Acute biliary conditions

Initial experience with endoscopic retrograde cholangiography and endoscopic retrograde biliary stenting for treatment of extrahepatic bile duct obstruction in dogs

“…2,3 Additionally, with this technique, bile duct obstructions can be definitively diagnosed and treated via therapeutic interventions including sphincterotomy or retrograde endoscopic biliary stenting. 2,3 Additionally, with this technique, bile duct obstructions can be definitively diagnosed and treated via therapeutic interventions including sphincterotomy or retrograde endoscopic biliary stenting.…”

“…2,3 Additionally, with this technique, bile duct obstructions can be definitively diagnosed and treated via therapeutic interventions including sphincterotomy or retrograde endoscopic biliary stenting. 2,3,6 Diagnostic and therapeutic ERCP has more recently been described in children and has been found to be highly effective when performed with correct equipment and by appropriately trained operators. 2,3,6 Diagnostic and therapeutic ERCP has more recently been described in children and has been found to be highly effective when performed with correct equipment and by appropriately trained operators.…”

“…[4][5][6][7] The most common cause of biliary obstruction in human patients is cholelithiasis, followed by pancreatitis, pancreatitis-associated biliary strictures, pancreatic or biliary neoplasia, and CBD strictures. [2][3][4]6,8,[10][11][12][13] Traditional reported treatment for EHBDO in veterinary small animal patients involves laparotomy with surgical manipulation of the CBD and pancreatic duct via choledochotomy, diversion procedures such as cholecystoenterostomy, or surgical stent placement across the MDP. [2][3][4]6,8,[10][11][12][13] Traditional reported treatment for EHBDO in veterinary small animal patients involves laparotomy with surgical manipulation of the CBD and pancreatic duct via choledochotomy, diversion procedures such as cholecystoenterostomy, or surgical stent placement across the MDP.…”

“…Prolonged anesthesia times (median, 3.5 hours; range, 2.4 to 6.75 hours) 16 and manipulation of the pancreatic and biliary system in unstable patients may contribute to the high morbidity and mortality rates reported with traditional rerouting surgery or open surgical stent placement. 3,[20][21][22] Frequently, biliary stenting is recommended as a bridge to more invasive biliary surgery once the patient is stabilized. 3,[20][21][22] Frequently, biliary stenting is recommended as a bridge to more invasive biliary surgery once the patient is stabilized.…”

Acute Pancreatitis

“…Nowadays, endoscopic procedures are among the preferred strategies for treatment of bile duct stones. Considered as the least invasive effective technique, they have replaced open choledochotomy as the first intervention for biliary clearance [43].…”