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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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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.
Patient...
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Esophageal Varices-II: Clinical Features and Management01:28

Esophageal Varices-II: Clinical Features and Management

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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.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
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Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

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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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Esophageal Strictures-I: Introduction01:30

Esophageal Strictures-I: Introduction

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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).
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
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Chronic Pancreatitis II: Collaborative Care01:29

Chronic Pancreatitis II: Collaborative Care

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The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
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All-cause mortality, adverse events and associated factors following endoscopic retrograde cholangiopancreatography for benign indications in England.

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Related Experiment Video

Updated: Mar 6, 2026

Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
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Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction

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Biliary strictures: endoscopic assessment and management.

Bharat Paranandi1, Kofi W Oppong2

  • 1Department of Gastroenterology , Leeds Teaching Hospitals NHS Trust , Leeds , UK.

Frontline Gastroenterology
|March 7, 2017
PubMed
Summary

Diagnosing biliary strictures is difficult, but advances in endoscopic techniques and technologies show promise for improving diagnostic accuracy and therapeutic outcomes. Novel approaches aim to enhance the effectiveness of endoscopic retrograde cholangiopancreatography (ERCP).

Keywords:
AUTOIMMUNE BILIARY DISEASEBILIARY STRICTURESENDOSCOPIC RETROGRADE PANCREATOGRAPHYENDOSCOPIC ULTRASONOGRAPHYHEPATOBILIARY CANCER

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Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
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Laparoscopic Common Bile Duct Exploration Followed by Primary Suture Using a Modified Bile Duct Incision
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Area of Science:

  • Gastroenterology and Hepatology
  • Interventional Endoscopy
  • Biliary Tract Diseases

Background:

  • Biliary strictures present diagnostic challenges.
  • Endoscopic retrograde cholangiopancreatography (ERCP) is a key tool for diagnosis and therapy.
  • Current ERCP tissue sampling has limited diagnostic yield.

Purpose of the Study:

  • To explore advancements in endoscopic technologies for biliary strictures.
  • To improve the diagnostic performance of endoscopy.
  • To expand the therapeutic applications of endoscopy in biliary diseases.

Main Methods:

  • Review of recent studies on endoscopic techniques and technologies.
  • Evaluation of novel diagnostic and therapeutic approaches in ERCP.
  • Analysis of preoperative biliary drainage and stenting strategies.

Main Results:

  • Emerging technologies offer potential to enhance diagnostic accuracy.
  • Improved understanding of preoperative biliary drainage and stent selection.
  • Clarification of metal stent utility in benign and malignant biliary strictures.

Conclusions:

  • Technological innovations are crucial for improving endoscopic diagnosis of biliary strictures.
  • Optimized stenting and drainage strategies enhance therapeutic outcomes.
  • Further research into novel endoscopic methods is warranted.