Basic technique of ERCP and advanced technique for difficult selective biliary cannulation

• Published in: Tando Vol. 28; no. 1; pp. 28 - 35
• Main Authors: Sugiyama, Harutoshi, Tsuyuguchi, Toshio, Yokosuka, Osamu, Nishikawa, Takao, Sakai, Yuji
• Format: Journal Article
• Language: Japanese
• Published: Japan Biliary Association 31.03.2014; 一般社団法人 日本胆道学会
• Subjects: difficult selective biliary cannulation; ERCP; pancreatic duct guidewire-indwelling method; Precut papillotomy; 胆管挿入困難例; 膵管ガイドワイヤー留置法
• ISSN: 0914-0077; 1883-6879
• DOI: 10.11210/tando.28.28

Selective cannulation to the bile duct, that is, biliary cannulation is the basic for diagnosis and treatment technique of a biliary disease which needs ERCP. There are patients with difficulty in cannulation to the bile duct at a certain ratio, even if any excellent surgeon performs. Therefore, various attempts have been conducted to improve the success rate. This paper explains how procedural accidents are prevented and how the success rate of biliary cannulation is improved based on our cases as well as the literature discussion.