This CME activity consists of the ASGE video, EUS-Guided Biliary Drainage: Current Techniques, followed by a post-assessment and evaluation.

EUS-guided biliary drainage (EUS-BD) has evolved as a viable technique for endoscopic biliary drainage. This video shows the current indications, techniques, and complications of  EUS-BD. Technical details of the various EUS-BD procedures like Rendezvous procedure, choledocho-duodenostomy, hepatico-gastrostomy, and antegrade procedure are shown with multiple case scenarios. Tips are provided for various steps like scope positioning, choice of access route, guidewire manipulation, track dilation, and stent placement. Problem areas like guidewire shearing, guidewire handling during rendezvous procedure, and difficulties during antegrade procedure are discussed with case scenarios. Possible complications and tips for their prevention are discussed. This video will help the endoscopist expand their armamentarium of techniques for endoscopic biliary drainage.

See a preview of this video content here.

Practicing gastroenterologists, gastroenterology fellows and trainees, medical residents, physician assistants, and nurses.

Upon completion of this educational activity, participants will be able to:

• Identify the different types of EUS-BD procedures
• Explain the techniques of various EUS-BD procedures
• Recognize the possible difficulties, and discuss how to tackle them
• Describe the possible adverse events and steps to minimize them

Video Release Date:    May 1, 2015
Online CME Release Date:      September 1, 2015
CME Expiration Date:  May 1, 2018

Expected Time of Activity Completion:  30 Minutes (0.5 CME Credit)

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+

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, 
1. View the video.
2. Complete the Post –assessment by selecting the single best answer for each multiple choice question. You will be able to change your answer at any time until you click on the finish button. Multiple attempts are given and each question must be answered correctly before proceeding to the next question. Persons scoring 100% pass the test and can print a CME certificate. Exams can be saved to access at a later date. 
3. Complete the Evaluation.

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. 

In order to claim credit, you must complete the Post-assessment and Evaluation. Completed CME will be tracked in your account and you can print a record of this CME activity at any time. 

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.