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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.
Patient...
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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 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 Studies I: Bronchoscopy and Thoracoscopy01:30

Endoscopic Studies I: Bronchoscopy and Thoracoscopy

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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.
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
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Endoscopic Procedures II: Colonoscopy01:25

Endoscopic Procedures II: Colonoscopy

48
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:
48
Endoscopic Procedures III: Video Capsule Endoscopy01:28

Endoscopic Procedures III: Video Capsule Endoscopy

67
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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Related Experiment Video

Updated: May 28, 2025

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Urgent Endoscopic Biliary Procedures: "Run Like the Wind"?

Francesca Lodato1, Stefano Landi1, Marco Bassi1

  • 1Department of Gastroenterology and Interventional Endoscopy, AUSL Bologna Bellaria, Maggiore Hospital, 40133 Bologna, Italy.

Journal of Clinical Medicine
|February 13, 2025
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Emergency endoscopy for upper GI bleeds, foreign bodies, and caustics is 24/7. Urgent biliary endoscopy is needed for severe acute cholangitis within 12 hours; other conditions can be scheduled.

Keywords:
biliary endoscopyemergencyorganization

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Area of Science:

  • Gastroenterology
  • Endoscopy
  • Biliary Tract Diseases

Background:

  • Emergency endoscopy services are crucial for upper gastrointestinal pathologies.
  • Biliary tract conditions like acute cholangitis, pancreatitis, leaks, and cholecystitis may require urgent endoscopic intervention.
  • Current awareness and guidelines on urgent biliary endoscopy vary, impacting patient care and resource allocation.

Purpose of the Study:

  • To review biliary tract pathologies requiring emergency or urgent endoscopic intervention.
  • To assess the organizational implications of providing 24/7 urgent biliary endoscopy services.
  • To clarify which biliary conditions necessitate immediate endoscopic management versus those that can be scheduled.

Main Methods:

  • Literature review of international guidelines and studies on urgent endoscopic procedures for biliary tract diseases.
  • Analysis of the timing requirements for endoscopic intervention in acute cholangitis, biliary pancreatitis, biliary duct leaks, and acute cholecystitis.
  • Evaluation of the organizational challenges in providing specialized endoscopic care.

Main Results:

  • Severe acute cholangitis is the primary biliary condition requiring endoscopic intervention within 12 hours.
  • Acute biliary pancreatitis, acute cholecystitis (in non-surgical candidates), and biliary duct leaks can often be managed within 72 hours or scheduled.
  • Providing 24/7 availability for all urgent biliary endoscopy is organizationally challenging due to specialized training requirements.

Conclusions:

  • A daytime, 7-day-a-week availability for urgent biliary endoscopy is recommended for severe acute cholangitis.
  • Less critical biliary conditions allow for scheduled endoscopic treatment, optimizing resource utilization.
  • Healthcare facilities must develop structured protocols for urgent biliary endoscopy to ensure timely and efficient patient management.