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 . 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.
journal_name
Endoscopyjournal_title
Endoscopyauthors
Bourke MJ,Costamagna G,Freeman MLdoi
10.1055/s-0029-1214859subject
Has Abstractpub_date
2009-07-01 00:00:00pages
612-7issue
7eissn
0013-726Xissn
1438-8812journal_volume
41pub_type
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