Health Care Professionals

ERCP: Advanced diagnostic (sphincter of Oddi manometry, peroral cholangioscopy and pancreas divisum) with advanced therapeutic interventions.
• Diagnosis and management of benign and malignant bile duct and pancreatic duct strictures related to chronic pancreatitis, including use of self expandable metal stents (usually uncovered for malignant) and fully covered for certain types of benign biliary strictures in addition to multiple plastic stents.

Sphincter of Oddi Manometry:

1-SOM

 

Pancreatic Duct Stricture from Chronic Pancreatitis managed endoscopically with balloon dilation and placement of three 7 Fr PD stents.

Multiple 7Fr PD stents

Multiple 7Fr PD stents

High grade obstructing PD stricture in chronic pancreatitis

High grade obstructing PD stricture in chronic pancreatitis

Balloon Dilation of stricture

Balloon Dilation of stricture (note persistent “waist” of balloon)

 

Multiple common bile duct stents (11.5 Fr and 10 Fr) and pancreatic duct stents (7 Fr x3) for chronic pancreatitis with pancreatic and bile duct strictures.

Cholangiogram showing high grade obstructing distal CBD stricture from chronic pancreatitis. Secured wire cannulation in PD

Cholangiogram showing high grade obstructing distal CBD stricture from chronic pancreatitis. Secured wire cannulation in PD

Fluoroscopic image of the multiple CBD and PD stents placed.

Fluoroscopic image of the multiple CBD and PD stents placed.

multiple pd cbd stents for chr panc strx2

Endoscopic image after placement multiple CBD and PD stents.

 

Uncovered self expandable metal stent for malignant stricture of bile duct due to inoperable metastatic pancreatic cancer.

Biliary SEMS

Fluoroscopic image of deployed and expanded biliary metal stent across distal bile duct stricture

SEMS4

Endoscopic image of fully deployed trans papillary biliary metal stent.

 

 

 

 

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