ASGE Recognized Industry Associate (ARIA) Training Program for Medtronic | March 2025-Ready Set Scope

Ready Set Scope_The Perfect ERCP Setup

Pdf Summary

The document titled "Ready, Set, Scope: The Perfect ERCP Setup" by Amit Rastogi, MD, FASGE, from the University of Kansas Health outlines the optimal setup for conducting an Endoscopic Retrograde Cholangiopancreatography (ERCP). The recommended ERCP room should be 400 to 500 square feet and equipped with essential technologies such as fluoroscopy, anesthesia cart and equipment, multiple monitors, an Endoscopic Ultrasound (EUS) machine, and devices for cholangioscopy and electrohydraulic lithotripsy (EHL). The setup should prioritize ergonomics to minimize congestion and ensure accessibility, with adjustable monitors, suitable flooring, and easy access to supplies.<br /><br />The fluoroscopy table setup requires specific items such as pillows, a gel roll, head support, padding, and secure strapping systems like Velcro for patient safety.<br /><br />Personnel should wear appropriate personal protective equipment (PPE) including lead aprons, goggles, shoe covers, gowns, and gloves to ensure safety from radiation exposure during procedures. Essential supplies for the room include normal saline, syringes, gauze, basins, contrast, indomethacine suppositories, and PPE.<br /><br />For the back table setup, normal saline, saline syringes, a basin with gauze, and contrast syringes (10cc or 20cc) are suggested. The document also discusses the choice between reusable and disposable scopes and recommends considering alternative scopes (EUS, single or double balloon enteroscopes, colonoscope) for patients with altered anatomy.<br /><br />Additionally, the setup should include a variety of devices such as cutting wires, cannulas, sweeping and dilation balloons, and various stents (plastic, metal, fully covered, uncovered, partially covered). The equipment ensures the capability to perform comprehensive and effective ERCP procedures.

Keywords

ERCP setup

Amit Rastogi

fluoroscopy

anesthesia equipment

Endoscopic Ultrasound

cholangioscopy

electrohydraulic lithotripsy

personal protective equipment

reusable scopes

dilation balloons