ERCP Bootcamp: Cutting Edge Comprehensive Training for the Team | July 2026-Course Intro + Understanding Selection for ERCP in the Modern World

Course Intro + Understanding Selection for ERCP in the Modern World

Video Transcription

Video Summary

The course leaders opened by welcoming attendees and emphasizing the value of weekend training, sponsor support, and team-based education in endoscopy. They explained course logistics, Wi-Fi access, interactive microphones, bioskills lab rules, and evaluation/CEU details.<br /><br />The main lecture focused on modern ERCP decision-making and the growing role of EUS. The speaker explained that ERCP is now primarily therapeutic, while EUS is often used first to diagnose biliary and pancreatic disease and to avoid unnecessary ERCP. For suspected choledocholithiasis, high-risk patients should go directly to ERCP, but intermediate-risk patients should undergo EUS or MRCP first. Evidence was presented showing that EUS-first strategies reduce ERCP use, complications, and post-ERCP pancreatitis without increasing missed stones.<br /><br />The talk also reviewed when ERCP should still be done urgently, such as in cholangitis, definite obstruction, or clear stones, and when EUS is useful first, including indeterminate biliary dilation, suspected malignancy, or unexplained pancreatitis. The speaker highlighted same-session EUS-ERCP, EUS-guided biliary drainage, and emerging combined scopes as the future of biliary care.

Keywords

ERCP

EUS

choledocholithiasis

biliary disease

pancreatitis

endoscopy

biliary drainage