ESGE Academy Journal | Journal 04-2026 I Episode 4
Maximising quality of "diagnostic" ERCP
COURSE
Series: ESGE Academy Journal
Season: Journal 04-2026
Episode 4 of 5: Maximising quality of "diagnostic" ERCP
SPEAKERS
Mr. Srisha Hebbar, Dr. Irina-Gabriela Diaconu
DESCRIPTION
This video explores how to maximise quality in diagnostic ERCP by focusing on the limited situations where the procedure is truly needed. We outline why diagnostic ERCP is now mainly reserved for tissue sampling in indeterminate biliary strictures, and how imaging should guide decision making in most other cases. Through real examples, we highlight the importance of careful case selection, high-quality fluoroscopic imaging and effective tissue acquisition so that when ERCP is performed, it delivers the intended therapy safely and with confidence.
LEARNING OBJECTIVES
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What to watch next...
ESGE Academy Journal | Journal 04-2026 | Episode 5
Quality in diagnostic (HPB) EUS (00:18:06)
Description
High-quality diagnostic endoscopic ultrasound (EUS) is essential for accurate evaluation of hepatopancreatobiliary (HPB) system. This video focuses on key principles, tips and tricks for optimizing image acquisition, and tissue sampling to improve diagnostic yield and clinical decision-making. Emphasis is placed on systematic examination techniques, recognition of anatomical landmarks and structured reporting. In addition, best practices and technical advice for EUS-guided tissue acquisition are presented, covering needle selection, sampling techniques, and specimen handling to maximize adequacy and accuracy. These quality-focused approaches aim to improve the reliability, reproducibility, and clinical impact of diagnostic HPB EUS.
