This text provides a comprehensive review of ERCP and EUS and the clinical conditions for which they are employed. Presented in a case-based format with accompanying videos, it will serve as a valuable practical clinical resource for gastroenterologists with an interest in ERCP and EUS. The text highlights major techniques involved in ERCP, reviews complications and recent data on preventing post-ERCP pancreatitis, and discusses important issues in training in ERCP including use of endoscopic simulators and assessment of competency as emphasized in the new ACGME guidelines. For biliary diseases, new techniques for managing biliary stones, novel technologies for diagnosing indeterminate biliary strictures, and new devices for treating benign and malignant strictures are also highlighted. For pancreatic diseases, advances in minimally invasive endoscopic techniques for pancreatic stones and strictures, and management of the complications of pancreatitis are reviewed. Furthermore, ERCP is not limited by age, pregnancy or history of abdominal surgeries and special considerations particular to these patient populations are also discussed.The EUS chapters review the breadth of equipment available for performing EUS and EUS-FNA, detail the technique of performing EUS-FNA, and explore pertinent issues with training and assessing competency analogous to ERCP training. Valuable insights on the basics of cytopathology relevant to the endosonographer are summarized. The classic indication for EUS of staging luminal cancers is examined in detail while pancreaticobiliary indications are discussed highlighting newer adjunctive technologies including elastography and contrast-enhanced EUS. Although in its infancy, the brave new world of therapeutic EUS is explored with a focus on endoscopic necrosectomy, EUS-guided biliary and pancreatic access as well as the exciting possibilities of EUS-guided radiofrequency ablation and injection of anti-tumor agents.ERCP and EUS: A Case Based Approach will serve as a very useful resource for physicians who perform or refer patients for ERCP and EUS. It provides a concise yet comprehensive summary of the current status of ERCP and EUS that will help guide patient management and stimulate clinical research.
Section I: OVERVIEW ERCP Chapter 1Training in Endoscopic Retrograde CholangiopancreatographyAlexander Lee and Linda S. Lee Chapter 2Indications for ERCPJoseph K. Kim and David L. Carr-Locke Chapter 3Overview of ERCP Complications: Prevention and Management Nalini M. Guda and Martin L. Freeman Chapter 4ERCP from Soup to Nuts: Evaluation, Preparation, Execution and Follow-upJohn Baillie Section II: BILIARY CASES Chapter 5Biliary StonesHemanth K. Gavini and John T. Cunningham Chapter 6Biliary InfectionsSundeep Lakhtakia and Shyam Varadarajulu Chapter 7Diagnosing Biliary Strictures and Indeterminate Biliary StricturesMansour A. Parsi and John J. Vargo Chapter 8Management of Biliary Strictures and Bile Duct InjuryGuido Costamagna, Ivo Boskoski, Pietro Familiari, and Andrea TringaliChapter 9Other Benign Biliary Strictures (Sclerosing cholangitis, autoimmune cholangitis, post-liver transplant)Charles C. Gabbert, Jennifer Chennat, and Adam Slivka Chapter 10Choledochal Cysts: Evaluation and ManagementJames Stayner and Douglas G. Adler Section III: PANCREATIC CASES Chapter 11Acute Biliary Pancreatitis: Image, Intervene or Observe?Steve Edmundowicz and Faris M. Murad Chapter 12Endoscopic Management of the Complications of Acute Pancreatitis Wasif M. Abidi and Christopher C. Thompson Chapter 13ERCP in Chronic PancreatitisAmit Maydeo, Suryaprakash Bhandari and Mukta BapatChapter 14Idiopathic Acute Pancreatitis and Sphincter of Oddi Dysfunction: The diagnostic and therapeutic role of ERCP and sphincter of Oddi manometryJi Young Bang and Gregory A. Cote Chapter 15ERCP in Other Pancreatic DisordersSurinder Singh Rana and Robert H. Hawes Section IV. SPECIAL CONSIDERATIONS Chapter 16Bleeding From The PapillaSimon K. Lo Chapter 17ERCP in Post-Surgical Patients Jemilat O. Badamas and Patrick I. Okolo Chapter 18AmpullectomyAndrew C. Storm and Christopher C. Thompson Chapter 19ERCP in PregnancyBahar Madani and Paul R. Tarnasky Chapter 20Pediatric ERCPQuin Y. Liu and Douglas S. Fishman Section V: EUS - Overview Chapter 21Training in Endoscopic UltrasoundRahul Pannala and Douglas O. Faigel Chapter 22Equipment and ApproachAli A. Siddiqui, Anna Strongin, Andrew Kistler and Mohamad A. Eloubeidi Chapter 23Techniques of Endoscopic Ultrasound-Guided Fine Needle AspirationAbdurrahman Kadayifci and William R. Brugge Chapter 24Essential Cytopathology Concepts for the EndosonographerAkeesha A. Shah, Susanne K. Jeffus, and Edward B. Stelow Section VI: Diagnostic EUS in Luminal Disorders Chapter 25Esophageal CancerLauren G. Khanna and Charles J. Lightdale Chapter 26EUS in Gastric Cancer and Thickened Gastric WallRei Suzuki, Takuto Hikichi, Atsushi Irisawa, Obara Katsutoshi, Hiromasa Ohira, and Manoop. S. Bhutani Chapter 27Rectal Cancer and Anal Sphincter DisordersFerga C. Gleeson and Michael J. Levy Chapter 28Subepithelial LesionsChristopher S. Huang and John R. Saltzman Section VII: Diagnostic EUS in Extraluminal Disorders Chapter 29Endosonography of the MediastinumKondal R. Kyanam Kabir Baig and Michael B Wallace Chapter 30EUS in Pancreatic TumorsMichael Sai Lai Sey, John DeWitt, and Mohammad Al-Haddad Chapter 31EUS in Pancreatic CystsLinda S. Lee Chapter 32EUS and EUS-FNA in Acute Pancreatitis, Chronic Pancreatitis and Autoimmune PancreatitisJ. Enrique Dominguez Munoz. Jose Larino-Noia, and Julio Iglesias Garcia Section VIII. EUS IN THERAPEUTICS Chapter 33Endoscopic Ultrasound-Guided Fine Needle InjectionJason B. Samarasena, Jason Y. Huang, Muhammad F. Dawwas, and Kenneth J. ChangChapter 34EUS-guided Bilio-pancreatic DrainageMarc Giovannini, Erwan Bories, and Felix I. Tellez-Avila
"The purpose is to provide practical, case-based evaluations of different ERCP and EUS scenarios. ... The usefulness of this book is based on the case reviews of different ERCP and EUS scenarios. This book would be of value to anyone training specifically in ERCP and EUS, as well as to those who find themselves with complicated cases and in need of further ideas and techniques to accomplish treatment goals." (Matthew M. Lute, Doody's Book Reviews, May, 2016)
Linda S. Lee, MDDirector, Women's Health in GastroenterologyBrigham and Women's HospitalDepartment of Gastroenterology, Hepatology, and EndoscopyBoston, MA