Advanced Endoscopy Fellows Program | September 2023-Presentation 3B

Presentation 3B - Hepatobiliary Video Case Discussions 2

Video Transcription

Video Summary

The video transcript discusses the use of a needle knife for ERCP procedures in patients with cholangitis. The presenter raises the question of whether to use a regular sphincteratome or a needle knife. The consensus among the experts is that a needle knife is a good option in cases with a large papilla. The experts also discuss the technique of needle knife sphincterotomy, including the importance of going deep enough and taking time to inspect the bile duct. They also mention the use of a separate sphincterotome to extend the sphincterotomy if necessary. The experts caution against using excessive contrast in patients with cholangitis and recommend minimizing the use of contrast.

Keywords

needle knife

ERCP procedures

cholangitis

sphincteratome

needle knife sphincterotomy