ASGE Annual GI Advanced Practice Provider Course (On-Demand) - Onboarding (Day One)

Pdf Summary

The document provides information on ERCP (Endoscopic Retrograde Cholangiopancreatography) and EUS (Endoscopic Ultrasound). It outlines the objectives, indications, contraindications, and post-procedure care for both procedures. Polling questions highlight key aspects, such as the appropriate tests for choledocholithiasis evaluation and adverse events of ERCP.<br /><br />ERCP is a diagnostic and therapeutic procedure for bile and pancreas duct conditions. The history, indications, and components of ERCP are discussed, including sphincterotomy, stenting, and stone clearance. EUS is detailed for diagnosis, staging, and therapeutic interventions in various diseases. It combines endoscopy with ultrasonography and is increasingly used.<br /><br />The document emphasizes the importance of informed consent, preoperative assessment, management of anticoagulation, and postprocedure care for ERCP and EUS. It highlights the risks involved, such as pancreatitis, bleeding, and perforation, and the need for early recognition and proper management of complications.<br /><br />Some practice pearls mentioned include the significance of appropriate patient selection, opting for less invasive tests when possible, and managing antithrombotics and operative risks effectively. The comprehensive overview aims to enhance understanding and best practices for ERCP and EUS procedures in the management of gastrointestinal and non-gastrointestinal diseases.

Asset Subtitle

John Martin, MD, FASGE

Keywords

ERCP

Endoscopic Retrograde Cholangiopancreatography

EUS

Endoscopic Ultrasound

choledocholithiasis evaluation

sphincterotomy

stenting

stone clearance

pancreatitis

complications management