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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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227
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

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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.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
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Endoscopic Procedures I: Esophagogastroduodenoscopy01:29

Endoscopic Procedures I: Esophagogastroduodenoscopy

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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.
During an EGD, the endoscope can be used to:
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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 Procedures II: Colonoscopy01:25

Endoscopic Procedures II: Colonoscopy

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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 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.
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Related Experiment Video

Updated: Jul 2, 2025

Technical Detail for Robot Assisted Pancreaticoduodenectomy
14:45

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Pediatric ERCP: Evolving into an Outpatient Procedure.

Monique T Barakat1,2, Andrew Yong-Jueen Liman2, Roberto Gugig3,4

  • 1Division of Gastroenterology and Hepatology, Stanford University School of Medicine, Stanford, CA, 94305, USA.

Digestive Diseases and Sciences
|February 28, 2024
PubMed
Summary
This summary is machine-generated.

Outpatient pediatric ERCP (endoscopic retrograde cholangiopancreatography) is safe, with no increased adverse events compared to inpatient procedures. This approach can be considered for select pediatric patients undergoing ERCP.

Keywords:
Endoscopic Retrograde Cholangiopancreatography (ERCP)OutpatientPediatricQuality

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Area of Science:

  • Gastroenterology
  • Pediatric Endoscopy
  • Health Services Research

Background:

  • Pediatric ERCP (endoscopic retrograde cholangiopancreatography) is typically inpatient-based.
  • A shift towards outpatient pediatric ERCP is emerging, guided by clinical judgment.
  • This study compares outcomes of outpatient versus inpatient pediatric ERCP.

Purpose of the Study:

  • To compare patient characteristics, indications, and adverse events between outpatient and inpatient pediatric ERCP.
  • To identify factors influencing the decision for outpatient versus inpatient pediatric ERCP.
  • To evaluate the safety of outpatient pediatric ERCP.

Main Methods:

  • Retrospective analysis of pediatric ERCP (age ≤18) from 2019-2021.
  • Data collected included demographics, hospitalization status, indications, findings, interventions, and adverse events.
  • Comparison between outpatient (n=51) and inpatient groups (n=96).

Main Results:

  • No statistically significant differences were observed in patient age, indications, or ERCP type (index vs. subsequent) between outpatient and inpatient groups.
  • Overall ERCP-associated adverse event rates were low in both groups.
  • There was no significant difference in adverse events between pediatric patients undergoing outpatient versus inpatient ERCP.

Conclusions:

  • Outpatient pediatric ERCP is a safe option for select patients, with no increased risk of adverse events compared to inpatient ERCP.
  • Clinical judgment can guide the safe selection of pediatric patients for outpatient ERCP.
  • Further prospective, multi-center studies are warranted to validate these findings.