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Related Concept Videos

Esophageal Strictures-II: Clinical Features and Management01:26

Esophageal Strictures-II: Clinical Features and Management

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Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
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Inflammatory Bowel Disease V: Surgical Management01:21

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Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
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Endoscopic Procedures V: ERCP01:26

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Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
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Esophageal Strictures-I: Introduction01:30

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Esophageal strictures involve abnormal narrowing or tightening of the esophagus. They vary in length and severity, ranging from mild constriction to complete obstruction, and are classified as benign (noncancerous) or malignant (cancerous).
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Esophageal Varices-II: Clinical Features and Management01:28

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Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
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Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
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Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
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Endoscopic management of benign biliary strictures.

Kavel H Visrodia1, James H Tabibian1, Todd H Baron1

  • 1Kavel H Visrodia, Department of Internal Medicine, Mayo Clinic, Rochester, MN 55905, United States.

World Journal of Gastrointestinal Endoscopy
|September 1, 2015
PubMed
Summary

Gastrointestinal endoscopy, including ERCP and EUS, is key for managing biliary obstruction. This review focuses on how these endoscopic techniques are evolving for treating benign biliary strictures.

Keywords:
Bile ductsBiliary tractEndoscopic cholangiopancreatographyGastrointestinal endoscopyStentsStricture

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Area of Science:

  • Gastroenterology
  • Endoscopy
  • Biliary Medicine

Background:

  • Endoscopic management of biliary obstruction has advanced significantly over 50 years.
  • Endoscopic retrograde cholangiopancreatography (ERCP) is the primary method for diagnosing and relieving biliary obstruction.
  • Endoscopic ultrasonography (EUS) is increasingly used as an auxiliary tool for biliary decompression.

Purpose of the Study:

  • To review the current and evolving role of gastrointestinal endoscopy in managing biliary obstruction.
  • To focus specifically on the application of ERCP and EUS in benign biliary strictures.

Main Methods:

  • Literature review of endoscopic management of biliary obstruction.
  • Analysis of the roles of ERCP and EUS in diagnosis and therapy.
  • Focus on benign biliary strictures.

Main Results:

  • ERCP remains the mainstay for biliary obstruction diagnosis and relief.
  • EUS is a valuable adjunct for diagnosis and facilitating biliary decompression.
  • The review synthesizes current endoscopic approaches for benign biliary strictures.

Conclusions:

  • Endoscopic techniques, particularly ERCP and EUS, are central to modern biliary obstruction management.
  • Ongoing evolution of endoscopy offers improved therapeutic options for benign biliary strictures.
  • A comprehensive understanding of ERCP and EUS is crucial for effective patient care.