Recent years have brought major shifts in the way endoscopic retrograde cholangiopancreatography is used in everyday practice, including the incorporation of endoscopic ultrasound (EUS) techniques with ERCP. The 4th Edition of this practical reference helps you make the most of today""s ERCP in your practice, with authoritative, highly illustrated guidance on every aspect of this complex tool, including coverage of the latest techniques both in print and on video.

Key Features:
- Provides detailed, full-color illustrations and in-depth instructions for performing all procedures.
- Depicts each procedure in dozens of step-by-step videos that clearly show ERCP techniques and imaging interpretation, including many new or recently improved procedures.
- Covers recent advancements in balloon assisted endoscopy, and provides guidance on performing ERCP on patients with surgically altered anatomy.
- Includes new chapters on endoscopic disinfection to address antibiotic resistant bacterial infections traced back to duodenoscopes the environmental implications of ERCP and magnetic biliary anastomosis.
- Contains clear therapeutic guidelines that help you determine when and when not to perform ERCP.
- An eBook version is included with purchase. The eBook allows you to access all of the text, figures, and references, with the ability to search, customize your content, make notes and highlights, and have content read aloud. Any additional digital ancillary content may publish up to 6 weeks following the publication date.

CONTENTS:
SECTION 1 General Topics
1. ERCP 50 Years and Beyond
2. The ERCP Room
3. Radiologic Issues and Radiation Safety in ERCP
4. Endoscopes, Guidewires, and Accessories
5. Duodenoscope Reprocessing
6. Environmental Implications of ERCP/Green Endoscopy
7. Sedation in ERCP
8. Indications for and Contraindications to ERCP
9. Adverse Events of ERCP: Prediction, Prevention, and Management
10. ERCP Training
11. Preparation of the Patient for ERCP
12. Principles of Electrosurgery
13. Quality Issues and Measures in ERCP
14. Medicolegal Issues in ERCP
SECTION 2 Techniques
15. Cannulation of the Major Papilla and Access Sphincterotomy
16. Biliary Sphincterotomy
17. Balloon Dilation of the Native and Postsphincterotomy Papilla
18. Stone Extraction
19. Pancreatic Sphincterotomy
20. Minor Papilla Cannulation and Sphincterotomy
21. Plastic Pancreaticobiliary Stents and Nasopancreaticobiliary Tubes: Concepts and Insertion Techniques
22. Biliary Metal Stent Insertion: Indications and Insertion Techniques
23. Pancreaticobiliary Stent Retrieval
24. Papillectomy/Ampullectomy
25. Pancreatoscopy
26. Cholangioscopy
27. ERCP and EUS in Children
28. ERCP in Pregnancy
29. ERCP in Surgically Altered Anatomy
30. Magnetic Biliary Anastomosis
31. Endoscopic Ultrasonography-Guided Biliary Drainage
32. Endoscopic Ultrasound and EUS-Guided Endotherapy
SECTION 3 Approach to Clinical Problems
33. Pancreaticobiliary Disorders: What Are the Roles of CT, MRCP, and EUS Relative to ERCP?
34. Pancreas Divisum, Biliary Cysts, and Other Congenital Anomalies
35. Dilated Bile Duct and Pneumobilia
36. The Dilated Pancreatic Duct
37. Ampullary Neoplasia
38. Malignant Biliary Obstruction: Distal
39. Malignant Biliary Obstruction of the Hilum and Proximal Bile Ducts
40. Indeterminate Biliary Strictures
41. Endoscopic Approaches to Concomitant Malignant Biliary Obstruction and Gastric Outlet Obstruction
42. Benign Biliary Strictures
43. Biliary Surgery Adverse Events, Including Liver Transplantation
44. ERCP and EUS for Acute and Chronic Adverse Events of Pancreatic Surgery and Pancreatic Trauma
45. Choledocholithiasis
46. Pancreaticobiliary Pain and Suspected Sphincter of Oddi Dysfunction
47. Sclerosing Cholangitis
48. Tropical Parasitic Infestations
49. Recurrent Pyogenic Cholangitis
50. Cystic Lesions of the Pancreas to Include Ablation
51. Unexplained Acute Pancreatitis and Acute Recurrent Pancreatitis
52. Biliary Intervention in Acute Gallstone Pancreatitis
53. Pancreatic Interventions in Acute Pancreatitis: Ascites, Fistulae, Leaks, and Other Disruptions
54. Chronic Pancreatitis: Stones and Strictures
55. Endoscopic Drainage of Pancreatic Pseudocysts, Abscesses, and Walled-Off Necrosis