ERCP 101
What does ERCP stand for?
Endoscopic Retrograde Cholangiopancreatography
This regulatory agency cleared the first fully disposable duodenoscope for clinical use in the United States.
What is the FDA?
What is Spyglass used for in ERCPs?
Direct Visualization of the biliary and pancreatic ducts-
Strictures- Biopsies under direct visualization, surgical mapping, etc.
Stones- EHL, ductal clearance, etc.
What is Overstitch used for?
Endoscopic suturing - stent fixation, fistula closure, perforation closure, ESG, etc.
This is the most common indication for ERCP, often presenting with jaundice and right upper quadrant pain.
Choledocholithasis
There have been this many safety communications related to reusable duodenoscopes
16
Name 2 SpyGlass accessories
SpyBite, SpyBite Max, SpySnare, SpyBasket, EHL probe
What is the first thing that you do with the sutures before using them?
Put them in water to soak the suture
This potentially serious complication of ERCP occurs in up to 5% of cases and may present with abdominal pain and elevated lipase.
Post ERCP pancreatitis
Unlike some reusable duodenoscopes, the EXALT Model D eliminates the need for this detachable component, reducing the reprocessing complexity.
What is a disposable end cap?
This liquid is essential for all EHL cases
Saline
If you use three sutures, how many cinches would you need?
3, one per suture
This technique involves cutting the sphincter of Oddi to allow access to the bile duct
Sphincterotomy
This Pennsylvania Health system has demonstrated its commitment to infection control by using 60 disposable duodenoscopes to date.
What is Lehigh Valley Health Network?
Name two advantages of using SpyGlass for stone management
Direct visualization of stones, targeted lithotripsy, higher ductal clearance rates
When cinching, what is the main cue that you can see telling you that the suture is cut?
The physician's hand that is pulling tension on the suture will jump