Biliary cannulation during endoscopic retrograde cholangiopancreatography: Core technique and recent innovations

M. J. Bourke, G. Costamagna, M. L. Freeman

Research output: Contribution to journalArticlepeer-review

34 Scopus citations

Abstract

Despite advances in imaging and device technology over the past decade, endoscopic retrograde cholangiopancreatography (ERCP) continues to be one of the most technically challenging interventions in endoscopy. The procedure remains compounded by two persistent problems: failure of successful biliary cannulation and post-ERCP pancreatitis (PEP). When performed outside expert high-volume centers, failed biliary cannulation may occur in up to 20% of cases; repeated and prolonged attempts at cannulation increase the risk of pancreatitis, delay definitive therapy, and necessitate alternative therapeutic techniques with inferior safety profiles [1, 2]. Cannulation technique is believed to be a pivotal factor in the genesis of PEP and is obviously important for successful cannulation. This review will discuss some recent innovations in cannulation technique.

Original languageEnglish (US)
Pages (from-to)612-617
Number of pages6
JournalEndoscopy
Volume41
Issue number7
DOIs
StatePublished - Dec 1 2009

Fingerprint

Dive into the research topics of 'Biliary cannulation during endoscopic retrograde cholangiopancreatography: Core technique and recent innovations'. Together they form a unique fingerprint.

Cite this