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Related Concept Videos

Endoscopic Procedures V: ERCP01:26

Endoscopic Procedures V: ERCP

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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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Acute pancreatitis presents a complex medical emergency characterized by rapid onset inflammation of the pancreas, demanding timely diagnosis and management to prevent complications. The condition primarily manifests through severe upper abdominal pain that often radiates to the back. This pain intensifies following the consumption of fatty foods. Accompanying symptoms such as nausea, vomiting, abdominal distention, fever, dyspnea, cyanosis, and jaundice can vary in intensity but significantly...
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Related Experiment Video

Updated: Mar 31, 2026

Laparoscopic Cholecystectomy with Indocyanine Green Fluorescence: Choledochoscopic Stone Extraction and Primary Duct Suture
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Laparoscopic Cholecystectomy with Indocyanine Green Fluorescence: Choledochoscopic Stone Extraction and Primary Duct Suture

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Endoscopic Gallbladder Drainage for Acute Cholecystitis.

Jessica Widmer1, Paloma Alvarez2, Reem Z Sharaiha1

  • 1Division of Gastroenterology and Hepatology, Weill Cornell Medical College, Cornell University, New York, NY, USA.

Clinical Endoscopy
|October 17, 2015
PubMed
Summary
This summary is machine-generated.

Endoscopic gallbladder drainage, including ERCP and EUS-guided stenting, offers a safe and effective alternative for patients with cholecystitis who cannot undergo surgery. These minimally invasive techniques successfully decompress the gallbladder with a low complication rate.

Keywords:
CholecystitisEndoscopic ultrasound-guided gallbladder drainageFully covered self-expanding metal stentMetal stentTransgastric

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Area of Science:

  • Gastroenterology
  • Minimally Invasive Surgery
  • Interventional Endoscopy

Background:

  • Cholecystitis (gallbladder inflammation) typically requires surgery, which poses risks for high-risk or debilitated patients.
  • Gallbladder stenting (GBS) presents a promising alternative for gallbladder drainage in these challenging cases.
  • Endoscopic transpapillary GBS and endoscopic ultrasound-guided GBS (EUS-GBS) are emerging as safe and effective endoscopic solutions.

Purpose of the Study:

  • To evaluate the safety and efficacy of endoscopic gallbladder drainage techniques.
  • To compare outcomes between endoscopic retrograde cholangiopancreatography (ERCP) with cystic duct stenting and endoscopic ultrasound-guided gallbladder drainage (EUS-GBS).

Main Methods:

  • A retrospective analysis of prospectively collected data from 139 patients with cholecystitis treated between August 2004 and May 2013.
  • Patients underwent either ERCP with cystic duct stenting or EUS-GBS, following an established treatment algorithm.
  • Successful drainage was defined as gallbladder decompression without recurrence of cholecystitis.

Main Results:

  • Endoscopic gallbladder drainage was successful in 117 of 128 cases (91%) using ERCP and cystic duct stenting.
  • EUS-guided gallbladder drainage achieved 100% success (11 of 11 cases) with transmural stent placement.
  • Overall complications occurred in 8% of patients, indicating a favorable safety profile.

Conclusions:

  • Endoscopic gallbladder drainage techniques, including ERCP and EUS-GBS, are safe and effective for gallbladder decompression.
  • These minimally invasive procedures provide a valuable option for non-surgical patients with comorbidities presenting with cholecystitis.