Endotherapy in Biliopancreatic Diseases: ERCP Meets EUS: Two Techniques for One Vision

576 Pages·2020·31.322 MB·English

by  Massimiliano Mutignani (editor), Jörg G. Albert (editor), Carlo Fabbri (editor)

Endotherapy in
Biliopancreatic
Diseases: ERCP
Meets EUS
Two Techniques for One Vision
Massimiliano Mutignani
Jörg G. Albert
Carlo Fabbri
Editors
123
Endotherapy in Biliopancreatic
Diseases: ERCP Meets EUS
Massimiliano Mutignani • Jörg G. Albert
Carlo Fabbri
Editors
Endotherapy
in Biliopancreatic
Diseases: ERCP Meets
EUS
Two Techniques for One Vision
Editors
Massimiliano Mutignani Jörg G. Albert
Digestive and Interventional Hepatologie und Endokrinologie
Endoscopy Unit Abteilung für Gastroenterologie,
Grande Ospedale Metropolitano Robert-Bosch-Krankenhaus
Niguarda Auerbachstraße, Stuttgart
Piazza dell'Ospedale Maggiore, Milano Germany
Italy
Carlo Fabbri
Department of Gastroenterology
Azienda USL di Forlì-Cesena
Bologna
Italy
ISBN 978-3-030-42568-5 ISBN 978-3-030-42569-2 (eBook)
https://doi.org/10.1007/978-3-030-42569-2
© Springer Nature Switzerland AG 2020
This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or
part of the material is concerned, specifically the rights of translation, reprinting, reuse of
illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way,
and transmission or information storage and retrieval, electronic adaptation, computer software,
or by similar or dissimilar methodology now known or hereafter developed.
The use of general descriptive names, registered names, trademarks, service marks, etc. in this
publication does not imply, even in the absence of a specific statement, that such names are
exempt from the relevant protective laws and regulations and therefore free for general use.
The publisher, the authors and the editors are safe to assume that the advice and information in
this book are believed to be true and accurate at the date of publication. Neither the publisher nor
the authors or the editors give a warranty, expressed or implied, with respect to the material
contained herein or for any errors or omissions that may have been made. The publisher remains
neutral with regard to jurisdictional claims in published maps and institutional affiliations.
This Springer imprint is published by the registered company Springer Nature Switzerland AG
The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland
To Marilena, Elena and Lucrezia who with affect be
close to me despite of my work ethic
—Massimiliano Mutignani
Foreword
Biliopancreatic endoscopy described in this collaborative book has very
little to do with the one I have learned in the early 1980s. Thanks to the
extraordinary improvements in technologies and techniques, and to the
marriage of ERCP with therapeutic EUS, biliopancreatic endoscopy has
become today the first-line treatment for an impressive number of clinical
scenarios involving the liver, the pancreas and the biliopancreatic ductal
system.
While ERCP, thanks to the advent and development of non-invasive
cross- sectional imaging techniques, has currently become almost exclu-
sively a therapeutic tool, for some decades after its introduction EUS has
been mostly used as a diagnostic technique. Only recently, especially
thanks to the development of lumen-apposing metal stents, and to the
improvement of EUS- guided needles and devices for local tissue abla-
tion, EUS has permanently joined and integrated ERCP in the operative
treatment of several biliopancreatic diseases. I believe that this “mar-
riage” has no chances to experience a “divorce” in the next decades, but
we are still in the phase where we try to understand which technique is
better for the particular indication and when. By whom we already know:
more and more the protagonist will be the same physician, trained in
both ERCP and therapeutic EUS. We are not yet completely there because
training in ERCP and EUS needs at least one additional year (if not two!)
after completion of the regular post-graduate training in gastroenterol-
ogy or surgery, and this is not structured in most countries. The hope is
that this issue will be considered and solved in the appropriate way very
soon.
The authors of this book have to be commended because they have
embraced this modern concept of complementarity between ERCP and EUS
providing a comprehensive overview of the current available endoscopic
techniques in biliopancreatic diseases, also by entrusting several chapters to
very well-known experts in the field.
The last part of the book, which is dedicated to therapeutic algorithms, is
an original and extremely useful tool for all those clinicians involved in the
management of biliopancreatic diseases.
vii
viii Foreword
Finally, I would like to emphasize my personal gratification in seeing
Massimiliano Mutignani as leading author of this book: Max has been my
first trainee when he was a student and then for many years my principal co-
worker. This book certifies the outstanding position he has been able to reach
in the world of therapeutic endoscopy.
Guido Costamagna
Digestive Endoscopy Unit
Department of Translational Medicine and Surgery
Fondazione Policlinico Universitario A. Gemelli—IRCCS
Università Cattolica S. Cuore
Rome, Italy
Acknowledgement
A special thanks by the editors to Dr. Lorenzo Dioscoridi. Without his perse-
verance and “self-sacrifice”, this book would not be released.
ix
Contents
Part I E RCP and EUS: Armamentarium and Surroundings
1 ERCP/EUS Room . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Rita Conigliaro, Claudio Conti, Giuseppe Grande,
and Helga Bertani
2 X-Rays in Endoscopy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Andrea Brameri
3 Ultrasound Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
Anna Cominardi and Pietro Fusaroli
4 Endoscopes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
Arianna Massella and Paolo Bocus
5 ERCP Standard and Special Devices . . . . . . . . . . . . . . . . . . . . . . 37
Andrea Oliver Tal and Jörg G. Albert
6 EUS Standard Devices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47
Danilo Castellani, Ugo Germani, Gabrio Bassotti,
and Raffaele Manta
7 Deep Sedation and Anesthesia for Advanced Gastrointestinal
Endoscopy: Challenging a Continuum . . . . . . . . . . . . . . . . . . . . . 65
Aldo Cristalli and Andrea De Gasperi
8 Anatomy of the Biliary Tree . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81
Giuseppe M. Ettorre and Roberto L. Meniconi
9 Anatomy of the Pancreas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91
Marianna Arvanitakis
10 CT: What We Need to Know to Start to Interpret
Radiological Pictures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 101
Marialavinia Catalano, Consolato Gullì, Alessandro Cina,
Carmine Di Stasi, and Riccardo Manfredi
11 MR: What We Need to Know to Start to Interpret
Radiological Pictures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 125
Martina Sbarra, Matteo Napoleone, Alessandro Cina,
Carmine Di Stasi, Gennaro Restaino, and Riccardo Manfredi
xi
xxiiii Contents
12 Patient Management before and after EUS/ERCP . . . . . . . . . . . 147
Katja S. Rothfuss and Jörg G. Albert
Part II E RCP: What and How
13 Cannulation Techniques . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 157
Lars Aabakken
14 Biliary Sphincterotomy and Precut . . . . . . . . . . . . . . . . . . . . . . . . 163
Vincenzo Cennamo, Marco Bassi, Stefano Landi,
and Stefania Ghersi
15 Pancreatic Sphincterotomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 175
Stefano Francesco Crinò, Laura Bernardoni,
and Armando Gabbrielli
16 Biliary Stones Extraction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 187
Andrea Tringali
17 Intraductal Lithotripsy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 195
Jörg G. Albert and Jan Peveling-Oberhag
18 Biliary and Pancreatic ESWL . . . . . . . . . . . . . . . . . . . . . . . . . . . . 203
Lorenzo Dioscoridi, Francesco Pugliese,
Edoardo Forti, Alberto Tringali, Marcello Cintolo,
Giulia Bonato, and Massimiliano Mutignani
19 Biliary Stenting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 213
Edoardo Forti, Giulia Bonato, and Massimiliano Mutignani
20 Endoscopic Papillectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 223
Laura Bernardoni, Stefano Francesco Crinò,
and Armando Gabbrielli
21 Ductoscopy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 235
Manuel Pagitz and Jörg G. Albert
22 Intraductal Ablation Techniques . . . . . . . . . . . . . . . . . . . . . . . . . . 245
Brian C. Brauer
23 Stent Removal (Plastic and Metal) . . . . . . . . . . . . . . . . . . . . . . . . 251
Feng Li, Prabhleen Chahal, and Manuel Perez-Miranda
24 ERCP in Altered Anatomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 257
Stefanos M. Dokas
25 PTC and PTC-ERCP Rendezvous Procedures . . . . . . . . . . . . . . 269
Jörg G. Albert
Part III EUS: What and How
26 EUS Diagnostic Puncture . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 279
Paolo Giorgio Arcidiacono and Livia Archibugi