ASGE Masterclass: Endoscopic Retrograde Cholangiopancreatography (ERCP) On-Demand | January 2022-Cannulating the desired duct: getting into it

Video Transcription

Video Summary

In this video, the speaker discusses the different methods for biliary and pancreatic cannulation, as well as risk factors for complications during these procedures. The three main steps discussed are understanding the patient's anatomy, using the right tools, and positioning oneself for successful cannulation. The speaker emphasizes the importance of proper training, skill, and knowledge of anatomy to achieve successful cannulation. Tools such as catheters and sphincterotomes are discussed, with recommendations based on personal experience and training. The speaker also explains the various techniques for cannulation, including wire-guided techniques and needle knife use. The use of prophylactic pancreatic stenting, pharmacotherapy (such as rectal endometacin), and IV fluid administration is discussed as measures to minimize complications during and after the procedure. The video concludes by encouraging healthcare professionals to stay updated with video resources for techniques and procedures.

Keywords

cannulation

complications

patient anatomy

tools

techniques

procedures