Abstract
Endoscopic retrograde cholangiopancreatography (ERCP) is arguably the most demanding procedure routinely performed by gastrointestinal (GI) endoscopists. ERCP has gone from a mainly diagnostic procedure in the 1970s to an almost exclusively therapeutic one in 2014. ERCP requires supervised training and experience to achieve a high success rate and minimize potential complications, which can be life-threatening. An organized approach to ERCP—from planning to execution and follow-up—is the key to achieving these goals. This review takes the reader through each of the steps and provides management recommendations based on the author’s 30 years’ experience of ERCP.
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Video 4.1 a straight metal-tipped needle cannula (ERCP-1-Cramer™, Cook Endoscopy, Bloomington, IN) may be the most effective tool to access the minor papilla when rendered necessary by a challenging duodenoscope position
Video 4.2 Cannulation over a wire or a stent placed for this purpose is frequently successful when the standard technique fails
Video 4.3 It is important to realize that only a small length of wire is needed to perform sphincterotomy
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Baillie, J. (2015). ERCP from Soup to Nuts: Evaluation, Preparation, Execution, and Follow-Up. In: Lee, L. (eds) ERCP and EUS. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-2320-5_4
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DOI: https://doi.org/10.1007/978-1-4939-2320-5_4
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