Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Related Concept Videos

Endoscopic Procedures V: ERCP

Endoscopic Procedures V: ERCP

Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

Endoscopic resection for esophageal gastrointestinal stromal tumor: feasibility and oncologic limits.

Journal of gastrointestinal oncology·2026

Same author

Clinical application of robotic telesurgery in the Brazilian public health system: a consecutive case series.

Clinics (Sao Paulo, Brazil)·2026

Same author

Feasibility of robotic telesurgery over wired and private 5 G networks within Brazil's public health system (SUS): a pilot study.

Clinics (Sao Paulo, Brazil)·2026

Same author

Strategic acquisition of healthcare equipment in Brazil: balancing legislative amendments and research funding agencies.

Clinics (Sao Paulo, Brazil)·2025

Same author

Uro-vaxom (OM-89) for chronic UTI prevention: an updated meta-analysis, meta-regression and trial sequential analysis of recent clinical evidence.

Minerva urology and nephrology·2025

Same author

Thiazide diuretics for preventing calcium oxalate recurrent kidney stones: an updated systematic review, meta-analysis and trial sequential analysis of randomized controlled trials.

Minerva urology and nephrology·2025

Search research articles

Related Experiment Video

Updated: May 1, 2026

Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction

Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction

Published on: March 25, 2022

Difficult cannulation: what should I do before EUS guided access?

Everson L A Artifon¹, Renata N Moura², Jose P Otoch³

¹Servicio de endoscopia, Hospital Ana Costa. Sao Paulo, Brasil; Sector de endoscopía biliopancreática, Servicio de endoscopía, Hospital de Clínicas, Universidad de San Paulo. Sao Paulo, Brasil.

Revista De Gastroenterologia Del Peru : Organo Oficial De La Sociedad De Gastroenterologia Del Peru

|April 12, 2014

Summary

This summary is machine-generated.

Difficult bile duct cannulation during ERCP requires alternative strategies. This review analyzes techniques like precut papillotomy and suprapapillary puncture to improve success rates and reduce pancreatitis risk.

More Related Videos

Author Spotlight: Advancing Biopsy Techniques with Transesophageal Ultrasound

Author Spotlight: Advancing Biopsy Techniques with Transesophageal Ultrasound

Published on: November 21, 2023

Upper-extremity Approach for Secondary Access in Transfemoral Transcatheter Aortic Valve Implantation

Upper-extremity Approach for Secondary Access in Transfemoral Transcatheter Aortic Valve Implantation

Published on: August 8, 2025

Related Experiment Videos

Last Updated: May 1, 2026

Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction

Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction

Published on: March 25, 2022

Author Spotlight: Advancing Biopsy Techniques with Transesophageal Ultrasound

Author Spotlight: Advancing Biopsy Techniques with Transesophageal Ultrasound

Published on: November 21, 2023

Upper-extremity Approach for Secondary Access in Transfemoral Transcatheter Aortic Valve Implantation

Upper-extremity Approach for Secondary Access in Transfemoral Transcatheter Aortic Valve Implantation

Published on: August 8, 2025

Area of Science:

Gastroenterology
Endoscopic Retrograde Cholangiopancreatography (ERCP)

Background:

Selective cannulation of the common bile duct is a critical yet challenging step in ERCP.
Unsuccessful cannulation can necessitate alternative approaches to achieve biliary access.

Purpose of the Study:

To review and analyze various strategies for overcoming difficulties in selective common bile duct cannulation during ERCP.
To highlight the importance of alternative biliary access techniques when initial cannulation fails.

Main Methods:

Analysis of different techniques including specialized papillotomes, precut papillotomy (needle knife or papillotome), transpancreatic papillary septotomy, and pancreatic duct stenting.
Evaluation of the suprapapillary puncture technique as a promising alternative.

Main Results:

Various methods exist to facilitate bile duct cannulation when standard approaches are challenging.
Alternative biliary access is crucial for successful ERCP outcomes.
Suprapapillary puncture shows potential as an effective strategy.

Conclusions:

Successful ERCP relies on effective bile duct cannulation.
A range of alternative techniques can be employed to achieve biliary access.
The primary goal of these interventions is to minimize the incidence of post-ERCP acute pancreatitis.