What is going on in there?
Inflammation of the pancreas is called?
What is pancreatitis?
This device can be used to sweep stones out of the bile duct.
Extractor Balloon
What are the two biggest challenges for a MD during an ERCP?
Gaining & maintaining access
According to the FDA, what device has the most reported patient complications/harm?
Duodenoscope
What is one benefit of SpyGlass vs. Cytology brushing?
Increased sensitivity 90% with SpyGlass biopsies vs 35% cytology brushing.
TRUE, rarely.
After a stone extraction, this may be placed to restore patency, maintain drainage, and reduce the risk of cholangitis:
plastic stent
If a patient needs a plastic biliary stent, how long can the stent be in the duct?
up to 3 months
The working channel of an ERCP scope is?
4.2mm
What is Spyglass VISUAL sensitivity?
What is 90%?
How do you know you're in the PD?
Guidewire crosses the spine on fluoroscopy.
What is the most common guidewire diameter utilized to begin an ERCP?
.035 Guidewire
If a balloon does not work, what other methods can be used to extract stones?
Basket to catch/crush stones
Dilation to assist stone removal
Spyglass with EHL
What are the names of the two papilla's?
What is major and minor.
Name 2 SpyGlass specific accessories.
SpyBite forceps
Spy Snare
Spy Basket
EHL probe
Name the two types of stones treated during ERCP's?
What is pigment stones (Black) and cholesterol stones (Yellow)?
During an ERCP, a 2D image called ______ is used in tandem to visualize the biliary tree.
Fluoroscopy/Cholangiogram
What is the most expensive GI Procedure?
What is a repeat procedure?
What are we looking at in this image?
Fragmentation of large stones
List 2 positive patient impact points for SpyGlass.
Faster, more definitive cancer diagnosis
Shorter procedure times
Reduction in need for addition procedures
Reduction in costs
Describe the difference between cholelithiasis and choledocholithiasis.
cholelithiasis: stones in the gallbladder
choledocholithiasis: stones in the bile duct
What is the Number 1 reason single use duodenoscopes are utilized?
Infection Prevention - Sterile
Although ERCPs have a high success rate and low complication rate, the most common complication is ________.
Post ERCP pancreatitis
What was one challenge of the original mother-daughter cholangioscopes?
2 operators
Limited steerability
Poor irrigation
What other imaging options are there for GI?
CT, MRCP, EUS