Scholars@Duke
Malcolm Stanley Branch

Malcolm Stanley Branch

Professor of Medicine
Medicine, Gastroenterology
Duke Box 3662, Durham, NC 27710
03137A Hosp South, Durham, NC 27710

Selected Publications

Gastrointestinal bleeding: A practical approach to diagnosis and management, second edition

Book · January 1, 2016 The latest edition of this text provides a practical reference for physicians and other health care providers caring for patients with gastrointestinal bleeding. Similar to the previous edition, this volume addresses common problems associated with gastroi ... Full text Cite

Mallory–Weiss syndrome

Chapter · January 1, 2016 Gastrointestinal hemorrhage caused by gastroesophageal laceration was first reported by Quincke in 1879; however, the association with retching and vomiting was described by Mallory and Weiss in 1929 (Mallory and Weiss, Am J Med Sci, 178:506-514, 1929; Qui ... Full text Cite

Rotational assisted endoscopic retrograde cholangiopancreatography in patients with reconstructive gastrointestinal surgical anatomy.

Journal Article World J Gastrointest Endosc · March 16, 2015 AIM: To evaluate the success rates of performing therapy utilizing a rotational assisted enteroscopy device in endoscopic retrograde cholangiopancreatography (ERCP) in surgically altered anatomy patients. METHODS: Between June 1, 2009 and November 8, 2012, ... Full text Link to item Cite

A prospective evaluation of the incidence of adverse events in nurse-administered moderate sedation guided by sedation scores or Bispectral Index.

Journal Article Anesth Analg · July 2014 BACKGROUND: Moderate sedation is routinely performed in patients undergoing minor therapeutic and diagnostic procedures outside the operating room. The level of sedation is often monitored by sedation nurses using clinical criteria, such as sedation scores ... Full text Link to item Cite

Randomized trial in malignant biliary obstruction: plastic vs partially covered metal stents.

Journal Article World J Gastroenterol · December 14, 2013 AIM: To compare efficacy and complications of partially covered self-expandable metal stent (pcSEMS) to plastic stent (PS) in patients treated for malignant, infrahilar biliary obstruction. METHODS: Multicenter prospective randomized clinical trial with tr ... Full text Link to item Cite

Endoscopic versus surgical ampullectomy: an algorithm to treat disease of the ampulla of Vater.

Journal Article Ann Surg · February 2013 OBJECTIVE: The objective of this study was to compare the effectiveness, morbidity, and mortality associated with endoscopic ampullectomy (EA) and surgical ampullectomy (SA). BACKGROUND: The proposed management of benign ampullary lesions includes local re ... Full text Link to item Cite

A multicenter, prospective study of a new fully covered expandable metal biliary stent for the palliative treatment of malignant bile duct obstruction.

Journal Article Gastroenterol Res Pract · 2013 Background and Study Aims. Endoscopic placement of self-expanding metal stents (SEMSs) is indicated for palliation of inoperable malignant biliary obstruction. A fully covered biliary SEMS (WallFlex Biliary RX Boston Scientific, Natick, USA) was assessed f ... Full text Link to item Cite

Early outcomes of empiric embolization of tumor-related gastrointestinal hemorrhage in patients with advanced malignancy.

Journal Article J Vasc Interv Radiol · November 2012 PURPOSE: To report short-term results of empiric transcatheter embolization for patients with advanced malignancy and gastrointestinal (GI) hemorrhage directly from a tumor invading the GI tract wall. MATERIALS AND METHODS: Between 2005 and 2011, 37 mesent ... Full text Link to item Cite

Pilot study of aprepitant for prevention of post-ERCP pancreatitis in high risk patients: a phase II randomized, double-blind placebo controlled trial.

Journal Article JOP · September 10, 2012 CONTEXT: Animal studies have demonstrated a role for substance P binding to neurokinin-1 receptor in the pathogenesis of acute pancreatitis. OBJECTIVE: Our aim was to assess the efficacy of a neurokinin-1 receptor antagonist (aprepitant) at preventing post ... Full text Link to item Cite

Repeat Procedures Within 30 days in Patients Stented for Malignant Distal Biliary Strictures: Experience of 508 Patients at a Tertiary Referral Center.

Journal Article Gastroenterology Res · April 2012 BACKGROUND: Stent related occlusion and migration remains a problem despite attempts to improve stent design over this time period. Flanged polyethylene plastic stents (FPS) remains the stent of choice in most centers. Early failure of stents placed for ma ... Full text Open Access Link to item Cite

Introduction

Journal Article A Companion to Women in the Ancient World · February 13, 2012 Full text Cite

Intravenous synthetic secretin reduces the incidence of pancreatitis induced by endoscopic retrograde cholangiopancreatography.

Journal Article Pancreas · May 2011 OBJECTIVES: This study aimed to evaluate whether synthetic secretin is effective in reducing post-endoscopic retrograde cholangiopancreatography (ERCP) pancreatitis. METHODS: This is a single academic medical center, prospective, randomized, double-blind, ... Full text Link to item Cite

Mallory-weiss syndrome

Chapter · December 1, 2010 Mallory and Weiss first described gastroesophageal tears causing gastrointestinal bleeding in 15 alcoholic patients in 1929 [1]. Since this time, longitudinal mucosal lacerations, associated with forceful retching, has become a well-known cause of upper ga ... Full text Cite

Gastrointestinal bleeding: A practical approach to diagnosis and management

Book · December 1, 2010 The diagnosis and management of gastrointestinal bleeding is multidisciplinary by nature involving surgeons, gastroenterologists and radiologists. Due to various pathologies, it involves upper gut, lower gut and occult bleeding. Gastrointestinal Bleeding: ... Full text Cite

For patients with predicted low risk for choledocholithiasis undergoing laparoscopic cholecystectomy, selective intraoperative cholangiography and postoperative endoscopic retrograde cholangiopancreatography is an effective strategy to limit unnecessary procedures.

Journal Article Surg Endosc · September 2009 BACKGROUND: There is debate about whether intraoperative cholangiography (IOC) should be performed routinely or selectively during laparoscopic cholecystectomy (LC) in patients with suspected choledocholithiasis. The timing of endoscopic retrograde cholang ... Full text Link to item Cite

The fate of patients who undergo "preoperative" ERCP to clear known or suspected bile duct stones.

Journal Article Surg Endosc · January 2009 BACKGROUND: There is debate as to whether recurrent biliary complications are more common in patients who do not have elective cholecystectomy after endoscopic retrograde cholangiopancreatography (ERCP) management of common bile duct (CBD) stones. The aim ... Full text Link to item Cite

Infectious complications following endoscopic retrograde cholangiopancreatography: an automated surveillance system for detecting postprocedure bacteremia.

Journal Article Am J Infect Control · October 2008 We have developed an automated surveillance system to detect bloodstream infection (BSI) occurring after endoscopic retrograde cholangiopancreatography (ERCP). We retrospectively applied this automated surveillance tool to all patients who underwent ERCP a ... Full text Link to item Cite

Circumferential ablation of Barrett's esophagus that contains high-grade dysplasia: a U.S. Multicenter Registry.

Journal Article Gastrointest Endosc · July 2008 BACKGROUND: The management strategies for Barrett's esophagus (BE) that contains high-grade dysplasia (HGD) include intensive endoscopic surveillance, photodynamic therapy, thermal ablation, EMR, and esophagectomy. OBJECTIVE: To assess the safety and effec ... Full text Link to item Cite

Role of endoscopic retrograde cholangiopancreatography in acute pancreatitis.

Journal Article World J Gastroenterol · December 21, 2007 Endoscopic retrograde cholangiopancreatography (ERCP) is a useful tool in the evaluation and management of acute pancreatitis. This review will focus on the role of ERCP in specific causes of acute pancreatitis, including microlithiasis and gallstone disea ... Full text Link to item Cite

Introduction

Journal Article Techniques in Gastrointestinal Endoscopy · April 1, 2007 Full text Cite

The Recalcitrant Bile Duct Stone

Journal Article Techniques in Gastrointestinal Endoscopy · April 1, 2007 Endoscopic management of choledocholithiasis by the gastroenterologist at endoscopic retrograde cholangiopancreatography has become the standard of care and, to a large degree, routine in most endoscopic units. Large common bile duct (CBD) stones or CBD st ... Full text Cite

A randomized comparison of EUS-guided FNA versus CT or US-guided FNA for the evaluation of pancreatic mass lesions.

Journal Article Gastrointest Endosc · June 2006 BACKGROUND: Diagnosing pancreatic cancer by EUS-FNA is a potentially appealing alternative to percutaneous biopsy. AIM: To compare EUS-FNA with CT or US-guided FNA for diagnosing pancreatic cancer. DESIGN: Single center, prospective, randomized, cross-over ... Full text Link to item Cite

EUS-FNA for Biliary Strictures Following Non-Diagnostic ERCP Cytology

Journal Article Gastrointestinal Endoscopy · April 2006 Full text Cite

Endoscopic ultrasound and computer tomography are inaccurate methods of classifying cystic pancreatic lesions.

Journal Article Dig Liver Dis · January 2006 BACKGROUND: Despite advances in imaging modalities, preoperative diagnosis of pancreatic cystic lesions remains difficult. AIM: To assess the accuracy of endoscopic ultrasound and computer tomography to preoperatively distinguish benign from potentially ma ... Full text Link to item Cite

Urgent colonoscopy for evaluation and management of acute lower gastrointestinal hemorrhage: a randomized controlled trial.

Journal Article Am J Gastroenterol · November 2005 OBJECTIVES: We hypothesized that early intervention in patients with lower gastrointestinal bleeding (LGIB) would improve outcomes and therefore conducted a prospective randomized study comparing urgent colonoscopy to standard care. METHODS: Consecutive pa ... Full text Link to item Cite

Proximal migration of a 3 French pancreatic stent in a patient with pancreas divisum: suggested technique for successful retrieval.

Journal Article JOP · March 10, 2005 CONTEXT: Pancreatic stents may be placed during therapeutic ERCP for a variety of indications. One such indication is to prophylax against the development of pancreatitis following sphincterotomy of the minor papilla in patients with recurrent acute pancre ... Link to item Cite

Significance of histological response to preoperative chemoradiotherapy for pancreatic cancer.

Journal Article Ann Surg Oncol · March 2005 BACKGROUND: Neoadjuvant (preoperative) chemoradiotherapy (CRT) for pancreatic cancer offers theoretical advantages over the standard approach of surgery followed by adjuvant CRT. We hypothesized that histological responses to CRT would be significant progn ... Full text Link to item Cite

Yield of endoscopic ultrasound-guided fine-needle aspiration of bile duct lesions.

Journal Article Endoscopy · August 2004 BACKGROUND AND STUDY AIMS: It is still difficult to differentiate reliably between benign and malignant biliary tract lesions. Endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) has added to the diagnostic power of EUS for other gastrointestinal ... Full text Link to item Cite

Complications of pancreaticoduodenectomy after neoadjuvant chemoradiation in patients with and without preoperative biliary drainage.

Journal Article Dig Liver Dis · June 2004 BACKGROUND: It has been suggested that preoperative biliary drainage increases the risk of infectious complications of pancreaticoduodenectomy. AIMS: The aim of this study was to assess complications related to biliary stents/drains and postoperative morbi ... Full text Link to item Cite

Pancreatic duct strictures: identifying risk of malignancy.

Journal Article Ann Surg Oncol · June 2004 BACKGROUND: This study aimed to define PDS characteristics that predict malignancy and would thus invoke further diagnostic evaluation or aggressive treatment. METHODS: 355 cases of PDS were diagnosed by ERCP during a 7-year period at a single institution. ... Full text Link to item Cite

Outcome of endoscopic minor papillotomy in patients with symptomatic pancreas divisum.

Journal Article JOP · May 2004 CONTEXT: Pancreas divisum has been associated with recurrent acute pancreatitis, chronic abdominal pain without elevated pancreatic enzymes, and chronic pancreatitis. Prior studies suggest that endoscopic minor papillotomy benefits certain symptomatic panc ... Link to item Cite

The need for caution with topical anesthesia during endoscopic procedures, as liberal use may result in methemoglobinemia.

Journal Article J Clin Gastroenterol · March 2004 During upper gastrointestinal endoscopy, topical oropharyngeal anesthesia with lidocaine and/or benzocaine is used routinely by many endodscopists. Although such a practice is usually safe, there have been a number of reports of methemoglobinemia induced b ... Full text Link to item Cite

Percutaneous cholecystostomy in patients with acute cholecystitis: experience of 45 patients at a US referral center.

Journal Article J Am Coll Surg · August 2003 BACKGROUND: Standard treatment for acute cholecystitis is cholecystectomy, but some patients are at high risk for immediate surgery. Percutaneous cholecystostomy might be the procedure of choice in this group. We reviewed the experience of percutaneous cho ... Full text Link to item Cite

Multicenter randomized trial of the spiral Z-stent compared with the Wallstent for malignant biliary obstruction.

Journal Article Gastrointest Endosc · June 2003 BACKGROUND: The industry standard since 1990 for self-expanding biliary metallic stents has been the Wallstent. In 1998 the Spiral Z-stent was released. This randomized trial compared the Z-stent with the Wallstent in the treatment of malignant biliary obs ... Full text Link to item Cite

The importance of indication in the diagnostic value of push enteroscopy.

Journal Article Endoscopy · April 2003 BACKGROUND AND STUDY AIMS: Small-bowel enteroscopy (SBE) is frequently used to examine patients suspected of small-bowel disease. Unfortunately, the diagnostic yield varies widely, from 13 % to 78 % of cases. This disparity may be in part attributable to t ... Full text Link to item Cite

Predictors of successful clinical and laboratory outcomes in patients with primary sclerosing cholangitis undergoing endoscopic retrograde cholangiopancreatography.

Journal Article Can J Gastroenterol · April 2003 UNLABELLED: Endoscopic retrograde cholangiopancreatography (ERCP) in patients with primary sclerosing cholangitis (PSC) can be a challenging and sometimes gratifying opportunity for therapeutic intervention. Although there often appears to be initial radio ... Full text Link to item Cite

Introduction

Journal Article Techniques in Gastrointestinal Endoscopy · January 1, 2003 Full text Cite

Methods of performing sphincterotomy: Biliary and pancreatic

Journal Article Techniques in Gastrointestinal Endoscopy · January 1, 2003 Endoscopic sphincterotomy (ES) has been performed for 30 years and is the therapeutic procedure of choice for management of choledocholithiasis, cholangitis, biliary pancreatitis, and other biliary and pancreatic problems. Sphincterotomy is commonly perfor ... Full text Cite

Motion--pancreatic endoscopy is useful for the pain of chronic pancreatitis: arguments for the motion.

Journal Article Can J Gastroenterol · January 2003 Pain is the dominant clinical problem in patients with chronic pancreatitis. It can be due to pseudocysts, as well as strictures and stones in the pancreatic ducts. Most experts agree that obstruction could cause increased pressure within the main pancreat ... Full text Link to item Cite

Extensive investigation of patients with mild elevations of serum amylase and/or lipase is 'low yield'.

Journal Article Can J Gastroenterol · December 2002 Featured Publication BACKGROUND: Serum amylase and lipase levels are widely used as markers of pancreatic inflammation. However, it would seem that mild elevations of amylase and lipase rarely predict significant pancreatic pathology. Pancreatic imaging tests are expensive. Th ... Full text Link to item Cite

Diagnosis of Choledochal Cysts (CDC) in adults: 9-year experience at a tertiary medical center (DIMC)

Journal Article The American Journal of Gastroenterology · September 2002 Full text Cite

ERCP-related perforations: risk factors and management.

Journal Article Endoscopy · April 2002 Featured Publication BACKGROUND AND STUDY AIMS: Perforations during endoscopic retrograde cholangiopancreatography (ERCP) are rare, and the management of these perforations is variable, with some patients requiring immediate surgery and others only conservative management. We ... Full text Link to item Cite

Neoadjuvant chemoradiation for localized adenocarcinoma of the pancreas.

Journal Article Ann Surg Oncol · December 2001 BACKGROUND: The use of neoadjuvant (preoperative) chemoradiotherapy (CRT) for pancreatic cancer has been advocated for its potential ability to optimize patient selection for surgical resection and to downstage locally advanced tumors. This article reports ... Full text Link to item Cite

Staging of pancreatic cancer before and after neoadjuvant chemoradiation.

Journal Article J Gastrointest Surg · 2001 Neoadjuvant chemoradiation therapy is used at many institutions for treatment of localized adenocarcinoma of the pancreas. Accurate staging before neoadjuvant therapy identifies patients with distant metastatic disease, and restaging after neoadjuvant ther ... Full text Link to item Cite

A double-blind, randomized, dose response study testing the pharmacological efficacy of synthetic porcine secretin.

Journal Article Aliment Pharmacol Ther · December 2000 BACKGROUND: Biologically derived porcine secretin has been used as a diagnostic agent in clinical gastrointestinal practice for many years. Pure synthetic porcine secretin is now available for investigational clinical use. AIM: To compare the pharmacology ... Full text Link to item Cite

Image of the month.

Journal Article Gastroenterology · March 2000 Full text Link to item Cite

Helical CT cholangiography with three-dimensional volume rendering using an oral biliary contrast agent: feasibility of a novel technique.

Journal Article AJR Am J Roentgenol · February 2000 OBJECTIVE: We evaluated the feasibility and image quality of a new noninvasive biliary imaging technique: helical CT cholangiography with three-dimensional volume rendering using an oral biliary contrast agent. SUBJECTS AND METHODS: Nineteen subjects inclu ... Full text Link to item Cite

The role of ERCP in diagnosis and management of accessory bile duct leaks after cholecystectomy.

Journal Article Gastrointest Endosc · October 1999 BACKGROUND: Endoscopic retrograde cholangiopancreatography (ERCP) plays an important role in the management of bile leaks after cholecystectomy. Although most leaks occur from the cystic duct stump, clinically significant leakage from accessory bile ducts ... Full text Link to item Cite

CFTR mutations and idiopathic chronic pancreatitis

Journal Article Pediatric Pulmonology · September 1, 1999 Cite

Endoscopic band ligation of Dieulafoy's lesion: report of two cases and review of the literature.

Journal Article Am J Gastroenterol · April 1999 Two cases of endoscopic band ligation as lone therapy for Dieulafoy's lesions are presented. Neither patient has experienced further gastrointestinal bleeding; one patient has been followed for 27 months. Endoscopic band ligation is an alternative and attr ... Full text Link to item Cite

Biliary endoscopy in the Billroth II population

Journal Article GASTROINTESTINAL ENDOSCOPY · April 1, 1999 Link to item Cite

Risk factors for endoscopic perforation in patients undergoing ERCP

Conference GASTROINTESTINAL ENDOSCOPY · April 1, 1999 Link to item Cite

Endoscopic nasobiliary drain placement facilitates subsequent percutaneous transhepatic cholangiography.

Journal Article Gastrointest Endosc · February 1999 BACKGROUND: Percutaneous biliary drainage is an established alternative to ERCP for managing bile duct obstruction. Although generally safe and effective, percutaneous drainage has its risks and is technically more difficult in patients with nondilated bil ... Full text Link to item Cite

A stone in a grossly dilated cystic duct stump: a rare cause of postcholecystectomy pain.

Journal Article Am J Gastroenterol · January 1999 We describe the unusual case of a patient who developed recurrent right upper quadrant pain 25 yr after cholecystectomy. A cystic lesion containing a calculus was identified on transabdominal ultrasound, initially suggesting the possibility of gallbladder ... Full text Link to item Cite

Diagnosis of pancreatic carcinoma: role of FDG PET.

Journal Article AJR Am J Roentgenol · December 1998 OBJECTIVE: The purpose of this study was to investigate the role of positron emission tomography (PET) with 18F-fluorodeoxyglucose (FDG) in differentiating benign from malignant disease in patients with possible pancreatic malignancy. SUBJECTS AND METHODS: ... Full text Link to item Cite

Pseudo-Mirizzi syndrome in acute cholecystitis.

Journal Article Am J Gastroenterol · December 1998 Common hepatic duct obstruction secondary to an impacted cystic duct stone is commonly referred to as the Mirizzi syndrome. Mirizzi syndrome is an uncommon cause of obstructive jaundice and can be mimicked by several other rare conditions. We describe a pa ... Full text Link to item Cite

Diagnostic and therapeutic ERCP are beneficial in the management of pancreatic necrosis

Journal Article Gastrointestinal Endoscopy · December 1, 1998 There is considerable debate regarding the optimal management of pancreatic necrosis (PN). The timing and utility of endoscopic retrograde cholangiopancreatograms (ERCP) in the subset of acute pancreatitis who have PN is unclear. Objectives: It To determin ... Cite

Endoscopic retrograde pancreatography after pancreaticojejunostomy

Conference Gastrointestinal Endoscopy · December 1, 1998 Background: Retrograde surgical drainage is the treatment of choice for relieving incapacitating abdominal pain in patients (pts) with chronic pancreatitis (CP) and pancreatic duct (PD) dilatation. Lateral pancreaticojejunostomy (PJEJ) - the so-called modi ... Cite

Impact of endoscopic ultrasound on the need for ERCP in a referral center population

Journal Article Gastrointestinal Endoscopy · December 1, 1998 Background: Endoscopic ultrasound (EUS) and endoscopic retrograde cholangiopancreatography (ERCP) are useful techniques in the evaluation of patients (pts) with biliary and pancreatic diseases. Pts undergoing EUS are commonly undergoing ERCP as well. The u ... Cite

Do endoscopic interventions make a difference in primary sclerosing cholangitis? clinical and endoscopic outcomes

Journal Article Gastrointestinal Endoscopy · December 1, 1998 ERCP in patients with primary sclerosing cholangitis (PSC) can be a challenging and occasionally gratifying opportunity for therapeutic intervention. Although there often appears to be initial radiological improvement, the benefit as measured by serial est ... Cite

Pseudo-divisum of the pancreas - A source of diagnostic confusion

Journal Article Gastrointestinal Endoscopy · December 1, 1998 Background: The abrupt termination of the ventral pancreatic duct due to local pathology is sometimes mistaken for pancreas divisum. This so called "pseudodivisum" anatomy has implications for patient management, especially the timely identification of mal ... Cite

Complications of ERCP in patients with primary sclerosing cholangitis (PSC)

Journal Article Gastrointestinal Endoscopy · December 1, 1998 Patients with PSC can have intrahepatic or extrahepatic biliary strictures, or both, resulting in cholestasis and cholangitis. ERCP is commonly performed in the hope of locating a dominant extrahepatic or hilar stricture amenable to endoscopic therapy. The ... Cite

Placement of a nasobiliary drain during ERCP facilitates subsequent percutaneous transhepatic cholangiography

Journal Article Gastrointestinal Endoscopy · December 1, 1998 Background: The management of patients with complex biliary pathology often requires the combined efforts of biliary endoscopists and vascular radiologists. Percutaneous access with placement of stents or drains is often needed if endoscopic retrograde cho ... Cite

Predictors of successful clinical, radiological and laboratory outcomes in patients with primary sclerosing cholangitis (PSC) undergoing ERCP

Journal Article Gastrointestinal Endoscopy · December 1, 1998 ERCP is commonly performed in patients with known PSC in hopes of delineating dominant strictures amenable to endoscopic therapy. Knowledge of certain factors may be important in predicting successful management of these patients. Objective: To determine w ... Cite

Accessory bile duct leaks after cholecystectomy: Diagnosis and treatment.

Journal Article GASTROINTESTINAL ENDOSCOPY · April 1, 1997 Link to item Cite

ERCP under general anesthesia (GA): Indications and outcomes.

Journal Article GASTROINTESTINAL ENDOSCOPY · April 1, 1997 Link to item Cite

Indications for and results of urgent ERCP.

Journal Article GASTROINTESTINAL ENDOSCOPY · April 1, 1997 Link to item Cite

Photodynamic therapy for malignant tumours of the ampulla of Vater.

Journal Article Gastrointest Endosc · February 1997 Link to item Cite

Indications for and results of urgent ERCP

Journal Article Gastrointestinal Endoscopy · January 1, 1997 Background: Cholangitis, severe gallstone pancreatitis, and bile duct injuries are indications for urgent endoscopic retrograde cholangio-pancreatography (ERCP). Performing ERCP "out of hours" has its problems as support personnel may not be available and ... Full text Cite

Accessory bile duct leaks after cholecystectomy: Diagnosis and treatment

Journal Article Gastrointestinal Endoscopy · January 1, 1997 Background: Postoperative bile leak is a common indication for ERCP after cholecystectomy. Aberrant or "accessory" bile duct leaks (ABDL) are difficult to recognize; appropriate treatment is often delayed. The purpose of this study is to review the managem ... Full text Cite

ERCP under general anesthesia (GA): Indications and outcomes

Journal Article Gastrointestinal Endoscopy · January 1, 1997 Background: The safety and efficacy of GA for ERCP has not been studied systematically. We describe our referral center experience with the use of GA for ERCP. Methods: Patients undergoing ERCP with GA were identified in our computerized database; their me ... Full text Cite

Evidence-based algorithm for management of biliary leaks following laparoscopic cholecystectomy (LC)

Journal Article Gastrointestinal Endoscopy · January 1, 1997 In the era of LC, ERCP is the diagnostic and therapeutic modality of choice for post-up bile leaks. The existing algorithm has to be modified when leaks (a) fail to resolve with stenting or sphx or (b) cannot be localized by ERCP. The following algorithm r ... Full text Cite

ERCP after Roux-en-Y gastrojejunostomy rarely succeeds: Could MRCP be the answer?

Journal Article Gastrointestinal Endoscopy · January 1, 1997 Background: ERCP has an expected success rate of greater than 90% but is technically difficult in patients with post-surgical anatomy. It is especially challenging after Roux-en-Y gastrojejunostomy, as the papilla has to be reached through the Roux limb. W ... Full text Cite

Quantitative assessment of procedural competence. A prospective study of training in endoscopic retrograde cholangiopancreatography.

Journal Article Ann Intern Med · December 15, 1996 BACKGROUND: Endoscopic retrograde cholangiopancreatography (ERCP) is a technically demanding procedure that can cause substantial complications. Competence in performing ERCP and the learning curve for achieving competence are poorly understood. OBJECTIVE: ... Full text Link to item Cite

Erratum: (Gastrointestinal Endoscopy (1996) 44 (562-567))

Journal Article Gastrointestinal Endoscopy · December 1, 1996 Cite

Carcinoid of the ampulla of Vater presenting as acute pancreatitis.

Journal Article Am J Gastroenterol · November 1996 A 30-yr-old female with a carcinoid tumor of the ampulla of Vater is discussed. This rare tumor presented in an unusual fashion with isolated pancreatitis in the absence of cholestasis. The correct diagnosis was made preoperatively by endoscopic retrograde ... Link to item Cite

Prospective multicenter trial of esophageal Z-stent placement for malignant dysphagia and tracheoesophageal fistula.

Journal Article Gastrointest Endosc · November 1996 BACKGROUND: Conventional esophageal prosthesis placement has been associated with a 6% to 8% perforation rate and numerous postplacement complications. Expandable esophageal stents have been developed to preclude the above but there are few studies that ha ... Full text Link to item Cite

Endoscopic therapy for pancreatic fistulae.

Journal Article GASTROINTESTINAL ENDOSCOPY · April 1, 1996 Link to item Cite

Prediction of post-ERCP related pancreatitis.

Journal Article GASTROINTESTINAL ENDOSCOPY · April 1, 1996 Link to item Cite

A new way to obtain contrast-free bile during ERCP.

Journal Article Gastrointest Endosc · March 1996 Full text Link to item Cite

Predictors of improvement following endoscopic management of chronic pancreatitis

Conference Gastrointestinal Endoscopy · 1996 Background: Endoscopic therapy is an accepted treatment for pain in chronic pancreatitis, in addition to traditional management. However, guidelines for selecting treatment options have yet to be established. This study addresses 2 questions: (a) which pat ... Cite

Endoscopic therapy for pancreatic fistulae

Conference Gastrointestinal Endoscopy · 1996 INTRODUCTION: Case reports and small series have indicated that endoscopic therapy for pancreatic fistulae (PF) may be successful. This series reviews the experience with PF at a tertiary care referral center. METHODS: A retrospective review of the DUMC en ... Cite

Prediction of post-ERCP related pancreatitis

Journal Article Gastrointestinal Endoscopy · January 1, 1996 INTRODUCTION: The etiology of post ERCP pancreatitis is unknown, although numerous associations have been postulated. Identification of specific risk factors may lead to insights in etiology and prevention of this common complications. METHODS: Data on 6,0 ... Full text Cite

The role of ERCP in the management of biliary leaks following laparoscopic cholecystectomy (LC)

Conference Gastrointestinal Endoscopy · 1996 Background: Despite its distinct advantages and overall safety, LC has its complications, including biliary leak. The role of ERCP in the diagnosis and treatment of post-LC bile leaks is still evolving. We review a tertiary referral center experience of ER ... Cite

A comparison of Magnetic Resonance Cholangiopancreatography (MRCP) and ERCP in the evaluation of chronic pancreatitis

Journal Article Gastrointestinal Endoscopy · January 1, 1996 Introduction: Magnetic Resonance Cholangiopancreatography (MRCP) is a novel application of MRI which may replace diagnostic ERCP in many cases. The indications for and diagnostic yield of MRCP remain to be elucidated. We performed a comparison of MRCP and ... Full text Cite

Validation of an endoscopic retrograde cholangiopancreatography (ERCP)-based algorithm for the management of pancreatic pseudocysts (PP)

Conference Gastrointestinal Endoscopy · 1996 Background: Our previously published algorithm for management of PP1 assumed that (a) recurrence rates after percutaneous management are related to the presence of pancreatic duct (PD) obstruction or PP communication with the PD and (b) surgical management ... Cite

At least 180 ERCPs are needed to attain competence in diagnostic and therapeutic ERCP

Journal Article Gastrointestinal Endoscopy · January 1, 1996 Aim: To evaluate the number of ERCPs gastroenterology fellows should perform to achieve competency. Methods: From July 1993 to June 1995 consecutive ERCPs performed by fellows were graded on a standardized evaluation form. Success in specific technical com ... Full text Cite

Proximal migration of biliary stents: attempted endoscopic retrieval in forty-one patients.

Journal Article Gastrointest Endosc · December 1995 BACKGROUND: Proximal migration of a biliary stent is an uncommon event, but its management can present a technical challenge to the therapeutic endoscopist. METHODS: We reviewed the methods that have been used for retrieval of proximally migrated biliary s ... Full text Link to item Cite

Current ASGE training guidelines for ERCP are inadequate

Journal Article Gastrointestinal Endoscopy · April 1995 Full text Cite

Biliary stents decrease the size of retained common bile duct (CBD) stones

Journal Article Gastrointestinal Endoscopy · April 1995 Full text Cite

ERCP REFERRALS TO A SPECIALIST CENTER FOR PRIOR FAILURE DOUBLE IN 6 YEARS

Journal Article GASTROINTESTINAL ENDOSCOPY · April 1, 1995 Link to item Cite

ERCP intervention in Mirizzi syndrome

Journal Article Gastrointestinal Endoscopy · April 1995 Full text Cite

Pneumomediastinum after endoscopic sphincterotomy.

Journal Article Am J Gastroenterol · March 1995 Pneumomediastinum is a rare complication of endoscopy that usually indicates free peritoneal or retroperitoneal perforation. We report an unusual case of self-limiting pneumomediastinum after endoscopic sphincterotomy in which there was no radiological evi ... Link to item Cite

Preface

Chapter · January 1, 1994 Full text Cite

Seeing is believing.

Journal Article BMJ · September 11, 1993 Full text Link to item Cite

Management of major biliary complications after laparoscopic cholecystectomy.

Journal Article Ann Surg · May 1993 OBJECTIVE: A total of 50 major bile duct injuries after laparoscopic cholecystectomy were managed by the Duke University Hepatobiliary Service from 1990-1992. The management of these complex cases is reviewed. SUMMARY BACKGROUND DATA: Laparoscopic cholecys ... Full text Link to item Cite

Endoscopic sphincterotomy: the whole truth.

Journal Article Gastrointest Endosc · 1992 Full text Link to item Cite

Pseudo-migration of a biliary stent.

Journal Article Gastrointest Endosc · 1991 Full text Link to item Cite