ASGE DDW Videos from Around the World | 2025-“AROUND THE WORLD” DUODENOSCOPE MANEUVER TO PERMIT AN EN FACE PAPILLARY VIEW WITH A ‘SHORT’ DUODENOSCOPE POSITION IN THE SETTING OF DUODENAL COMPRESSION

“AROUND THE WORLD” DUODENOSCOPE MANEUVER TO PERMIT AN EN FACE PAPILLARY VIEW WITH A ‘SHORT’ DUODENOSCOPE POSITION IN THE SETTING OF DUODENAL COMPRESSION

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Video Transcription

Video Summary

The "Around the World" endoscopic technique can enhance the orientation of the major papilla during ERCPs in the presence of D1 or D2 deformities, such as those caused by duodenal compression from tumors or edema. The maneuver involves rotating and withdrawing the duodenoscope to achieve better visualization and cannulation of the bile duct. Two case studies showcased the technique's effectiveness in addressing biliary obstructions caused by pancreatic masses, resulting in increased ERCP success rates. This technique requires further studies to evaluate its efficacy compared to standard ERCP methods.

Asset Subtitle

Blake Niccum

Keywords

endoscopic technique

major papilla orientation

ERCP

biliary obstructions

pancreatic masses