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Related Concept Videos

Endoscopic Procedures V: ERCP01:26

Endoscopic Procedures V: ERCP

271
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...
271
Endoscopic Procedures III: Video Capsule Endoscopy01:28

Endoscopic Procedures III: Video Capsule Endoscopy

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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 Studies II: Thoracocentesis01:26

Endoscopic Studies II: Thoracocentesis

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Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
277

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Related Experiment Video

Updated: Jul 9, 2025

Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
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Tips and tricks for endoscopic transpapillary gallbladder drainage.

Jad P AbiMansour1, Ryan J Law1, Andrew C Storm1

  • 1Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota.

Videogie : an Official Video Journal of the American Society for Gastrointestinal Endoscopy
|November 29, 2023
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Summary

Endoscopic transpapillary gallbladder drainage offers an incisionless alternative to percutaneous drainage for cholecystitis in non-surgical patients. This study details techniques for successful endoscopic gallbladder access and drainage during ERCP.

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Area of Science:

  • Gastroenterology and Hepatology
  • Minimally Invasive Endoscopic Procedures

Background:

  • Percutaneous gallbladder drainage is the standard for non-surgical cholecystitis patients.
  • Endoscopic transpapillary gallbladder drainage provides an internal, incisionless alternative.

Purpose of the Study:

  • To describe techniques for selective cystic duct cannulation and gallbladder drainage during ERCP.
  • To highlight best practices for successful endoscopic transpapillary gallbladder drainage in challenging cases.

Main Methods:

  • Demonstration of endoscopic and fluoroscopic videos and images of transpapillary gallbladder procedures.
  • Detailed techniques for standard and challenging cystic duct cannulation, including guidewire manipulation and occlusion balloons.
  • Use of specialized devices for duct dilation and double-pigtail stent placement.

Main Results:

  • Successful cystic duct cannulation achieved through various methods, including rotatable catheters and smaller guidewires.
  • Dilation of the cystic duct using standard and smaller angioplasty balloons for strictures.
  • Deployment of double-pigtail stents and a novel technique for dual-wire access to avoid re-access.

Conclusions:

  • Endoscopic transpapillary gallbladder drainage is safe and effective for treating cholecystitis in non-surgical candidates.
  • Adherence to ERCP fundamentals and described techniques ensures successful outcomes.