Biliary Championship

Access

100

Name the angle at which the papilla is approached for a CBD cannulation

What is the '11 o'clock position'

200

Name the angle at which the papilla is approached for PD cannulation

What is the 'Straight on Approach'

300

What is the Physician's number one concern when performing ERCP

What is 'Post ERCP Pancreatitis'

400

What are the most commonly used Biliary Access Devices on the market (2 devices, used in unison)

What is a '4.4fr Sphincterotome with 0.035 Guidewire'

500

Name 3 devices a guidewire can be used with to access the CBD

What is a 'Cannula/Catheter, Sphincterotome, Stone Extraction Balloon'

600

What is the most commonly used Pancreatic access device

What is a 'Tapered Sphincterotome or Catheter/Cannula with smaller guidewires'

700

What device in our ERCP bag can help us avoid the many branches of the PD and allow the physician to stay in the main duct

What is an 'Angled Wire'

Stone Management

100

What is the complication a gallstone causes

What is 'Gallstone Pancreatitis'

200

We develop 2 different types of Stones, what are they and which is most common

What are 'Cholesterol & Pigment Stones'

What is 'Cholesterol' (most common)

300

What material makes up a PD Stone

What is 'Calcium'

400

What is the diameter of the TJF scope used for stone size estimation during ERCP (in format 00.0mm)?  

What is '11.3mm'

500

What technique would a physician use for a large >15mm stone in a distal bile duct measuring 18mm

What is 'EPLDBD - Sphincterotomy w/ plasti to size of distal bile duct' 

600

When Multiple stones are present in the CBD, where in the duct is the best to begin the Sweeping Process?

What is 'the most proximal stone'

700

What patient population do you most commonly see Biliary Cast Syndrome with

What are 'liver transplantation/post-transplant patients'

Stricture Management

100

What is the most common cause of a Biliary Stricture 

What is 'Cancer/Malignancy'

200

When a bile duct stricture is identified during ERCP, what is the provider's primary care objective initially

What is 'Access/Traversing the stricture with a wire'

300

What non-malignant conditions can present similarly to malignancies, and where are these strictures typically located?

What is 'Chronic Pancreatitis with Distal Bile Duct Stricture'

400

What are the 2 ways to dilate a biliary stricture

What is 'Balloon Dilation and Catheter Dilation (Graduated)'

500

In addition to dilation, what is the other therapy you may see prior to stent placement

What is 'Cytology Brushings' 

600

How long should a stent be place THROUGH the stricture (in format 0mm)

what is '1mm above, 1mm below'

700

What is the average duration of patency for metal biliary stents (in format 0-0 months)

What is '6-12 months'