When the Door is Locked, Find Another Key, ERCP Using a Front View Scope

Rate:
5
Loading player ... The player requires Flash Player plugin
added:
2 months ago
views:
335
specialty:
Gastroenterology

Case description

A patient referred for ERCP. D1 stricture. Duodenoscope won't pass — even after 15 mm balloon dilation. You have two options: stop, or adapt. We adapted.

Gastroscope + distal cap → stable platform, face-on papilla contact 

Sphincterotome with 0.035" guidewire → angulation control despite the absent elevator 

Successful deep biliary cannulation ✔️

The duodenoscope is our default. But it is not our only tool.

In complex anatomy — post-surgical, strictured, distorted — forward-viewing scope 

ERCP is not a workaround. It is a legitimate technique that every advanced endoscopist should have in their arsenal.

The cap is your elevator. The sphincterotome is your compass. The wire does the rest. 


 

tags: balloon dilatation biliary stones cpre duodenoscope ercp gastroscopy sphincterotomy

related terms: biliary ducts, ERCP technique, ercp clinical case, ERCP clinical cases, ercp clinical video, GI endoscopy, gi endoscopy video, gi endoscopy case, gi endoscopy technique, sphincterotome, deep biliary cannulation, GI surgery, gi anatomy

This user also sharing

Recommended

show more