Advances in endoscopic retrograde cholangiopancreatography cannulation

doi:10.4253/wjge.v2.i4.130

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Apr 16, 2010 (publication date) through Oct 27, 2025

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World Journal of Gastrointestinal Endoscopy

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1948-5190

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Gastrointest Endosc. Apr 16, 2010; 2(4): 130-137
Published online Apr 16, 2010. doi: 10.4253/wjge.v2.i4.130

Table 1 ERCP cannulation techniques in patients with normal anatomy

Technical methods

Standard techniques

Catheters

Papillotomes

Guide wires in conjunction with catheters and papillotomes

Placement of pancreatic stent or guide wire to facilitate cannulation

Precut techniques

Precut papillotomy (needle knife papillotomy)

Transpapillary pancreatic sphincterotomy (precut pancreatic sphincterotomy)

Suprapapillary puncture of the common bile duct (needle knife fistuolotomy)

Endoscopic ultrasound-guided cholangiography

Pharmacologic methods

Minor papilla

Intravenous injection of Secretin

Topical Methylene blue

Intraduodenal acid infusion

Major papilla

Intravenous injection of CCK

Topical nitroglycerin

Fatty meal before ERCP

ERCP: Endoscopic retrograde cholangiopancreatography; CCK: Cholecystokinin.

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Citation: Qayed E, Reid AL, Willingham FF, Keilin S, Cai Q. Advances in endoscopic retrograde cholangiopancreatography cannulation. World J Gastrointest Endosc 2010; 2(4): 130-137
URL: https://www.wjgnet.com/1948-5190/full/v2/i4/130.htm
DOI: https://dx.doi.org/10.4253/wjge.v2.i4.130