Advanced Endoscopy Fellows Program | September 2023-Hands On Demonstration 4

Video Transcription

Video Summary

In this video, the speaker discusses the process of cannulating and performing a sphincterotomy in the duodenum. They emphasize the importance of positioning the papilla in the center of the screen and at the top half of the screen for the best angle. They demonstrate the use of a sphincterotome and guide wire for cannulation and explain the need for good communication and a stable position during the procedure. The speaker also mentions the use of a wire tip and discusses different approaches to cannulation. They demonstrate advancing the wire and discuss troubleshooting techniques if the wire does not advance easily. The speaker then moves on to discussing sphincterotomy, explaining the ideal positioning and the use of different types of sphincterotomes. They discuss the importance of knowing equipment and settings and demonstrate the cutting process. They also mention the use of sphincteroplasty for stone removal and discuss the selection of balloon size for dilation. The video concludes with a Q&A session and a discussion of different approaches to dilation and cholangioscopy.

Keywords

cannulation

sphincterotomy

duodenum

papilla positioning

sphincterotome

wire tip