This was a 25 year old lady who had ingested bathroom cleaner (alkali) with a suicidal intent. Barium studies showed a long esophageal stricture (A1) and gastric outlet obstruction (A2: green arrow). On endoscopy we couldn't get far due to the extensive damage (B) and used Savary dilators (C: green arrow) to dilate the esophagus. There was extensive damage in the fundus (D), body and antrum (E: green arrow marks the wide open pylorus). The duodenal bulb was scarred and tubular (F:green arrow) with a pinhole narrowing between the bulb and descending duodenum (G: green arrows). She's definitely going to need surgery for that outlet obstruction.
I am a gastroenterologist. This is a blog of the ERCPs and related endoscopic procedures carried out at my department. Dr Adnan Salim.
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Second (actually 3rd) ERCP for post transplant biliary leak
This 60 year old gentleman had earlier undergone ERCP and stenting for an anastomotic biliary leakage a few months earlier http://ercp365.bl...
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This patient was a 20 year old gentleman who had suffered blunt abdominal trauma during motorcycle accident. He developed a pancreatic absce...
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This 60 year old gentleman had earlier undergone ERCP and stenting for an anastomotic biliary leakage a few months earlier http://ercp365.bl...
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This 40 year old lady had presented with a stricture of the CBD at the level of the cystic duct following a cholecystectomy. We had passed...
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