Quick Hits

“The greatest trick the Devil ever pulled was convincing the world he didn’t exist.” —Roger “Verbal” Kint, The Usual Suspects (1995  film) My fourth-year interventional endoscopy fellowship consisted of three-month rotations alternating between two different academic referral institutions. The endoscopic retrograde cholangiopancreatography (ERCP) practice at one institution utilized sphincter manometry to triage the need for […]

Quick Hits

Chronic pancreatitis has a wide spectrum of symptoms and severity, making it difficult to diagnose. While the advent of numerous radiographic, endoscopic and functional testing has certainly advanced our ability to reliably diagnose chronic pancreatitis, it can, at times, complicate diagnosis in an age of unclear interpretation of results. Given that this condition is not […]

Quick Hits

When evaluating a patient with suspected choledocholithiasis, the fundamental question is whether or not to recommend an endoscopic retrograde cholangiopancreatographyEUS (ERCP). Given its risks, and with the more widespread availability of endoscopic ultrasound (EUS) and magnetic resonance cholangiopancreatography (MRCP), ERCP has become (or at least should be) a nearly exclusively therapeutic tool. In order to […]