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Contents
Charles J. Lightdale (Source: Gastrointestinal Endoscopy Clinics of North America)
Source: Gastrointestinal Endoscopy Clinics of North America - June 10, 2022 Category: Gastroenterology Source Type: research

Forthcoming Issues
Interventional Inflammatory Bowel Disease: Endoscopic Treatment of Complications (Source: Gastrointestinal Endoscopy Clinics of North America)
Source: Gastrointestinal Endoscopy Clinics of North America - June 10, 2022 Category: Gastroenterology Source Type: research

Role of ERCP in Benign Biliary Strictures
Benign biliary strictures (BBS) can be associated with several causes, with postoperative and inflammatory strictures representing the most common ones. Endoscopy represents nowadays the first-line treatment in the management of BBS. Endoscopic balloon dilatation, plastic stents placement, fully covered metal stent placement, and magnetic compression anastomosis are the endoscopic techniques available for the treatment of BBS. The aim of this study is to perform a review of the literature to assess the role of endoscopy in the management of BBS and to evaluate the application of the different procedures in the different cl...
Source: Gastrointestinal Endoscopy Clinics of North America - May 11, 2022 Category: Gastroenterology Authors: Tommaso Schepis, Ivo Bo škoski, Andrea Tringali, Guido Costamagna Source Type: research

Role of Endoscopic Retrograde Cholangiopancreatography in Benign Biliary Strictures
Benign biliary strictures (BBS) can be associated with several causes, with postoperative and inflammatory strictures representing the most common ones. Endoscopy represents nowadays the first-line treatment in the management of BBS. Endoscopic balloon dilatation, plastic stents placement, fully covered metal stent placement, and magnetic compression anastomosis are the endoscopic techniques available for the treatment of BBS. The aim of this study is to perform a review of the literature to assess the role of endoscopy in the management of BBS and to evaluate the application of the different procedures in the different cl...
Source: Gastrointestinal Endoscopy Clinics of North America - May 11, 2022 Category: Gastroenterology Authors: Tommaso Schepis, Ivo Bo škoski, Andrea Tringali, Guido Costamagna Source Type: research

Endoscopic Ultrasound –Guided Biliary Interventions
Endoscopic ultrasound (EUS) –guided biliary interventions have evolved to become an integral part of advanced gastrointestinal endoscopy units. EUS-guided biliary drainage is an accepted alternative for patients with failed ERCP or altered surgical anatomy. The potential advantages of EUS-guided interventions include choice of biliary access from stomach or duodenum, choice of stent exit in stomach and duodenum, and possibility of avoiding traversing through the obstruction. A variety of procedures have been described depending on the level of obstruction. Maximum evidence is available for distal malignant obstruction, a...
Source: Gastrointestinal Endoscopy Clinics of North America - May 11, 2022 Category: Gastroenterology Authors: Vinay Dhir, Rahul Shah, Priyanka Udawat Source Type: research

Endoscopic Management of Acute Cholecystitis
Endoscopic drainage of the gallbladder for acute cholecystitis can be performed with the transpapillary method or endoscopic ultrasound (EUS)-guided method. EUS-guided gallbladder drainage (EUS-GBD) is gaining popularity as the treatment of choice for acute cholecystitis in patients who are deemed high-risk for cholecystectomy (CCY). It provides an alternative to percutaneous drainage and laparoscopic CCY in these patients. With the development of lumen-apposing metal stents (LAMS), the procedure is associated with high rates of technical and clinical success with low rates of adverse events (AEs). The aim of this article ...
Source: Gastrointestinal Endoscopy Clinics of North America - May 11, 2022 Category: Gastroenterology Authors: Xiaobei Luo, Reem Sharaiha, Anthony Yuen Bun Teoh Source Type: research

Percutaneous Biliary Interventions
Percutaneous biliary interventions (PBIs) are commonly performed by interventional radiologists for a variety of clinical indications including biliary infections, strictures, leaks, and postoperative complications. PBIs have high technical and clinical success rates and are relatively safe when compared with more invasive surgical techniques. Percutaneous transhepatic cholangiography and percutaneous biliary drainage play an essential role in the management of common posthepatobiliary complications including biliary strictures and leaks. Percutaneous biliary endoscopy can be used for direct visualization of the biliary tr...
Source: Gastrointestinal Endoscopy Clinics of North America - May 11, 2022 Category: Gastroenterology Authors: Nima Hafezi-Nejad, Robert P. Liddell Source Type: research

Future of Cholangioscopy
This article highlights the current status of cholangioscopy. In addition, the authors present their view on the future directions of cholangioscopy, including novel clinical applications, the need for technologic developments, and the expansion on the use of cholangioscopy in clinical practice. The authors envision that cholangioscopy will eventually become a conventional tool in the shelf of any biliary endoscopist. Future technologic improvements including optics, maneuverability, and full device accessories, plus the introduction of real-time artificial intelligence algorithms, will optimize the outcomes of cholangiosc...
Source: Gastrointestinal Endoscopy Clinics of North America - May 11, 2022 Category: Gastroenterology Authors: Jorge D. Machicado, Isaac Raijman, Raj J. Shah Source Type: research

Advances in Biliary Endoscopy: Timely and Relevant
This issue on “Advances in Biliary Endoscopy” is a comprehensive summary of all aspects relevant to biliary endoscopy. Articles are practical and provide the reader with both expert and data-driven opinions on topics that span basic cannulation techniques to the future of cholangioscopy. Approaching a patient with biliary pathologic condition in need of an intervention requires a unique skillset and collaborative management with other disciplines, such as interventional radiology. In addition, we have seen an increasing role of endoscopic ultrasonography (EUS) in the diagnosis and interventional managem ent of such pat...
Source: Gastrointestinal Endoscopy Clinics of North America - May 11, 2022 Category: Gastroenterology Authors: Mouen Khashab Tags: Preface Source Type: research

Role of ERCP in Malignant Hilar Biliary Obstruction
Malignant hilar biliary obstruction (MHO), an aggressive perihilar biliary obstruction caused by cholangiocarcinoma, gallbladder cancer, or other metastatic malignancies, has a poor prognosis. Surgical resection is the only curative treatment method for biliary malignancies. However, most of the patients with MHO cannot undergo surgeries on presentation because of an advanced inoperable state or a poor performance state due to old age or comorbid diseases. Therefore, palliative biliary drainage is mandatory to improve symptomatic jaundice and quality of life. Among drainage methods, endoscopic biliary drainage is the curre...
Source: Gastrointestinal Endoscopy Clinics of North America - May 10, 2022 Category: Gastroenterology Authors: Tae Hoon Lee, Jong Ho Moon, Sherman Stuart Source Type: research

Multidisciplinary Approach to Indeterminate Biliary Strictures
Biliary strictures that remain unclassified after cross-sectional imaging and endoscopic retrograde cholangiopancreatography –based tissue sampling are defined as indeterminate biliary strictures (IDBS). A substantial proportion of biliary strictures fall into this category due to low sensitivity of brush cytology and intraductal biopsy. Over last few decades, several modalities have emerged for the evaluation of IDBS. Of these, cholangioscopy and endosonography are the frontrunners and have cemented their place for the evaluation of IDBS. Both of these modalities are widely available, and therefore, biliary strictures t...
Source: Gastrointestinal Endoscopy Clinics of North America - May 10, 2022 Category: Gastroenterology Authors: Zaheer Nabi, D. Nageshwar Reddy Source Type: research

Endoscopic Papillectomy
Most ampullary lesions (ALs) are sporadic, involve the major papilla, and are premalignant (adenomas). They are often diagnosed as an incidental finding during endoscopy or imaging procedures. Diagnosis and staging of ALs include endoscopic, histologic, and radiological evaluations. Currently, endoscopic papillectomy is the preferred treatment for ALs in most situations. In this article, we will describe the diagnostic work-up and focus on the endoscopic treatment, including indications, technique, outcomes, complications, and follow-up. (Source: Gastrointestinal Endoscopy Clinics of North America)
Source: Gastrointestinal Endoscopy Clinics of North America - May 10, 2022 Category: Gastroenterology Authors: Sara Campos, Marco J. Bruno Source Type: research

Biliary Endoscopy in Altered Anatomy
Endoscopic retrograde cholangiopancreatography (ERCP) is the standard treatment of biliary disease with high success rates of greater than 90% in patients with standard anatomy. However, alterations in upper gastrointestinal anatomy can significantly complicate endoscopic biliary intervention. The past decade has seen significant advances in the endoscopic management of patients with altered anatomy. This review article will provide tips and tricks for successful biliary access in the most common surgical alterations with a focus on the management of biliary diseases following Roux-en-Y (RY) reconstructions. (Source: Gastr...
Source: Gastrointestinal Endoscopy Clinics of North America - May 10, 2022 Category: Gastroenterology Authors: Linda Y. Zhang, Shayan Irani, Mouen A. Khashab Source Type: research

Endoscopic Management of Complex Biliary Stones
This article describes the factors linked to difficulty and the steps to overcome them. (Source: Gastrointestinal Endoscopy Clinics of North America)
Source: Gastrointestinal Endoscopy Clinics of North America - May 10, 2022 Category: Gastroenterology Authors: Simon Phillpotts, George Webster, Marianna Arvanitakis Source Type: research

Basic and Advanced Biliary Cannulation
This article should help all those performing ERCP to improve their cannulation rate. (Source: Gastrointestinal Endoscopy Clinics of North America)
Source: Gastrointestinal Endoscopy Clinics of North America - May 5, 2022 Category: Gastroenterology Authors: Robert H. Hawes Source Type: research