Endoscopy 2012; 44(09): 855-859
DOI: 10.1055/s-0032-1310056
DDW Highlights
© Georg Thieme Verlag KG Stuttgart · New York

Endoscopic retrograde cholangiopancreatography

L. Aabakken
Department of Medical Gastroenterology, Stavanger University Hospital, Stavanger, Norway
› Author Affiliations
Further Information

Publication History

Publication Date:
01 August 2012 (online)

The 2012 Digestive Disease Week meeting (DDW; 19 – 22 May, San Diego, California, USA) brought together the finest gastroenterologists from all over the world. A review of the field of endoscopic retrograde cholangiopancreatography (ERCP) showed there to be a good number of research reports, though no groundbreaking novelties. However, solid data were presented, particularly within the fields of cannulation, post-ERCP pancreatitis (PEP), and altered anatomy techniques. In addition, issues of sedation, quality control, and safety were addressed. Selected abstracts from the meeting are reviewed below.

 
  • References

  • 1 Ito K, Fujita N, Noda Y et al. The clinical significance of wire-guided cannulation with pancreatic guidewire placement (double-guidewire technique) for difficult biliary cannulation in ERCP. Gastrointest Endosc 2012; 75: AB398-AB399
  • 2 García-Cano J, Taberna-Arana L. A prospective assessment of pancreatic techniques used to achieve common bile duct cannulation in ERC. Gastrointest Endosc 2012; 75: AB389
  • 3 Wagh MS, Mukhtar AE, Tan DM et al. Effect of oral administration of oil on selective biliary cannulation during ERCP. Gastrointest Endosc 2012; 75: AB399
  • 4 Romagnuolo J, Cotton PB. Predicting biliary cannulation success in ERCP cases with a native papilla using the Multinational ERCP Quality Network. Gastrointest Endosc 2012; 75: AB290
  • 5 Vila JJ, Rodríguez-Sánchez J, Basterra M et al. Correlation of the complexity of ERCP according to the ASGE graduation with technical success and complication rates. Gastrointest Endosc 2012; 75: AB282
  • 6 Barkay O, Sherman S, Moffatt DC et al. Impact of a periampullary diverticulum on success and complication rates of ERCP: a 15 year experience in a tertiary referral center. Gastrointest Endosc 2012; 75: AB316
  • 7 Yamamoto R, Nishikawa K, Ishida S et al. Two institution-study of risk factors of post-ERCP pancreatitis following transpapillary biliary stent placement for malignant biliary obstruction. Gastrointest Endosc 2012; 75: AB308
  • 8 Kumar N, Gergi MA, Thompson CC. Obesity is an independent risk factor for post-ERCP pancreatitis: results of a nationwide database analysis. Gastrointest Endosc 2012; 75: AB142
  • 9 Elmunzer BJ, Scheiman JM, Lehman GA et al. A randomized controlled trial of rectal indomethacin for the prevention of post-ERCP pancreatitis. Gastrointest Endosc 2012; 75: AB161
  • 10 Akshintala VS, Hutfless S, Khashab M et al. A network meta-analysis evaluating the efficacy of pharmacologic prophylaxis for post-ERCP pancreatitis. Gastrointest Endosc 2012; 75: AB121-AB122
  • 11 Law R, Baron TH. Post-ERCP pancreatitis following orthotopic liver transplantation: the Mayo Clinic experience. Gastrointest Endosc 2012; 75: AB319-AB320
  • 12 Singh S, Bhat I, Chakraborty S et al. Post-ERCP pancreatitis in liver transplant patients: single center experience. Gastrointest Endosc 2012; 75: AB311
  • 13 Kogure H, Watabe H, Yamada A, Isayama H et al. Therapeutic ERCP using short double-balloon enteroscopy in patients with surgically altered anatomy. Gastrointest Endosc 2012; 75: AB306
  • 14 Yagawa Y, Ohtsuka K, Kodama K et al. Therapeutic and diagnostic ERCP using the single balloon endoscope in patients with reconstructed upper gastrointestinal tract. Gastrointest Endosc 2012; 75: AB258
  • 15 Wagh MS, Draganov PV. Prospective evaluation of spiral overtube-assisted ERCP in patients with surgically altered anatomy. Gastrointest Endosc 2012; 75: AB311-AB312
  • 16 Smolkin MJ, Yen RD, Brauer BC et al. Overtube-assisted enteroscopy ERCP vs. percutaneous transhepatic biliary drains for treatment of biliary-enteric anastomotic strictures in patients with long limb surgical biliary bypass.. Gastrointest Endosc 2012; 75: AB387-AB388
  • 17 Smolkin MJ, Yen RD, Faulk LW et al. A comparison of technical success and complications of overtube-assisted ERCP vs. laparoscopy-assisted ERCP in Roux-en-Y gastric bypass patients with pancreaticobiliary diseases.. Gastrointest Endosc 2012; 75: AB153
  • 18 Choi EK, Lehman GA, Chiorean MV et al. ERCP via gastrostomy vs. double balloon enteroscopy assisted ERCP in patients with prior bariatric Roux-en-Y gastric bypass surgery: single center experience.. Gastrointest Endosc 2012; 75: AB153
  • 19 Netinatsunton N, Attasaranya S, Sottisuporn J et al. Efficacy and safety profiles of sedation with propofol combined with intravenous midazolam and pethidine versus intravenous midazolam and pethidine administered by trained nurses for ambulatory endoscopic retrograde cholangiopancreatography (ERCP). Gastrointest Endosc 2012; 75: AB291
  • 20 Lee TH, Lee CK, Park SH et al. Balanced propofol sedation vs. propofol monosedation in therapeutic ERCP and EUS: a prospective randomized, double-blind Study.. Gastrointest Endosc 2012; 75: AB276-AB277
  • 21 Trawick EP, Ayers KI, Slaughter JC et al. Sedation related complications in patients undergoing ERCP: a single center experience. Gastrointest Endosc 2012; 75: AB360
  • 22 Han J, Park KW, Seo C et al. Is ERCP safe in patients 90 years of age and older?. Gastrointest Endosc 2012; 75: AB279
  • 23 Yamago H, Tatsukawa H, Hiraoka A et al. Emergent ERCP for elderly patients over 75 years old in Japan: is it safe and effective?. Gastroenterology 2012; 142 (05) 604
  • 24 Smith IB, Gaidhane M, Goode A. Safety of ERCP in pregnancy: fluoroscopy time and fetal exposure, does it matter?. Gastrointest Endosc 2012; 75: AB399
  • 25 Agarwal J, Reddy DN, Talukdar R et al. Utility of ERCP in children with pancreatic diseases: an Indian experience. Gastrointest Endosc 2012; 75: AB309
  • 26 Enestvedt BK, Tofani C, Lee DY et al. ERCP in the pediatric population is successful and efficacious. Gastrointest Endosc 2012; 75: AB164-AB165
  • 27 Hiramatsu T, Hirooka Y, Itoh A et al. Usefulness and safety of ERCP in the diagnosis of pediatric patients with pancreaticobiliary maljunction. Gastrointest Endosc 2012; 75: AB309
    • Additional references

      • Cannulation techniques

      • 28 Bassan MS, Fanning SB, Lau JY et al. The impact of 0.025 versus 0.035 wire guided biliary cannulation on outcomes at ERCP: a multicentre randomised control trial.. Gastrointest Endosc 2012; 75: AB142
      • 29 Benson PW, Conway J, Evans JA. I-SCAN is the preferred viewing modality for defining major papilla anatomy and influences desire for cannulation in ERCP. Gastrointest Endosc 2012; 75: AB482-AB483
      • Post-ERCP pancreatitis

      • 30 Tarnasky PR, Simien M, Mehraban N et al. Selective avoidance of pancreatic duct manipulation decreases the need for repeat ERCP and lowers the risk in patients with unexplained upper abdominal pain: a single-center long-term study. Gastrointest Endosc 2012; 75: AB306-AB307
      • 31 Iwao T, Yoshida K. Novel pancreatic stent for prophylaxis of post-ERCP pancreatitis. Gastrointest Endosc 2012; 75: AB316
      • 32 Pokhrel B, Choi EK, Sandrasegaran K et al. Increased fat in pancreas: a risk factor for post-ERCP pancreatitis?. Gastroenterology 2012; 142 (05) 225
      • 33 Sagi S, Schmidt SE, Fogel EL et al. Greater volume resuscitation during the first 24 hours after ERCP is associated with a less severe course of post-ERCP pancreatitis. Gastrointest Endosc 2012; 75: AB312
      • 34 Rabiee A, Hutfless S, Juneja R et al. A comparative evaluation of severity among patients with post-ERCP pancreatitis and acute biliary pancreatitis. Gastrointest Endosc 2012; 75: AB318
      • 35 Elwir S, Moyer MT, Mcgarrity TJ et al. Topical endoluminal pancreatic duct lidocaine for prevention of post ERCP pancreatitis: a safety study. Gastrointest Endosc 2012; 75: AB308
      • Altered anatomy ERCP

      • 36 Swahn F, Regnér S, Enochsson L et al. Intraoperative ERCP with guidewire assisted rendezvous cannulation; a laparo-endoscopic way to avoid post ERCP pancreatitis. Gastrointest Endosc 2012; 75: AB384
      • 37 Mays BC, Yoselevitz S, Rolfsmeyer EA et al. ERCP in patients with prior Whipple’s resection: an increasing problem in long-term follow-up. Gastrointest Endosc 2012; 75: AB389
      • 38 Shimatani M, Takaoka M, Miyoshi H et al. Complications after ERCP using a short double balloon enteroscope (DB-ERCP): a retrospective evaluation of 358 procedures. Gastrointest Endosc 2012; 75: AB296
      • Sedation

      • 39 Sorser SA, Fan DS, Tommolino E et al. Safety of non-intubated versus intubated ERCP: a retrospective review of gastrointestinal and cardiopulmonary complications. Gastrointest Endosc 2012; 75: AB316
      • 40 Patel A, Sreenarasimhaiah J, Agrawal D. Safety and efficacy of moderate sedation for ERCPs. Gastrointest Endosc 2012; 75: AB403
      • 41 Moffatt DC, Schmidt SE, Lynch S et al. Pre-medication with oral gabapentin is safe and may reduce patient anxiety and post-procedure pain in patients undergoing ERCP using combination benzodiazepine and opiate regimens for moderate sedation. Gastroenterology 2012; 142 (05) 739
      • 42 Gibbs W, Roy R, Conway J et al. Patient satisfaction of monitored anesthesia care versus general anesthesia in endoscopic retrograde cholangiopancreatography (ERCP). Gastrointest Endosc 2012; 75: AB275
      • 43 Chawla S, Attar BM, Go BT et al. ERCP under moderate sedation and factors predicting need for deep sedation or general anesthesia for ERCP – a county hospital experience. Gastrointest Endosc 2012; 75: AB501-AB502
      • Safety in select patient groups

      • 44 Yip HC, Chiu PW, Cheung EY et al. Endoscopic retrograde cholangio-pancreatography (ERCP) performed as live demonstration – does it carry a higher risk of complications?. Gastrointest Endosc 2012; 75: AB490-AB491
      • 45 Nishino T, Shirato I, Shirato M et al. Proposed new simple scoring system to identify indications for urgent ERCP in acute cholangitis based on the Tokyo guidelines. Gastrointest Endosc 2012; 75: AB374
      • 46 Lekharaju V, Iqbal J, Noorullah O et al. Emergency ERCP in critically ill patients is a successful procedure. Gastrointest Endosc 2012; 75: AB392
      • Miscellaneous

      • 47 Gupta N, Lam S, Mannem A et al. Patient outcomes after endoscopic retrograde cholangiopancreatography (ERCP) related perforation. Gastrointest Endosc 2012; 75: AB401
      • 48 Howell DA, Rolfsmeyer EA, Yoselevitz S et al. Hemoclip application to treat and prevent post-sphincterotomy bleeding in high-risk patients undergoing therapeutic ERCP. Gastrointest Endosc 2012; 75: AB304
      • 49 Kothari ST, Friedland S, Chen AM et al. Post-procedural reading of ERCP spot films by radiologists: has it improved in the era of electronic medical records?. Gastrointest Endosc 2012; 75: AB137-AB138
      • 50 Lilley K, Jatskiv A, Sheikh R et al. Post-ERCP use of prophylactic antibiotics and incidence of Clostridium difficile infection. An institutional experience.. Gastroenterology 2012; 142 (05) 227
      • 51 Kothari S, Liao C, Friedland S et al. Radiation exposure to patients during ERCP is significantly higher with low volume endoscopists. Gastrointest Endosc 2012; 75: AB140-AB141
      • 52 Nelsen EM, Tabibian JH, Enders F et al. Time of day: a predictor of ERCP outcomes?. Gastrointest Endosc 2012; 75: AB506-AB507
      • 53 Ekkelenkamp VE, Koch AD, Haringsma J et al. ERCP quality assessment and outcomes in a tertiary referral center. Gastrointest Endosc 2012; 75: AB277-AB278
      • 54 Howell DA, Yoselevitz S, Rolfsmeyer EA et al. Pre-operative ERCP placement of non-foreshortening uncoated self-expanding metal biliary stents permits successful neoadjuvant chemoradiation for pancreatic cancer. Gastrointest Endosc 2012; 75: AB304
      • 55 Tewani SK, Turner BG, Chuttani R et al. ERCP as a therapeutic modality in the management of bile leaks after orthotopic liver transplantation or liver resection. Gastrointest Endosc 2012; 75: AB379
      • 56 Papadopoulos I, Uradomo LT, Goldberg EM et al. Stone visualization during ERCP: does contrast concentration matter?. Gastrointest Endosc 2012; 75: AB379
      • 57 Lima JP, Lopes CV, Reolon JFN et al. Risk factors for success and complications in the endoscopic treatment of bile duct stones – multivariate analysis of 2137 ERCPs. Gastrointest Endosc 2012; 75: AB386
      • 58 Siddiqui AA, Mehendiratta V, Jackson WE et al. SpyGlass® peroral cholangioscopy and cholangioscopic forceps biopsy for the diagnosis of extrahepatic cholangiocarcinoma after negative ERCP brush cytology and negative EUS-guided FNA results. Gastrointest Endosc 2012; 75: AB390