ERCP Bootcamp: Cutting Edge Comprehensive Training for the Team | July 2026-Incorporating Cholangioscopy into your practice

Incorporating Cholangioscopy into your practice – recipes for success

Video Transcription

Video Summary

Dr. Shah discusses how to integrate cholangioscopy into ERCP practice, emphasizing team preparation, anticipation, and clear communication with nurses and technicians. He reviews common indications, including indeterminate biliary strictures and difficult stones resistant to standard extraction methods, and notes advanced uses such as targeted gallbladder or intrahepatic duct access. He stresses that success depends on planning equipment and accessories ahead of time, giving antibiotics when needed, and using practical troubleshooting techniques for stuck devices. Shah highlights the value of direct visualization, improved diagnostic confidence, reduced radiation exposure, and potentially fewer procedures for patients. He also notes the technology’s growing role in staff engagement, training, and retention, as well as its sustainability benefits by reducing fluoroscopy use and hospital waste. Looking ahead, he expects continued advances in ergonomics, accessories, and AI-assisted image characterization.

Asset Subtitle

Raj J. Shah, MD, MASGE

Keywords

cholangioscopy

ERCP

biliary strictures

difficult stones

direct visualization