This ASGE Activity includes the video, Biliary Access Techniques for ERCP: From Basic to Advanced, followed by a post-assessment and evaluation.

This program offers viewers a comprehensive presentation of biliary cannulation and access techniques for ERCP ranging from basic to very advanced. Equipment, room setup and basic principles are reviewed. All of the major techniques for biliary cannulation are presented in detail, including traditional methods, guidewire cannulation, and particular emphasis on newer approaches including pancreatic guidewire and pancreatic stent-assisted techniques.

All of the major variants of precut sphincterotomy are demonstrated as well as special techniques for altered and difficult anatomy. Throughout this video, pros and cons, and risks and benefits of each technique are discussed. Adaptation of technique to individual patients and their anatomy is emphasized.

Practicing gastrointestinal endoscopists, gastroenterologists, gastroenterology fellow and trainees, medical residents, physician assistants and nurses.

As a result of completing this activity, physicians will be able to:

• Review basic principles of selective biliary cannulation;
• Become familiar with newer approaches including pancreatic guidewire and stent-assisted biliary access techniques, and variants of precut sphincterotomy; and
• Understand risks and benefits of each technique.

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+

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 education@asge.org.