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Prediction, Prevention and Management of Bleeding during Endoscopic Retrograde Cholangiopancreaticography (OLV013) | 2019 Honorable Mention AV Award
Released:  April 2019
Viewing Time:  30 minutes
Course Description
Bleeding is one of the most common complications of ERCP occurring in 0.3 to 2% cases of ERCP. Endoscopic assessment can be performed during or immediately after ERCP and hence provides an opportunity to treat ongoing bleeds. The Boezzart Scale, as explained in the video, can be used to grade the severity of the bleed. This grading can further guide the choice of therapeutic interventions. Visibility in the periampullary area is essential in precise endoscopic therapy. The field of vision and methods of its improvement are also discussed with a few case illustrations. The main focus of the video is endoscopic management of Post ERCP Bleeds.

24 cases of ERCP related bleeds are discussed in the videos with bleed assessment and subsequent endoscopic therapies.

Clinical Implications: This video would enable the endoscopists to understand the fundamental basics of ERCP related bleeds and their management. Adaption of the algorithmic approach would result in a significant reduction of morbidity and mortality associated with post ERCP bleeds.
Learning Objectives
  1. To predict and prevent bleeding during ERCP
  2. To assess the severity of bleeding during ERCP
  3. To manage the bleeding during ERCP
Primary Authors
Malay Sharma

Secondary Authors
Raghav Bansal
Piyush Somani
Rahul Talele
Naveen Mat
This CME activity consists of an ASGE video, followed by a post-assessment.  All materials required to complete the activity, including the video, are contained within the activity.

To complete this activity,
  • View the video.
  • Complete the Post –assessment by selecting the single best answer for each multiple choice question. You have 3 chances to score above an 80%. 
  • After you pass the test, you complete the evaluation and then you can print a CME certificate. Exams can be saved to access at a later date.
You may complete the activity in one sitting, or you may save your work in progress and complete it at a later date. However, to earn CME credits, you must complete the activity prior to the CME expiration date.

Completed CME will be tracked in your transcript and you can print a record of this CME activity at any time.
Hardware/Software Requirements
Windows Requirements:
Operating system: Windows 7+
Browser: Internet Explorer 8+, Firefox 10+, Google Chrome 10+
Internet connection: DSL, cable modem, or other high-speed connection
Flash: Adobe® Flash® Player 12+

Macintosh Requirements:
Operating system: Mac OS X 10.6.8+
Browser: Mozilla Firefox 10+, Safari 5+, Google Chrome 10+
Internet connection: DSL, cable modem, or other high-speed connection
Flash: Adobe® Flash® Player 12+
Contact Information
For technical difficulties, please contact ASGE between the hours of 8:30am and 5pm Central Time at 1-866-353-ASGE (2743). For questions related to content or CME credits, please email
Availability: Retired
Cost: Member: $13.00
Non-Member: $18.00
Credit Offered:
No Credit Offered
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