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Current Gastroenterology Reports

Erschienen in:

01.04.2010

Difficult Biliary Cannulation

verfasst von: Sean P. Lynch, John A. Evans

Erschienen in: Current Gastroenterology Reports | Ausgabe 2/2010

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Abstract

Endoscopic retrograde cholangiopancreatography (ERCP) is the most technically challenging procedure routinely performed by endoscopists. ERCP cannulation requires the insertion of a subcentimeter catheter through a tiny orifice at a distance of almost a meter from the operator. Only after successful cannulation of the bile duct can the real “business” of ERCP be performed (eg, sphincterotomy, stone extraction, stent placement). Selective bile duct cannulation is all the more exacting due to the occasional anatomic challenge (eg, postsurgical anatomy, duodenal stricture) or wayward catheter. Serious morbid complications can and do occur, even in the hands of the most gifted and facile endoscopists. Although there are some “tricks” to facilitate successful cannulation of the bile duct, experience “trumps” all tricks. Of greatest importance when faced with a difficult cannulation is the recognition of one’s personal limitations.

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Titel: Difficult Biliary Cannulation
verfasst von: Sean P. Lynch
John A. Evans
Publikationsdatum: 01.04.2010
Verlag: Current Science Inc.
Erschienen in: Current Gastroenterology Reports / Ausgabe 2/2010
Print ISSN: 1522-8037
Elektronische ISSN: 1534-312X
DOI: https://doi.org/10.1007/s11894-010-0089-0

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