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Updated: Feb 15, 2026

Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
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Pursuing excellence in ERCP.

Jesús García-Cano1, Francisco Domper2

  • 1Digestivo, Hospital Virgen de la Luz, España.

Revista Espanola De Enfermedades Digestivas
|January 17, 2018
PubMed
Summary

Gastroenterologists face challenges with Endoscopic Retrograde Cholangiopancreatography (ERCP) cannulation, often leading to lawsuits. Achieving an 80% success rate in biliary cannulation is crucial for effective ERCP procedures.

Area of Science:

  • Gastroenterology
  • Medical Procedures

Background:

  • Endoscopic Retrograde Cholangiopancreatography (ERCP) is a complex procedure with potential for uncertain outcomes.
  • Complications, including lawsuits, often stem from difficulties encountered during biliary cannulation attempts.
  • Despite advancements in instrumentation since 1974, ERCP cannulation remains a significant challenge for practitioners.

Purpose of the Study:

  • To highlight the importance of achieving a satisfactory rate of choledochal cannulation during ERCP.
  • To underscore the challenges associated with biliary cannulation in ERCP procedures.
  • To establish the benchmark for successful biliary access in ERCP learning.

Main Methods:

  • Literature review of ERCP cannulation studies.
  • Analysis of trends in ERCP-related publications from 1980 to 2015.

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  • Discussion of common issues and outcomes in ERCP procedures.
  • Main Results:

    • The term "ERCP cannulation" yielded 1,563 PubMed entries, with a notable increase from 7 papers in 1980 to 92 in 2015.
    • Biliary cannulation attempts are a primary source of ERCP-related complications and legal issues.
    • A success rate of at least 80% for choledochal cannulation is considered the priority goal for ERCP proficiency.

    Conclusions:

    • Mastering ERCP cannulation, particularly selective biliary access, is essential for gastroenterologists.
    • Improving cannulation success rates can mitigate procedural risks and associated complications.
    • The 80% success rate serves as a critical performance indicator for ERCP training and practice.