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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.
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Related Experiment Video

Updated: Nov 27, 2025

Technical Detail for Robot Assisted Pancreaticoduodenectomy

Technical Detail for Robot Assisted Pancreaticoduodenectomy

Published on: September 28, 2019

CHOLANGIOPANCREATOSCOPY. WORKING PROTOCOL. SEED Recommendations.

Carlos Dolz Abadía¹, Vicente Pons Beltrán², Eloy Sánchez Hernández³

¹Aparato Digestivo, Hospital Universitario Son Llàtzer, España.

Revista Espanola De Enfermedades Digestivas

|December 3, 2020

Summary

Direct visualization of biliary and pancreatic ducts using the SpyGlass® cholangiopancreatoscope improves lesion identification and characterization. This flexible, single-use endoscope also enables fragmentation and removal of difficult gallstones.

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Area of Science:

Gastroenterology
Endoscopic Procedures
Digestive Surgery

Background:

Direct endoscopic visualization of biliary and pancreatic ducts is an advancement in digestive endoscopy.
Previous methods for lesion identification were indirect.
Biopsy techniques have improved lesion characterization.

Purpose of the Study:

To define an advisable workflow for using the single-use, flexible SpyGlass® cholangiopancreatoscope.
To provide guidelines, tips, and tricks for operating this endoscopic system.

Main Methods:

Utilized direct endoscopic visualization of biliary and pancreatic ducts.
Employed directed biopsy for lesion characterization.
Integrated power sources with the cholangiopancreatoscope for lithiasis management.

Main Results:

Enhanced identification of lesions within the biliary and pancreatic ducts.
Improved characterization of lesions through directed biopsies.
Successful fragmentation and removal of refractory lithiases using the SpyGlass® system.

Conclusions:

The SpyGlass® cholangiopancreatoscope offers a valuable tool for direct visualization and intervention in the biliary and pancreatic systems.
Guidelines and operational tips are crucial for maximizing the utility of this flexible endoscope.
This technology represents a significant step forward in endoscopic management of biliary and pancreatic conditions.