ASGE Recognized Industry Associate (ARIA) Training Program for Medtronic | March 2025-Introduction to ERCP Indications and Radiation Safety

Video Transcription

Video Summary

The video discusses the indications and safety precautions for Endoscopic Retrograde Cholangiopancreatography (ERCP). Originally a diagnostic tool, ERCP is now primarily used for therapeutic purposes following the advent of Magnetic Resonance Cholangiopancreatography (MRCP). Introduced in 1968, ERCP involves procedures like sphincterotomy, stent placement, and intraductal ultrasound. Common benign indications for ERCP include conditions like choledocholithiasis and chronic pancreatitis, while malignant indications include cholangiocarcinoma and pancreatic cancer.<br /><br />Adverse event rates for ERCP are relatively low, but operator skill is crucial in minimizing risks like pancreatitis and cholangitis. Safety measures extend to radiation exposure; practitioners are advised to use protective gear and minimize exposure time due to cumulative radiation effects. Notably, ERCP can be safely performed on pregnant women by avoiding radiation, instead confirming duct entry by aspirating bile.<br /><br />The video underscores the importance of teamwork and continuous learning in therapeutic endoscopy, emphasizing careful consideration of new technologies and procedures prior to patient application, and concludes with a reminder of the principles of radiation safety: distance, time, and shielding.

Asset Subtitle

Jeffrey Lee, MD, FASGE

Keywords

Endoscopic Retrograde Cholangiopancreatography

ERCP safety

therapeutic endoscopy

choledocholithiasis

cholangitis prevention

radiation safety

pancreatic cancer