This volume presents the technical and cultural state of the art of two of the riskiest, most complex and operator-dependent digestive operative techniques: endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic ultrasonography (EUS). The authors compare old and new techniques, shedding light on the most recent and innovative scientific findings, including those in the field of anatomic pathology and molecular biology considered relevant for the analysis of tissue samples collected during EUS.

In view of the technical difficulties specific to these techniques, the book also offers access to online-videos and numerous images, making it a valuable resource both for physicians approaching these techniques for the first time as well as for those already using them.

Organized into 7 sections, it describes in detail all techniques related to ERCP/EUS, together with any specific technical equipment required. It also presents a new paradigm based on the latest results in the areas of prevention, diagnosis and management of the most common complications. Clinical outcomes presented in international literature, as well as algorithms - both based on scientific evidence and expert findings - are illustrated and compared to alternative treatments.

Part 1 ERCP and EUS: armamentarium and surroundings

1 ERCP/ERCP Room
2 X-rays in endoscopy
3 Ultrasound Equipments
4 Endoscopes
5 ERCP standard and special devices
6 EUS Standard Devices
7 Deep sedation and anesthesia for advanced gastrointestinal endoscopy: challenging a continuum
8 Anatomy Of The Biliary Tree
9 Anatomy of the pancreas
10 CT: what we need to know to start to interpret radiological pictures
11 MR: what we need to know to start to interpret radiological pictures
12 Patients management before and after EUS/ERCP
Part 2 ERCP: WHAT and HOW
13 Cannulation techniques
14 Biliary sphincterotomy and precut
15 Pancreatic Sphincterotomy
16 Biliary Stones Extraction
17 Intraductal lithotripsy
18 Pancreatico-biliary ESWL
19 Biliary Stenting
20 Endoscopic Papillectomy
21 Ductoscopy
22 Intraductal Ablation Techniques
23 Stent Removal (plastic and metal)
24 ERCP in altered anatomy
25 PTC and PTC-ERCP rendez-vous procedures
Part 3 EUS: WHAT and HOW
26 EUS Diagnostic Puncture
27 Ancillary Diagnostic Techniques In EUS
28 EUS-Guided Transenteric Pancreatic Duct Drainage
29 EUS Assisted Ablation Techniques
30 Intraductal US
Part 4 Complications: prevention, diagnosis and management
31 Acute pancreatitis
32 Bleeding
33 ERCP-related perforations
34 Miscellany
35 EUS complications
Part 5 Bilio-pancreatic diseases: clinical results
36 Common bile duct stones
37 Intrahepatic stones
38 Acute Cholangitis
39 Papillectomy: clinical results
40 TIPS in Malignant Biliary Strictures
41 Results Of Eus Transmural Biliary Drainage
42 Post-Operative Biliary Stricture
43 Biliary complications after liver transplantation
44 Biliary Leaks: Role of ERCP in post-operative biliary complications
45 Primary sclerosing cholangitis
46 Acute cholecystitis
47 Acute biliary pancreatitis
48 Chronic Pancreatitis
49 Pancreatic Fistulas
Part 6 The  cytopathologist'spoint of view
50 EUS Tissue sampling : what are we talking about?
51 Molecular Biology Of Biliopancreatic Lesions
Part 7 Clinical Algorithms
52 Suspected common bile duct stones (algorithm)
53 Acute Cholangitis (algorithm)
54 Diagnosis of etiology in acute pancreatitis
55 Periampullary biliary strictures (algorithm)
56 Hilar Strictures: Algorithm
57 Diagnosis of pancreatic cyst: Algorithm.