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

Pdf Summary

This presentation, delivered by Dr. John A. Martin from the Mayo Clinic, examines two advanced endoscopic procedures: Endoscopic Retrograde Cholangiopancreatography (ERCP) and Endoscopic Ultrasound (EUS). Both are crucial in diagnosing and treating gastrointestinal (GI) and non-GI conditions, though each has distinct applications and histories.<br /><br />ERCP is used for imaging and treating disorders of the bile and pancreatic ducts. It combines endoscopy with fluoroscopy to guide procedures. Initially developed in 1968, ERCP has evolved to include techniques such as sphincterotomy and stenting. Despite its utility, ERCP is now less frequently used for diagnostics in favor of less invasive methods like Magnetic Resonance Cholangiopancreatography (MRCP) or Ultrasound (US). However, ERCP remains critical for managing conditions like choledocholithiasis, cholangitis, and pancreaticobiliary obstructions.<br /><br />EUS, on the other hand, combines endoscopy with ultrasound to provide detailed images of the GI tract and surrounding organs. It is increasingly utilized for both diagnostic and therapeutic purposes, such as staging cancers, draining pseudocysts, and creating anastomoses with lumen-apposing stents.<br /><br />Dr. Martin outlines the importance of careful pre-procedure assessment, including reviewing patient risks, managing anticoagulation, and obtaining informed consent. For both ERCP and EUS, potential complications include pancreatitis, bleeding, and perforation, necessitating cautious patient selection and post-procedure care. The presentation emphasizes the need for less invasive procedures where possible, guided by best practices, to reduce risks and enhance patient outcomes.

Asset Subtitle

John Martin, MD, FASGE

Keywords

Endoscopic Retrograde Cholangiopancreatography

Endoscopic Ultrasound

ERCP

EUS

Gastrointestinal conditions

Dr. John A. Martin

Mayo Clinic

diagnostic procedures

therapeutic procedures

patient outcomes