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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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Endoscopic Procedures I: Esophagogastroduodenoscopy01:29

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An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
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Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

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Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
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Capsule endoscopy, or wireless or video capsule endoscopy, is a diagnostic procedure for examining the entire gastrointestinal tract. Patients swallow a capsule about the size of a vitamin tablet. The capsule is equipped with a transmitter, a battery, an LED light source, and a color video camera to capture images throughout the gastrointestinal tract. This procedure is particularly useful for diagnosing conditions such as Crohn's disease, ulcerative colitis, tumors, polyps, ulcers,...
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Endoscopic Procedures II: Colonoscopy01:25

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The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
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Endoscopic Studies I: Bronchoscopy and Thoracoscopy01:30

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Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
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Clinical practice guidelines for endoscopic papillectomy.

Takao Itoi1, Shomei Ryozawa1, Akio Katanuma1

  • 1Japan Gastroenterological Endoscopy Society, Tokyo, Japan.

Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society
|January 9, 2022
PubMed
Summary
This summary is machine-generated.

This guideline provides recommendations for endoscopic papillectomy (EP), a high-risk endoscopic technique for ampullary tumors. It addresses indications, techniques, outcomes, and follow-up based on expert consensus due to limited high-level evidence.

Keywords:
endoscopic papillectomyguidelines

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Area of Science:

  • Gastroenterology
  • Endoscopic Surgery
  • Oncology

Background:

  • Endoscopic papillectomy (EP) is an emerging therapeutic option for ampullary tumors.
  • High-risk endoscopic procedures require clear clinical guidelines.
  • Limited high-level evidence necessitates expert consensus for practice recommendations.

Purpose of the Study:

  • To establish clinical practice guidelines for endoscopic papillectomy (EP).
  • To provide a scientific framework for EP based on expert consensus.
  • To address key aspects of EP, including indications, techniques, outcomes, and follow-up.

Main Methods:

  • Development of guidelines by the Japan Gastroenterological Endoscopy Society.
  • Scientific approach integrating expert consensus.
  • Focus on five critical areas of EP: indications, preparation/technique, adverse events, outcomes, and follow-up.

Main Results:

  • Guidelines cover indications for EP in ampullary tumors.
  • Detailed recommendations on preoperative/intraoperative preparations and techniques are provided.
  • Information on early adverse events, therapeutic outcomes, remnant/recurrent disease, and follow-up is included.

Conclusions:

  • The developed guidelines offer a comprehensive framework for endoscopic papillectomy.
  • These guidelines aim to standardize and improve the clinical practice of EP.
  • The consensus-based approach addresses the current evidence limitations in EP.