12 mohan ramchandani latest innovations in pancreatobiliary endoscopy 04 16

Recent Advances in management of Pancreatobiliary diseases Mohan Ramchandani Asian Institute of Gastroenterology Hyderabad, India Techniques Technologies Endoscopic Adjuvant Therapy • Photodynamic therapy • Radiofrequency ablation • Brachytherapy • Radioactive stents Photodynamic Therapy for CholangioCarcinoma Median Survival 98 vs 493 days Surgery n=19 n=20 CT + Stent Ortner et al gastroenterology 2003 PDT + Stent Aaron J Quyn et al HPB 2009 Conclusion PDT improves survival in Cholangiocarcinoma Pre RFA Post RFA D S Strand et al Gastrointestinal Endoscopy 2014 PDT vs RFA RFA PDT Simple Complex Cost Low High Photo sensitivity -ve +ve Evidence Low High Technique Reddy D N et al Gastrointest Endosc 2014 Endotherapy of POBS “Aggressive” approach Successful Management of Benign Biliary Strictures With Fully Covered Self-Expanding Metal Stents Jacques Devière, D Nageshwar Reddy, Andreas Püspök, Thierry Ponchon, Marco, J Bruno, Michael J Bourke, Horst Neuhaus, André Roy, Ferrán gonzález-huix,lladó, Alan N Barkun, Paul P Kortan, Claudio Navarrete, Joyce Peetermans,Daniel Blero, Sundeep Lakhtakia, Werner Dolak, Vincent Lepilliez, Jan W Poley,Andrea Tringali, Guido Costamagna Chronic Pancreatitis Post Liver Tx Gastroenterology 2014 ... complication