Difficult Biliary Cannulation in Endoscopic Retrograde Cholangiopancreatography: An Overview of Advanced Techniques

European Medical Journal Hepatology

Brian M. Fung¹ 

[1] Division of Gastroenterology and Hepatology, Department of Internal Medicine, University of Arizona College of Medicine – Phoenix, Arizona, USA;

关键词: endoscopic retrograde cholangiopancreatography (ercp);    fistulotomy;    papillotomy;    post-ercp pancreatitis (pep);    precut;    selective biliary cannulation;    sphincterotomy;   

DOI  :  

来源: DOAJ

【 摘 要 】

Endoscopic retrograde cholangiopancreatography (ERCP) plays a significant role in the treatment of a vast array of pancreatobiliary diseases. However, despite significant progress in the optimisation of ERCP methods and accessories, the technical and clinical success of ERCP can vary significantly due to a variety of patient and operator factors. Over the past several decades, a number of advanced techniques have been developed to improve cannulation success rates, including the use of double-guidewire, pancreatic duct accessory-assisted, precut, and rendezvous techniques. Here, the authors provide an update and overview of the existing advanced techniques used in cases of difficult biliary cannulation, as well as the approach to their selection.

【 授权许可】

Unknown