Related Experiment Video For Biliary cannulation
Updated: Jan 11, 2026
Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
Published on: March 25, 2022
A comprehensive review of biliary cannulation techniques in endoscopic retrograde cholangiopancreatography
Eyad Gadour1,2, Aymen Almuhaidb3, Stefano Francesco Crinó4
1Multi-Organ Transplant Centre of Excellence, Liver Transplantation Unit, King Fahad Specialist Hospital, Dammam, Saudi Arabia.
Introduction:
Successful biliary cannulation is crucial for the efficacy of endoscopic retrograde cholangiopancreatography (ERCP). Failure to achieve cannulation can lead to procedure failure, highlighting the importance of mastering various cannulation techniques, particularly in challenging cases.
Areas Covered:
This article examines advanced biliary cannulation techniques, including guidewire-assisted methods, precut sphincterotomy, and rendezvous procedures. The literature search encompassed PubMed/MEDLINE, Embase, and the Cochrane Library from inception to April 2024, focusing on randomized trials, meta-analyses, and systematic reviews evaluating efficacy and safety.
Expert Opinion:
This paper advocates for a structured, algorithmic approach to cannulation, emphasizing early recognition of difficulty and strategic escalation to advanced techniques to enhance success rates and minimize complications like post-ERCP pancreatitis.
