UID:
edoccha_9961089673202883
Format:
1 online resource (566 pages) :
,
illustrations (some color)
Edition:
Third edition.
ISBN:
0-323-52785-X
Uniform Title:
ERCP (Baron)
Note:
Front Cover -- Inside Front Cover -- ERCP -- Copyright Page -- Dedication -- Contributors -- Foreword -- Acknowledgment -- Table Of Contents -- Video Contents -- I General Topics -- 1 Approaching 50 Years -- ERCP in Its Infancy: 1968 to 1980 -- The Second Decade: 1980 to 1990 -- The Third Decade: 1990 to 2000 -- ERCP in the New Millennium -- The Future of ERCP -- Key Points -- References -- 2 The ERCP Room -- Evolution of the ERCP Room -- Staffing for the ERCP Procedure -- Room Layout -- Radiologic Imaging Equipment -- Room Integration Systems -- Endoscopist Work Area -- Intraprocedure -- Preprocedure and Postprocedure Work Area -- Anesthesia/Sedation Work Area -- Nursing and Technician Work Area -- Ergonomics -- Miscellaneous Issues -- References -- 3 Radiologic Issues and Radiation Safety During ERCP -- Fluoroscopic Imaging Systems -- Radiation Dose Management in Fluoroscopic Procedures -- Occupational Ionizing Radiation Exposure -- Creating and Viewing Images -- Bile Duct Evaluation -- Pancreatic Duct Evaluation -- General Imaging Considerations -- Additional Cancer Risks From Medical Radiation -- References -- 4 Endoscopes, Guidewires, and Accessories -- Endoscopes -- Side-Viewing Endoscopes -- Forward-Viewing Endoscopes -- Balloon-Assisted Enteroscopes -- Echoendoscopes -- Accessories -- Standard Cannulation Catheters -- Sphincterotomes -- Access Sphincterotomes -- Guidewires -- Wire Safety -- Exchange Assistance Devices (Short-Wire ERCP Systems) -- Rapid Exchange Biliary System -- Fusion System -- V-System -- Accessories -- Drainage Devices -- Plastic Stents -- Self-Expandable Metal Stents -- Nasobiliary and Pancreatic Drainage Catheters -- Tissue Sampling Devices -- Stricture and Papilla Dilation Devices -- Stone Extraction Accessories -- Mechanical Lithotriptors -- Cholangiopancreatoscopy -- Intraductal Ultrasound Probes.
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Probe-Based Confocal Laser Endomicroscopy -- Other Accessories -- Radiographic Contrast Media Used in ERCP -- The Use of Carbon Dioxide in ERCP -- Accessories for Use in Patients With Altered Anatomy -- Single-Use Versus Reusable Accessories -- Storage of Accessories -- Role of the U.S. Food and Drug Administration in Device Evaluation and Monitoring -- Radiation Exposure -- References -- 5 Duodenoscope Reprocessing -- Background -- History of MDRO in Endoscopy -- High-Level Disinfection and Reprocessing -- Reaction From Regulatory Bodies -- Strategies for Risk Reduction -- Potential Solutions -- Conclusions -- References -- 6 Sedation in ERCP -- Defining the Continuum of Sedation -- Defining Sedation-Related Complications (Adverse Events) -- Risk Assessment -- Anesthesiologist-Administered Sedation -- Nonanesthesiologist (Endoscopist)-Administered Sedation -- Monitoring -- Room Setup and Considerations for Safety -- Conclusions -- References -- 7 Indications for and Contraindications to ERCP -- Indications for and Contraindications to ERCP -- Indications for ERCP -- Special Cases -- Contraindications to ERCP -- References -- 8 Adverse Events of ERCP -- Definitions of Complications, Adverse Events, Unplanned Events, and Other Negative Outcomes -- Analyses of Adverse Event Rates -- Overall Adverse Events of ERCP and Sphincterotomy -- Pancreatitis -- Patient-Related Risk Factors for Post-ERCP Pancreatitis -- Technique-Related Risk Factors for Post-ERCP Pancreatitis -- Specific Techniques to Reduce Risk of Post-ERCP Pancreatitis -- Pharmacologic Agents -- Prevention and Treatment of Post-ERCP Pancreatitis -- Hemorrhage -- Risk Factors for Hemorrhage After Sphincterotomy -- Methods to Prevent and Treat Hemorrhage -- Perforation -- Cholangitis and Cholecystitis -- Duodenoscope-Associated Bacterial Infections -- Long-Term Adverse Events and Sequelae.
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Operator Experience and Adverse Events -- References -- 9 ERCP Training -- Training in ERCP -- Current Status of ERCP Training -- Learning Curves and Competence in ERCP -- Toward Competency-Based Medical Education -- ERCP Training Using Simulation -- Maintenance of ERCP Skills and Volume for ERCP -- Quality Measures for Trainees -- Future Directions -- Conclusions -- References -- Appendix 9.1 The EUS and ERCP Skills Assessment Tool (TEESAT) -- 10 Preparation of the Patient for ERCP -- Should This Patient Undergo ERCP? -- When, Where, and With Whom? -- Evaluation of the Patient Before ERCP -- History and Physical -- Laboratory Testing -- Review of Imaging Studies -- Preparing the Patient: Day(s) Before ERCP -- Management of Antithrombotic Agents -- Antiplatelet Agents -- Aspirin. -- Thienopyridines and dual-antiplatelet therapy. -- Anticoagulants -- Duration of Fasting -- Method of Sedation, Proper Personnel, and Patient Monitoring -- Selecting Sedation for ERCP -- Proper Personnel -- Proper Monitoring and Intervention Equipment -- Preparing the Endoscopy Team -- Preparing the Patient: the Day of the ERCP -- Informed Consent -- Periprocedural Antibiotics -- Positioning the Patient and Preparing for Radiography -- Reviewing Intravenous Access and Allergies -- References -- 11 Principles of Electrosurgery -- Electrosurgery -- A Brief History of Electrosurgery and ERCP -- Basics of Electricity as Applied to Electrosurgery -- Basics of Electricity -- The Electrosurgical Unit -- Monopolar Versus Bipolar Circuits -- Maximizing Safety -- Pacemakers -- Neuromuscular Stimulation -- Current Leaks -- Clinical Applications of Electrosurgery in ERCP -- Types of Current -- Sphincterotomy -- Needle-Knife Access Papillotomy and Fistulotomy -- Electrohydraulic Lithotripsy (see Chapters 19, 46, and 55) -- Papillectomy -- Pseudocyst Drainage and Necrosectomy.
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EUS Gallbladder Drainage -- Radiofrequency Ablation in the Bile Duct -- References -- 12 Quality Issues and Measures in ERCP -- Preprocedure Quality Indicators -- Appropriate Indication -- Informed Consent -- Assessment of the Difficulty of the Procedure -- Prophylactic Antibiotics -- Endoscopist Experience -- Intraprocedure Quality Indicators -- Cannulation Rates -- Removal of Common Bile Duct Stones -- Stent Placement for Biliary Obstruction Below the Bifurcation -- Postprocedure Quality Indicators -- Comprehensive Documentation -- Adverse Event Rates -- Fluoroscopy Duration and Radiation Dose -- Initiating Quality Measurements -- Conclusions -- References -- 13 Medicolegal Issues in ERCP -- How Often Are Gastroenterologists Sued? -- How Common Are Lawsuits Involving ERCP? -- What Are the Key Legal Principles? -- Duty -- Breach of Duty -- Causation -- Injury -- Standards of Care and Guidelines -- Guidelines -- Who May Be Liable? Not Only the ERCPist -- Employer Liability -- Preceptor -- Proctor -- Administrator -- Hospital Liability -- Summary of Vicarious Liability -- Informed Consent -- Material Risks -- Controversial Areas -- Exceptions to Informed Consent -- Informed Refusal -- Legal Consequences of Failing to Obtain Informed Consent -- Why Do ERCP Lawsuits Occur? -- Marginal Indications -- Poor Communication -- Poor Endoscopic Technique -- Sedation/Anesthesia Problems -- Poor Aftercare -- Nosocomial Infection -- Delay in Performing ERCP -- How to Minimize the Risk of Litigation -- Levels of Complexity in Training and Practice -- Certification? -- Recognizing Higher-Risk Situations -- Higher-Risk Patients -- Higher-Risk Procedures -- The Context of the Procedure -- Risk-Benefit -- Professional Behavior -- Doing Informed Consent Right -- Documenting the Consent Process: "He Said, She Said".
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Special Care Needed With "Open Access" and Urgent ERCP -- Live Teaching Demonstrations -- Managing Adverse Events -- When You Are Sued -- Expert Testimony -- A Summary of Recommendations -- Conclusions -- Acknowledgments -- References -- II Techniques -- 14 Cannulation of the Major Papilla -- Establishing the Duodenal Position -- Devices and Equipment for Cannulation (See Also Chapter 4) -- Cannulation Technique -- Guidewire or Contrast? -- Papilla Assessment and Basic Technique -- Small Papilla -- Periampullary Diverticulum -- Difficult Cannulation -- Repeated Cannulation of the Pancreatic Duct Without Biliary Access -- Needle-Knife Sphincterotomy (See Also Chapter 15) -- NKS Technique -- Cannulation of the Pancreatic Duct -- Quality and Enhancing Outcomes (See Also Chapter 12) -- References -- 15 Access (Precut) Papillotomy -- Indication for Precut Papillotomy -- Precut Accessories -- Techniques -- Needle Knife From the Orifice -- Needle Knife Above the Papillary Orifice (Fistulotomy) -- Needle Knife With an Insulated Tip -- Short-Nose Precut Sphincterotomy -- Transpancreatic Sphincterotomy -- Unconventional Techniques -- Use of Pancreatic Stents -- Adverse Events (see Chapter 8) -- Pancreatitis -- Bleeding -- Perforation -- Failed Access and Cost -- Summary -- References -- 16 Sphincter of Oddi Manometry -- Method of SOM -- Sedation -- Equipment -- Technical Performance of SOM (Video 16.1) -- Interpretation Criteria -- Reproducibility of SOM -- Adverse Events of SOM -- Summary -- References -- 17 Biliary Sphincterotomy -- Description of the Technique -- Instruments -- Procedure -- EST in Patients With Difficult Anatomy -- Alternatives to EST -- Indications -- Contraindications -- Adverse Events and Their Management (see Chapter 8) -- EST-Related Post-ERCP Pancreatitis -- EST-Related Hemorrhage -- EST-Related Perforation -- EST-Related Cholangitis.
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Long-Term Consequences of EST.
Additional Edition:
ISBN 0-323-48109-4
Language:
English
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