How should we evaluate the biliary tract with ERCP?

ERCP and associated procedures are widely used for the management of biliary disorders. Deep biliary cannulation is a prerequisite for successful ERCP. Achieving deep biliary cannulation can be challenging. We should not repeat the same approach and try to use alternative techniques which are tailor...

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Bibliographic Details
Published inTando Vol. 33; no. 5; pp. 900 - 910
Main Author Ryozawa, Shomei
Format Journal Article
LanguageJapanese
Published Japan Biliary Association 31.12.2019
日本胆道学会
Subjects
cannulation
ERCP
selective bile duct cannulation
カニュレーション
選択的胆管挿入
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ISSN0914-0077
1883-6879
DOI10.11210/tando.33.900

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Summary:ERCP and associated procedures are widely used for the management of biliary disorders. Deep biliary cannulation is a prerequisite for successful ERCP. Achieving deep biliary cannulation can be challenging. We should not repeat the same approach and try to use alternative techniques which are tailored to the individual papillary and ductal anatomy of each patient. It is necessary to be aware of the fundamental knowledge and techniques of these procedures in order to avoid unexpected results. The indication of diagnostic ERCP should be considered carefully because there is a potential risk of post ERCP pancreatitis.
ISSN:0914-0077
1883-6879
DOI:10.11210/tando.33.900