Endotherapy in Biliopancreatic Diseases: ERCP Meets EUS Two Techniques for One Vision

This volume presents the technical and cultural state of the art of two of the riskiest, most complex and operator-dependent digestive operative techniques: endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic ultrasonography (EUS). The authors compare old and new techniques, shedding light on the most recent and innovative scientific findings, including those in the field of anatomic pathology and molecular biology considered relevant for the analysis of tissue samples collected during EUS.

In view of the technical difficulties specific to these techniques, the book also offers access to online-videos and numerous images, making it a valuable resource both for physicians approaching these techniques for the first time as well as for those already using them.

Organized into 7 sections, it describes in detail all techniques related to ERCP/EUS, together with any specific technical equipment required. It also presents a new paradigm based on the latest results in the areas of prevention, diagnosis and management of the most common complications. Clinical outcomes presented in international literature, as well as algorithms – both based on scientific evidence and expert findings – are illustrated and compared to alternative treatments.

Part 1 Section I - ERCP and EUS: armamentarium and surroundings 1 ERCP/ERCP Room 2 X-rays in endoscopy 3 ULTRASOUND EQUIPMENTS 4 ENDOSCOPES 5 ERCP standard and special devices 6 EUS STANDARD DEVICES 7 Deep sedation and anesthesia for advanced gastrointestinal endoscopy: challenging a continuum 8 ANATOMY OF THE BILIARY TREE 9 Anatomy of the pancreas 10 CT: what we need to know to start to interpret radiological pictures 11 MR: what we need to know to start to interpret radiological pictures 12 Patients management before and after EUS/ERCP Part 2 Section II - ERCP: WHAT and HOW 13 Cannulation techniques 14 Biliary sphincterotomy and precut 15 Pancreatic Sphincterotomy 16 BILIARY STONES EXTRACTION  17 Intraductal lithotripsy 18 Biliary and Pancreatic ESWL 19 BILIARY STENTING 20 Endoscopic Papillectomy 21 Ductoscopy 22 Intraductal Ablation Techniques 23 Stent Removal (plastic and metal) 24 ERCP in altered anatomy 25 PTC and PTC-ERCP rendez-vous procedures Part 3 Section III - EUS: WHAT and HOW 26 EUS Diagnostic Puncture 27 ANCILLARY DIAGNOSTIC TECHNIQUES IN EUS 28 EUS-GUIDED TRANSENTERIC PANCREATIC DUCT DRAINAGE 29 EUS ASSISTED ABLATION TECHNIQUES 30 Intraductal US Part 4 Section IV - Complications: prevention, diagnosis and management 31 Acute pancreatitis 32 Bleeding 33 ERCP-related perforations 34 Miscellany 35 EUS complications Part 5 Section V -  Bilio-pancreatic diseases: clinical results  36 Common bile duct stones 37 Intrahepatic stones 38 Acute Cholangitis 39 Papillectomy: clinical results  40 TIPS in Malignant Biliary Strictures
41 RESULTS OF EUS TRANSMURAL BILIARY DRAINAGE 42 POST-OPERATIVE BILIARY STRICTURE 43 Biliary complications after liver transplantation 44 Biliary Leaks: Role of ERCP in post-operative biliary complications 45 Primary sclerosing cholangitis 46 Acute cholecystitis 47 Acute biliary pancreatitis 48 Chronic Pancreatitis 49 Pancreatic Fistulas Part 6 Section VI - The  cytopathologist’s point of view 50 EUS Tissue sampling : what are we talking about? 51 MOLECULAR BIOLOGY OF BILIOPANCREATIC LESIONS Part 7 Section VII - Clinical Algorithms 52 Suspected common bile duct stones (algorithm) 53 Acute Cholangitis (algorithm) 54 Diagnosis of etiology in acute pancreatitis  55 Periampullary biliary strictures (algorithm) 56 Hilar Strictures: Algorithm 57 Diagnosis of pancreatic cyst: Algorithm

Massimiliano Mutignani received his degree in Medicine and Surgery from the Università Cattolica del Sacro Cuore in Rome in 1989. He then completed his first specialization in Emergency General Surgery and Emergency department there in 1994 and obtained a second qualification in Gastroenterology and Digestive Endoscopy in 2003. From 1994 to 2010 he held the annual training course on Clinical General surgery and organized several seminars on liver and biliary Surgery, as well as Digestive Endoscopy. In 2009 he became associate professor of general surgery, and was head of the Gastroenterology and Endoscopy department at the Fatebenefratelli Ophtalmic Hospital for a year. Since 2012, he has been head of the department of Digestive and Interventional Endoscopy at Niguarda Hospital. He has been invited to give lectures on these topics at more than 450 national and international meeting and courses and is the author of 110 publications.

Jörg G. Albert graduated from the Ruprecht-Karl University of Heidelberg and Mannheim Medical School in 2000. He then he worked at the Klinikum of Ludwigshafen and at the Martin-Luther University Hospitals and Clinics in Halle-Witemberg. In 2008 he moved to the department of Internal Medicine at the Johann Wolfgang Goethe University Hospital in Frankfurt and is currently head of Gastroenterology, Hepatology, Endocrinology at the Robert-Bosch-Krankenhaus in Suttgart. He is a member of the American Gastroenterological Association and the European Society Of Gastrointestinal Endoscopy.

Carlo Fabbri is a world renowned endoscopist boarded in both Europe and the United States. His research group is focused on gastrointestinal cancer screening program, endoscopic ultrasonography and interventional endoscopy, and the use of new devices to diagnose and treat biliary and pancreatic diseases. Using the adjunction of both Endoscopic Retrograde Cholangiopancreatography (ERCP) and Endoscopic Ultrasonography (EUS) has permitted successful treatment of newly described procedures that have had a major impact on patient management with obstruction related to cancer. The adjunct use of both Endoscopic Retrograde Cholangiopancreatography (ERCP) and Endoscopic Ultrasonography (EUS) has permitted him and his team to successfully treat pancreatic collections and perform newly described procedures that have had a major impact on patient management.