The Art of Selective Cannulation at ERCP

Research output: Contribution to journalReview article

Abstract

Purpose of Review: ERCP is undergoing its 50th anniversary with a steady conversion from a diagnostic procedure to a therapeutic procedure. This paper shows a reflection of my 42 years of experience in the accession of biliary and pancreatic ducts and how the techniques have evolved to achieve a high rate of primary duct cannulation. Recent Findings: There has been an increase in the primary approach to cannulation involving different cannulation catheters and guidewires, and we will review some of those available, realizing that the selection may vary depending on operator preference and team approach. Different views and experiences with these techniques will be presented. Summary: ERCP has evolved from a diagnostic to primarily a therapeutic procedure. This has resulted in the development of a variety of devices and techniques to access the ducts of interest. I have presented several of the techniques and my team approach that has evolved over a number of years. A more prospective evaluation of devices and wires is needed to see if one is superior to the other.

Original languageEnglish (US)
Article number7
JournalCurrent Gastroenterology Reports
Volume21
Issue number2
DOIs
StatePublished - Feb 1 2019

Fingerprint

Endoscopic Retrograde Cholangiopancreatography
Art
Catheterization
Equipment and Supplies
Pancreatic Ducts
Anniversaries and Special Events
Catheters
Therapeutics

Keywords

  • Billroth II
  • Duodenal diverticulum
  • Endoscopic retrograde cholangiopancreatography
  • ERCP
  • Major ampulla
  • Minor ampulla

ASJC Scopus subject areas

  • Gastroenterology

Cite this

The Art of Selective Cannulation at ERCP. / Cunningham, John T.

In: Current Gastroenterology Reports, Vol. 21, No. 2, 7, 01.02.2019.

Research output: Contribution to journalReview article

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