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Endoscopic retrograde cholangiopancreatography (ERCP) is a technique that combines the use of endoscopy and fluoroscopy to diagnose and treat certain problems of the biliary or pancreatic ductal systems. It is primarily performed by highly skilled and specialty trained gastroenterologists.
The words esophagogastroduodenoscopy (EGD; American English) and oesophagogastroduodenoscopy (OGD; British English; see spelling differences) are pronounced / ɪ ˌ s ɒ f ə ɡ oʊ ˌ ɡ æ s t r oʊ ˌ d (j) uː oʊ d ɪ ˈ n ɒ s k ə p i /.
Double-balloon enteroscopy offers a number of advantages to other small bowel image techniques, including barium imaging, wireless capsule endoscopy and push enteroscopy: It allows for visualization of the entire small bowel to the terminal ileum. [1] It allows for the application of therapeutics. [9]
A relatively new and less-invasive method involving endoscopic ultrasound (EUS) guidance and fluoroscopy. A large bore needle is used to access the identified pseudocyst, creating a fistula between the cystic cavity and either the stomach or the duodenum. [6] Plastic stents may be placed to facilitate drainage from the pseudocyst. [4]
Additionally, he currently serves as the Director of Advanced Therapeutic Endoscopy within UNC's Division of Gastroenterology and Hepatology. He is known for his publishing in the field of gastroenterology particularly in endoscopic retrograde cholangiopancreatography (ERCP), endoscopic ultrasound (EUS) and other advanced endoscopic procedures. [2]
An endoscopy is usually performed first to evaluate the anatomy, and a guidewire is passed into the stomach past the obstruction. This may also be done fluoroscopically. Bougies are again introduced—this time over the guidewire—in sequentially increasing sizes.
Endomicroscopy is a technique for obtaining histology-like images from inside the human body in real-time, [1] [2] [3] a process known as ‘optical biopsy’. [4] [5] It generally refers to fluorescence confocal microscopy, although multi-photon microscopy and optical coherence tomography have also been adapted for endoscopic use.
An endoscopy unit consists of the following components: trained and accredited endoscopists (which are usually gastroenterologists or surgeons); trained nursing and additional staff; endoscopes and other equipment; preparation, procedural and recovery areas; a disinfection and cleaning area for equipment; emergency equipment and personnel; and, a program for quality assurance.
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