endoscopic Retrograde Cholangiopancreatography (ERCP ...

    A variety of balloons and attached to specialized catheters can be through the ERCP scope into the ducts allowing stone removal. Very large stones may require crushing in the duct with a specialized basket so the fragments can be pulled out through the sphincterotomy.

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  • Gallstone Ileus following Endoscopic Stone Extraction

     · 1. Introduction. Ileus is a disease that should be differentiated as a cause of abdominal pain and nausea in elderly individuals. Among the different types of ileus, gallstone ileus is a rare condition associated with bowel obstruction caused by a gallstone passing into the intestinal tract, and this disease accounts for 1–3% of cases of mechanical obstruction of the small intestine and 25% ...

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  • ERCP Test (Endoscopic Retrograde Cholangiopancreatogram ...

    ERCP (short for endoscopic retrograde cholangiopancreatography) is a procedure used to diagnose diseases of the gallbladder, biliary system, pancreas, and liver.The test looks "upstream" where ...

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  • ERCP | Midlands Gastroenterology

    ERCP. Endoscopic retrograde cholangiopancreatography (en-doh-SKAH-pik REH-troh-grayd koh-LAN-jee-oh-PANG-kree-uh-TAH-gruh-fee) (ERCP) enables our physicians at Midlands Gastroenterology to diagnose problems in the liver, gallbladder, bile ducts, and pancreas. The liver is a large organ that, among other things, makes a liquid called bile that ...

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  • Endoscopic retrograde cholangiopancreatography

    Endoscopic retrograde cholangiopancreatography (ERCP) uses a dye to highlight the bile ducts on X-ray images. A thin, flexible tube (endoscope) with a camera on the end is passed down your throat and into your small intestine. The dye enters the ducts through a small hollow tube (catheter) passed through the endoscope. Free E-newsletter.

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  • Endoscopic Retrograde Cholangiopancreatography (ERCP ...

    Endoscopic Retrograde Cholangiopancreatography (ERCP) is a procedure the physicians at Atlantic Digestive Specialists perform to examine the tubes (ducts) that drain the liver and pancreas. This includes the bile ducts, gallbladder, and pancreatic ducts. ERCP is useful in determining whether or not there are gallstones in the bile ducts, cancer involving the bile ducts or […]

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  • ERCP PROCEDURE

     · • A stone basket is advanced over the guide wire up to the stone & then open the basket . • The basket is wiggled up & down the duct to try to snare the stone under fluoroscopic guidance to insure that the stone is caught in the basket. SPHINCTEROTOMY: Stone extraction 67 GB Thapa, BScMIT.....ERCP 2068.01.05 63.

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  • Common Bile Duct Stone Management: What Have we Learned ...

     · The purpose of this study is to determine leaving the gallbladder in situ does not reduce the morbidity rate after ERCP for common bile duct stones (CBDS), especially in patients with cholangitis. The prevalence of gallstone disease increases with age, and as many as one third of women and one fifth of men over the age of 60 years have gallstones.

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  • Wireguided Retrieval Basket

    and therapeutic ERCP. The Trapezoid RX Wireguided Retrieval Basket is designed for the crushing and removal of stones in the biliary duct. The Flexi-Stiff™ Catheter construction provides a flexible and sturdy catheter designed to bend with biliary anatomy while maintaining pushability. The metal alloy basket is designed to maintain basket

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  • LithoCrushV Mechanical Lithotriptor | Olympus America ...

    The Single-use Olympus LithoCrushV Mechanical Lithotriptor is versatile and easy to use and is available in bullet tip and wire-guided designs. A new handle design allows simple and rapid set up, and features basket rotation making retrieval of small or crushed stones easier and more efficient. The LithoCrushV Mechanical Lithotriptor is compatible with both the autoclavable LithoCrushV Handle ...

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  • Trapezoid™ RX Retrieval Basket Animation

     · This procedural animation provides an overview of how the Trapezoid RX Retrieval Basket is deployed into the bile duct to capture, crush and remove stones. F...

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  • Endoscopic Retrograde Cholangiopancreatography (ERCP ...

     · Endoscopic retrograde cholangiopancreatography, or ERCP, is a procedure to diagnose and treat problems in the liver, gallbladder, bile ducts, and pancreas. It combines X-ray and the use of an endoscope—a long, flexible, lighted tube. Your healthcare provider guides the scope through your mouth and throat, then down the esophagus, stomach, and ...

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  • ERCP

    A variety of balloons and baskets attached to specialized catheters can be passed through the ERCP scope into the ducts allowing stone removal. Very large stones may require crushing in the duct with a specialized basket so the fragments can be pulled out through the sphincterotomy.

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  • Common bile duct intussusception during ERCP for stone ...

     · Post-ERCP adverse events occur in 6.9% of patients and mortality in 0.33%. The most common adverse events are pancreatitis (3.47%), bleeding (1.34%), sepsis (1.44%), and perforation (0.6%).1 Rare adverse events after ERCP occur in 1% of cases and could put the patient in critical condition requiring urgent surgical intervention.2,3 We report the first case of a common bile duct …

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  • ERCP Test: Procedure & Preparation | NorthShore

    ERCP is both a diagnostic and therapeutic procedure that uses a lighted flexible tube and x-ray to examine the bile and pancreatic ducts that drain the liver, pancreas and gallbladder into the small intestine. During the ERCP procedure, your physician passes an endoscope, or narrow plastic tube, through your mouth, esophagus and stomach into ...

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  • ERCP: Procedure, Surgery & Complications

     · ERCP is a diagnostic procedure designed to examine diseases of the liver, bile ducts and pancreas. ERCP is usually best performed under general anesthesia. It may be done using IV sedation. There is a low incidence of complications. ERCP can provide important information that cannot be obtained by other diagnostic examinations, for example ...

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  • Gallstone Ileus following Endoscopic Stone Extraction

     · CT also revealed that the stone, which had been passed into the duodenum in the previous ERCP, was incarcerated in the ileocecal region (Figure 3), and this was verified by the ultrasonography findings of a 45 × 23-mm stone with acoustic shadowing at the same location (Figure 4). Based on these findings, we diagnosed the patient as having ...

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  • ERCP for Removal of a Stone in the Bile Duct

     · The use of a side-viewing duodenoscope in endoscopic retrograde cholangiopancreatography for biliary pancreatitis is shown. A wire-guided sphincterotome cuts...

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  • Soehendra® Lithotriptor | Cook Medical

    The products on this website are available for sale in the United States. For products available in other countries, please choose one of our other websites from the region selector at the top of the site or contact your local Cook Medical representative.

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  • Surgery for Kidney Stones | Division of Urologic Surgery ...

    The decision to perform PCNL is generally based upon stone size. For large, complex stones, PCNL is the standard of care. Why shouldn''t my large stone be treated with SWL or ureteroscopy? For exceptionally large stones (greater than 2 cm in size), SWL and ureteroscopy are generally incapable of clearing the stone in a single procedure.

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  • Endoscopic Management of Difficult Bile Duct Stones ...

     · More than 500,000 endoscopic retrograde cholangiopancreatography (ERCP) cases are performed annually in the USA. Over 50% of ERCPs are done for biliary indications, predominantly for common bile duct stone extraction [].Since its introduction in 1974, ERCP became the standard method of choice for removing bile duct stones which involves endoscopic sphincterotomy (EST) with balloon …

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  • A Novel Two-Step Approach for Retrieval of an Impacted ...

    The Trapezoid RX Wireguided Retrieval Basket is designed for the crushing and removal of stones in the biliary duct. The Flexi-Stiff™ Catheter construction provides a flexible and sturdy catheter designed to bend with biliary anatomy while maintaining pushability. The metal alloy basket is designed to maintain basket symmetry even after ...

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  • Observational Study on Cannulation Rate During ERCP at ...

    Introduction. Endoscopic retrograde cholangiopancreaticography (ERSP) was first described by Mc Cune et al in 1968 but was later popularized by Oi et al in Japan, as well as Demlin and Classen in Europe in 1970''s as a diagnostic tool (1,2) 1974, Classen and Demlin performed the first endoscopic sphinterotomy and since then this procedure has been used for stenting, stone crushing and ...

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  • ERCP—Preparation, positioning, and instrumentation ...

     · Accessories. The armamentarium of the modern ERCP en- doscopist includes a variety of "tools" to deal with difficult situations. The Soehendra lithotripsy "sleeve" and cranking Fig 2. Mechanical lithotripter used for crushing large and hard stones. PREPARATION, POSITIONING, AND INSTRUMENTATION 7 Fig 3.

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  • ERCP to Remove Gallstones

    ERCP is a non surgical procedure to remove gallstones, which is a common problem in most people. The following is an insight on ERCP to remove gallstones. Gallstones can be defined as small lumps or stones that are a collection of hard solid material that form in the gallbladder or bile duct (this is a pear shaped sac, situated below the liver).

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  • Preparation for ERCP

    attached to specialized catheters can be passsed through the ercp scope into the ducts allowing stone removal. vary large stone may require crushing with a specialized basket so the fragments can be pulled through the sphincterotomy. 4. stent placement- stents are …

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  • OBSERVATIONAL STUDY ON CANNULATION RATE …

    ERCP (Endoscopic Retrograde Cholangiopancreaticography) was introduced in this hospital in late 1995.Since then, a lot of improvement have been achieved in the management of biliary tract diseases. Various general surgeons posted to this ... stone crushing and nasobiliary drainage. In Malaysia, facilities to perform this

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  • Bile Duct Stones | Michigan Medicine

    Large or difficult-to-remove bile duct stones require special ERCP treatments that are not widely available at hospitals throughout the country. They include: Mechanical lithotripsy: This procedure involves breaking up a larger bile duct stone by capturing it and then crushing it in a wire "basket" that is inserted through the endoscope.

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  • Bile Duct Stone Cases

    In therapeutic ERCP at our hospital, we normally perform wire-guided cannulation (WGC) after the execution of EST, so we performed selective bile duct cannulation using the StoneMasterV from the start. ... so it is a good idea to use a basket lithotripter with stone crushing capability.

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  • Extracorporeal Shock Wave Lithotripsy for Large Common ...

    as complete stone removal after ESWL sessions followed by ERCP. Patients who did not achieve CBD/PD clearance after five sessions of ESWL and endoscopic extraction attempts were considered treatment failures. Results A total of 1,284 patients underwent ERCP for either choled-ocholithiasis or pancreatic duct calculi during study peri-od.

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  • US7993329B2

    An ERCP catheter having a removable handle for a lithotriptor compatible basket is disclosed. The removable handle allows the catheter and handle assembly to be removed, leaving the basket in place within the duct and facilitates the use of a lithotriptor for mechanically crushing stone captured in …

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