ASGE International Sampler (On-Demand)-Accessing and Treating Major and Minor Pancreatic Sphincter

Accessing and Treating Major and Minor Pancreatic Sphincter

Video Transcription

Video Summary

In this video, Dr. Stuart Sherman discusses accessing and treating the major and minor papilla pancreatic sphincter. He explains the anatomy of the minor and major papilla and the pancreatic duct, as well as the indications for pancreatography. Dr. Sherman also discusses approaches to cannulation, the instruments and aids used, and different techniques for sphincterotomy. He emphasizes the importance of proper identification of the pancreatic orifices and suggests using secretin and methylene blue to facilitate cannulation. Dr. Sherman also explores the role of endoscopic ultrasound (EUS) in pancreatography and mentions the option of pre-cut sphincterotomy. He presents some data on the outcomes of minor papilla therapy for acute recurrent pancreatitis and discusses a randomized controlled trial comparing biliary sphincterotomy to combined biliary and pancreatic sphincterotomy for sphincterotomy dysfunction. In conclusion, Dr. Sherman highlights the need for further study in this area.

Asset Subtitle

Stuart Sherman, MD, MASGE

Keywords

Dr. Stuart Sherman

accessing pancreatic sphincter

treating pancreatic sphincter

pancreatic duct anatomy

pancreatography indications

cannulation approaches