PPT-ERCP: This changed my practice

Jennifer J Telford MD MPH FRCPC CSGNA September 22 2017 Victoria BC Objectives Tips to a difficult cannualtion Management of large stones Management of benign biliary strictures Prevention of postERCP pancreatitis. Abbreviationsusedinthispaper:ERCP,endoscopicretrogradecholangiopancreatography;ES,endoscopicsphincterotomy;GB,gall-bladder;GERD,gastroesophagealre (Part . 3 . of “God’s Will for my Life”). ESV. Romans 5:12. Therefore, just as sin came into the world through one man, and death through sin, and so death spread to all . men . because all sinned. Learning Objectives. All students will be able to state . some way in which . the roles of men and women have changed over the last 50 years. Most students will be able to discuss how men can now take a more active role in bringing up children. . Rutala WA, Weber DJ. Infect Control Hosp Epidemiol 2015;36:643-648. No single, simple and proven technology or prevention strategy that hospitals can use to guarantee patient safety. Of course, . Michael Chang, MD. Overview. Risk of Post-ERCP pancreatitis (PEP). Basics – Patient, Procedural. Pancreatic duct stenting. Rectal . Indomethacin. Hydration. Overall Risk of PEP. Systematic review in GIE 2015.. Michael Chang, MD. Overview. Risk of Post-ERCP pancreatitis (PEP). Basics – Patient, Procedural. Pancreatic duct stenting. Rectal . Indomethacin. Hydration. Overall Risk of PEP. Systematic review in GIE 2015.. . (ERCP) . Introduction. Endoscopic retrograde . cholangiopancreatography. (ERCP) is a technique that combines the use of . endoscopy. and . fluoroscopy. to diagnose and treat certain problems of :. Cholangiography and. Biliary Intervention. Indications. Treatment of malignant obstruction. Adjunct to surgery. Treatment of CBD calculi. Treatment of benign strictures. Diagnostic?. Failed ERCP. Patient selection. Cholangiopancreatography (ERCP) Lamon Willis Anatomy Involved Anatomy Involved • The common bile duct drains all bile produced in the liver into the duodenum, which is the first part of the sma Clinical benefit and risk of ERCP Endoscopic retrograde cholangiopancreatography (ERCP) • Endoscopic technique in which a specialized side - viewing upper endoscope is guided into the duodenum , Tavusbay et al. Management of perforation after endoscopic retrograde cholangiopancreatographysubcutaneous or mediastinal emphysema. While 18 of the 29 patients had obvious signs and symptoms of perit THE FOLLOWING TO YOUR APPOINTMENT:A PHOTO ID TO VERIFYOUR IDENTITY NorDigestive Health Services (the durenteist ate Proee time January 2015PS 45 Trifurcatedhepaticductwithlowunioncomplicatedbycholedocholithiasis A74-year-oldmanwasadmittedtoourhospitalwithrightupperquadrantpain.Laboratorydataonadmissionwereasfol-lows:aspartatetransaminase(AST)2 Sumon. Assistant Teacher (English). Sonaichandi. High School. Nachole. , . Chapainawabganj. English 2. nd. Paper. Class- VIII -X. He is a good boy.. He is not a bad boy.. It is a tall tree.. It is not a short tree..