Strategies for achieving successful cannulation in endoscopic retrograde cholangiopancreatography: A technical overview

doi:10.4253/wjge.v17.i7.107810

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World Journal of Gastrointestinal Endoscopy

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1948-5190

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World J Gastrointest Endosc. Jul 16, 2025; 17(7): 107810
Published online Jul 16, 2025. doi: 10.4253/wjge.v17.i7.107810

Strategies for achieving successful cannulation in endoscopic retrograde cholangiopancreatography: A technical overview

Alaa Ismail, Maya M Abdelwahab, Mubin Ozercan, Osama Elnahas, Ibrahim H Bahcecioglu, Mehmet Yalniz, Ahmed Tawheed

Alaa Ismail, Maya M Abdelwahab, Osama Elnahas, Faculty of Medicine, Helwan University, Cairo 11795, Egypt

Mubin Ozercan, Ibrahim H Bahcecioglu, Mehmet Yalniz, Ahmed Tawheed, Department of Gastroenterology, Firat University, Elazig 23119, Türkiye

Co-first authors: Alaa Ismail and Maya M Abdelwahab.

Author contributions: All authors have contributed to this article and have approved the final version of the manuscript; Tawheed A designed the overall concept and outline of the manuscript; Ismail A and Abdelwahab MM wrote the manuscript; Elnahas O conducted the database search; Ozercan M revised the manuscript; Bahcecioglu IH and Yalniz M provided important technical details and revised the manuscript.

Conflict-of-interest statement: The authors declare that they have no conflict of interest.

Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/

Corresponding author: Ahmed Tawheed, Consultant, Department of Gastroenterology, Firat University, Elazig, Firat Campus, Elazig 23119, Türkiye. atawheed1990@gmail.com

Received: March 31, 2025
Revised: April 24, 2025
Accepted: June 7, 2025
Published online: July 16, 2025
Processing time: 102 Days and 9.7 Hours

Core Tip

Core Tip: Endoscopic retrograde cholangiopancreatography is a crucial diagnostic and therapeutic technique for biliary and pancreatic disorders. Challenges include anatomy, duct direction, diverticula, and scope position. Advanced techniques are needed for successful cannulation. In this review, we discuss the challenges and the advanced techniques of cannulation.