Anatomy
List 3 different names for the orifice that Physician's cannulate to gain access into the bile duct.
Ampulla, Papilla, Sphincter of Oddi
There are 2 types of scope position in ERCP, what are they?
Short and long
What device aids in biliary stone removal, coming in 3 different sizes?
Extraction Balloon
When was Spyglass first launched by Boston Scientific?
2015
What is the name of the duct that leads to the Gallbladder?
Cystic
What are 3 possible complications from ERCP?
Pancreatitis, Sepsis, Bleeding, Perforation, Aspiration, Cardiac Arrest.
A short wire system allows for ________ controlled guidewire cannulation, while long wire is _________ controlled guidewire cannulation.
Physician; Assistant
What is the anatomical term used for the point at which the common hepatic duct splits into the right and left hepatic duct?
Bifurcation
80% of ERCP is for management of ________, while 20% are for management of _________.
Stones; Strictures.
What are the 2 main types of catheters/cannulas?
Single lumen, Multi-lumen.
What is the purpose of our Liver, Gallbladder and Pancreas? Please list (high level) what each one does.
Liver: Creates bile and vitamins while secreting toxins.
Gallbladder: Stores Bile.
Pancreas: Creates enzymes to aid digestion.
In Therapeutic ERCP, what are the 4 steps of the procedure, in order?
Cannulation, Injection, Sphincterotomy, Management.
What are the 4 primary sizes of guidewires?
.035, .025, .021, .018.
There are 3 main types of Ampullas, what are they? (bonus points to draw them).
Short Channel, Long Channel, No Channel
What possible defects do we see on this Fluoroscopy image?
Cystic/GB stones
Sphincterotomy is contraindicated with stones larger than 20-25 mm, unless we have access to this device.
Spyglass and EHL