COURSE
Series: Webinars
Season: 2025
Episode 5 of 20: Video live endoscopy: Tips and Tricks for biliary cannulation
SPEAKERS
Dr. Gavin Johnson, Prof. Torsten Beyna, Prof. Marianna Arvanitakis, Dr. George Webster
DESCRIPTION
Biliary cannulation techniques are crucial for successful ERCP procedures. The session covers essential anatomy of biliary and pancreatic ducts, emphasizing practice for skill enhancement. Key techniques like guidewire manipulation and sphincterotomy are discussed, along with advanced methods such as the double guidewire technique. Experts share insights on managing difficult scenarios, including a case study on bile duct stones and the increasing use of EUS biliary access.
LEARNING OBJECTIVES
Understanding selective biliary cannulation.
- What are the first steps when difficult cannulation is encountered.
- How to approach a case with a duodenal diverticulum
- When to perform a precut sphincterotomy
- What to do when ERCP is not possible or failed
RELATED DOCUMENTS
- ESGE Guidelines
- Endoscopic management of common bile duct stones: European Society of Gastrointestinal Endoscopy (ESGE) guideline
- ERCP-related adverse events:European Society of Gastrointestinal Endoscopy (ESGE) Guideline
- Papillary cannulation and sphincterotomy techniques at ERCP: European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline
- Endoscopic management of ampullary tumors: European Society of Gastrointestinal Endoscopy (ESGE) Guideline
- Prophylaxis of post-ERCP pancreatitis: European Society of Gastrointestinal Endoscopy (ESGE) Guideline – Updated June 2014
- Endoscopic treatment of chronic pancreatitis: European Society of Gastrointestinal Endoscopy (ESGE) Guideline – Updated August 2018
- Radiation protection in digestive endoscopy: European Society of Digestive Endoscopy (ESGE) Guideline
What to watch next...
Webinars | 2025 | Episode 6
Training and Mentoring in Endoscopy: Developing the Next Generation (01:02:58)
Description
Training and mentoring in endoscopy are crucial for developing future endoscopists. Experienced mentors Fabiana Benjaminov and Shimaa Afify share insights on building confidence and competence in trainees. The importance of finding the right mentor and the responsibilities of mentees are highlighted. The journey from aspiration to mastery is outlined, emphasizing the blend of technical skills and emotional intelligence. The session encourages interactive engagement and addresses the evolving needs in gastroenterology.
