ASGE International Sampler (On-Demand)-Techniques of Biliary Sphincterotomy Including Pre-Cut

Video Transcription

Video Summary

In this video, Mustafa provides tips and tricks for biliary cannulation during ERCP procedures. He emphasizes the importance of safety and success as key outcomes, rather than solely focusing on selective biliary cannulation. Mustafa discusses various cannulation and access techniques, noting the need for flexibility and the ability to adapt based on the situation. He also highlights the importance of knowing the risk factors for complications and being able to manage adverse events during the procedure. Mustafa discusses different approaches to biliary access, including standard cannulation, pre-cut access techniques, and the use of pancreatic stents to reduce the risk of pancreatitis. He explores four main pre-cut techniques, including needle knife at the orifice, needle knife prefixed histotomy, needle knife prefixed sphincterotomy, and sphincterotomy-based pancreatic cannulation. Mustafa concludes by emphasizing the importance of recognizing risk factors and adverse events and the need for safety and knowledge in performing biliary cannulation.

Asset Subtitle

Mustafa A. Arain, MD

Keywords

biliary cannulation

ERCP procedures

safety

success

cannulation techniques

complications management