What is going on in there?
Devices
Complications
General Facts
More on ERCP's
100
Inflammation of the pancreas is called?
What is pancreatitis?
100
What are the two most common ERCP devices used during initial ERCP procedure?
What is "Tome and Wire"
100
What are the two biggest challenges for a MD during an ERCP?
Gaining & maintaining access
100
According to the FDA, what device has the most reported patient complications/harm?
Duodenoscope
100
True/False - ERCP's are diagnostic procedures only?
What is "False"
200
True or False: Stones can be found in the pancreatic duct.
TRUE, rarely.
200
After a stone extraction, this may be placed to restore patency, maintain drainage, and reduce the risk of cholangitis:
plastic stent
200
If a patient needs a plastic biliary stent, how long can the stent be in the duct?
up to 3 months
200
The working channel of an ERCP scope is?
4.2mm
200
Name 2 indications for a patient to undergo an ERCP?
What is "Stones/Strictures"
-Evaluation of Jaundice patients with treatable biliary obstruction
-Evaluation of signs or symptoms suggesting pancreatic malignancy
-Unexplained chronic abdominal pain
-Acute/Chronic Pancreatitis
-Evaluation of patients without Jaundice where the clinical evaluation suggests bile duct disease
300
How do you know you're in the PD?
Guidewire crosses the spine on fluoroscopy.
300
What is the most common guidewire diameter utilized to begin an ERCP?
.035 Guidewire
300
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
300
What are the names of the two papilla's?
What is major and minor.
300
What are the two most common ERCP devices used during initial ERCP procedure?
What is "Tome and wire"
400
Name the two types of stones treated during ERCP's?
What is pigment stones (Black) and cholesterol stones (Yellow)?
400
During an ERCP, a 2D image called ______ is used in tandem to visualize the biliary tree.
Fluoroscopy/Cholangiogram
400
What is the most expensive GI Procedure?
What is a repeat procedure?
400
What are we looking at in this image?
Stones in CBD
400
vs
CRE RX - Papillary Dilation
Hurricane - Intraductal Dilation
500
Describe the difference between cholelithiasis and choledocholithiasis.
cholelithiasis: stones in the gallbladder
choledocholithiasis: stones in the bile duct
500
What is the Number 1 reason single use duodenoscopes are utilized?
Infection Prevention - Sterile
500
Although ERCPs have a high success rate and low complication rate, the most common complication is ________.
Post ERCP pancreatitis
500
What is "Bifurcation".
500
What does ERCP stand for?
What is "Endoscopic Retrograde Cholangiopancreatography"