ERCP Bootcamp for the Endoscopy Team (On-demand) | December 2023-Cannulation and Sphincterotomy Techniques

Video Transcription

Video Summary

In this video, the speaker discusses cannulation and sphincterotomy techniques in ERCP procedures. The speaker emphasizes the importance of cannulation as the first hurdle in ERCP and shares tips for successful cannulation. They suggest changing technique and position if cannulation is not successful. The speaker also discusses the use of wire-guided cannulation, which is more effective than just using contrast. They mention the double wire technique as a useful method for cannulation and avoiding pancreatic duct cannulation. The speaker also covers other techniques including pre-cut sphincterotomy and needle knife techniques. They stress the importance of making a complete sphincterotomy and highlight the challenges and techniques for cannulating in cases with duodenal diverticula. In conclusion, the speaker emphasizes the need to monitor cannulation rate and quality data and encourages endoscopists to use appropriate techniques and maneuvers for successful cannulation in ERCP procedures.

Asset Subtitle

Sarah “Betsy” Rodriguez, MD, FASGE

Meta Tag

Concept Selective Biliary Cannulation

Concept Endoscopic Retrograde Cholangiopancreatography

Concept Wire-Guided Cannulation

Concept Sphincterotomy

Concept Difficult Cannulation

Keywords

cannulation

sphincterotomy techniques

ERCP procedures

wire-guided cannulation

double wire technique

pre-cut sphincterotomy

needle knife techniques

Selective Biliary Cannulation

Endoscopic Retrograde Cholangiopancreatography

Wire-Guided Cannulation

Sphincterotomy

Difficult Cannulation