Category : ERCP

Bile duct cysts: Todani classification I – Cystic (Ia)/saccular (Ib)/fusiform (Ic) dilatation of the extrahepatic bile duct (accounts for 80-90% of cases) II – Extrahepatic, supraduodenal bile duct diverticulum III – Intraduodenal diverticulum (choledochocele) IV – Intra and extrahepatic duct dilatation IVa – Multiple intra and extrahepatic cysts IVb – Multiple extrahepatic cysts only V – Multiple ..

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The ASGE ERCP (Endoscopic retrograde cholangiopancreatography) grading scale indicates the procedure complexity and predicts the chance of complictions. The ERCP grading scale: Grade 1-Deep cannulation of duct of interest, main papilla, sampling-Biliary stent removal/exchange Grade 2Biliary stone extraction < 10 mmTreat biliary leaksTreat extrahepatic benign and malignant strictures-Place prophylactic pancreatic stents Grade 3-Biliary stone extraction ..

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