ASGE DDW Videos from Around the World | 2024-THE ASSISTANCE OF UNDERWATER IMMERSION FOR IDENTIFICATION AND CANNULATION OF AN INTRA DIVERTICULAR AMPULLA DURING ERCP

THE ASSISTANCE OF UNDERWATER IMMERSION FOR IDENTIFICATION AND CANNULATION OF AN INTRA DIVERTICULAR AMPULLA DURING ERCP

Video Transcription

Video Summary

Underwater immersion is utilized to help locate and confirm the ampulla within an intra-diverticular duodenum during ERCP procedures. The ampulla's placement may vary, making identification challenging. Various methods such as using a hemoclip or guide wire are employed to enhance visibility for cannulation attempts. In a specific case, a 77-year-old male patient with a duodenal diverticulum underwent a successful ERCP aided by water immersion to ascertain the ampulla's position before standard cannulation techniques were performed. This technique proves beneficial in cases where the ampulla is not readily visible, ensuring successful ductal clearance without complications.

Asset Subtitle

David Liu

Keywords

underwater immersion

ampulla

intra-diverticular duodenum

ERCP procedures

cannulation