ASGE Masterclass: Endoscopic Retrograde Cholangiopancreatography (ERCP) On-Demand | January 2022-Standard sphincterotomy and access sphincterotomy: how and how far to go

Standard sphincterotomy and access sphincterotomy: how and how far to go

Video Transcription

Video Summary

The transcript of the video is a discussion on sphincterotomy, a procedure performed during endoscopic retrograde cholangiopancreatography (ERCP) to access the bile duct. The speaker emphasizes the importance of alignment and aims during the procedure. Different types of sphincterotomies, such as standard/traction sphincterotomy, pancreatic sphincterotomy, and needle knife sphincterotomy, are discussed, along with their techniques and indications. The speaker also mentions alternative techniques for difficult cannulations, such as pre-cut sphincterotomy, goff septotomy, and fistulotomy. The video highlights the need for careful consideration of indications, technique selection, and the potential risks and complications associated with sphincterotomy. Although some data and guidelines are presented, the speaker acknowledges that the evidence is still evolving, and the decision-making should be tailored to each patient and expertise level. Overall, the video provides educational insight into the various aspects of sphincterotomy, including techniques, complications, and decision-making. No credits are mentioned in the video.

Keywords

sphincterotomy

endoscopic retrograde cholangiopancreatography

bile duct

alignment

techniques

indications

risks

complications

decision-making