Abstract
Selective cannulation is the most important part of ERCP because all therapeutic techniques depend upon it. Sphincterotomy is the most dangerous aspect because of the potential adverse events. The success of ERCP (cannulation) depends on understanding the "AOA," which stands for Axis, Orientation, and Alignment. The key to avoid problems is in the "AXIS," which denotes correct Alignment with the appropriate axis, appropriate use of X-ray of fluoroscopy to obtain a three-dimensional image of the target organ for the procedures and to stay on track, and to have a real Indication for the procedure, and, finally, Selective cannulation to get into the respective ductal system and avoid unnecessary or overfilling (mostly of the pancreas). This chapter attempts to explain how to do the many diagnostic and therapeutic techniques that can be performed by ERCP. Details of preparation, indications, outcomes, and adverse events are discussed elsewhere.
| Original language | English (US) |
|---|---|
| Title of host publication | ERCP: The Fundamentals: Second Edition |
| Publisher | Wiley Blackwell |
| Pages | 67-120 |
| Number of pages | 54 |
| ISBN (Electronic) | 9781118769409 |
| ISBN (Print) | 9781118769416 |
| DOIs | |
| State | Published - Dec 19 2014 |
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Keywords
- Cannulation
- ERCP
- Lithotripsy
- Sphincterotomy
- Stenting
- Stone extraction
- Technique
ASJC Scopus subject areas
- Medicine(all)
Cite this
Standard devices and techniques. / Leung, Joseph.
ERCP: The Fundamentals: Second Edition. Wiley Blackwell, 2014. p. 67-120.Research output: Chapter in Book/Report/Conference proceeding › Chapter
}
TY - CHAP
T1 - Standard devices and techniques
AU - Leung, Joseph
PY - 2014/12/19
Y1 - 2014/12/19
N2 - Selective cannulation is the most important part of ERCP because all therapeutic techniques depend upon it. Sphincterotomy is the most dangerous aspect because of the potential adverse events. The success of ERCP (cannulation) depends on understanding the "AOA," which stands for Axis, Orientation, and Alignment. The key to avoid problems is in the "AXIS," which denotes correct Alignment with the appropriate axis, appropriate use of X-ray of fluoroscopy to obtain a three-dimensional image of the target organ for the procedures and to stay on track, and to have a real Indication for the procedure, and, finally, Selective cannulation to get into the respective ductal system and avoid unnecessary or overfilling (mostly of the pancreas). This chapter attempts to explain how to do the many diagnostic and therapeutic techniques that can be performed by ERCP. Details of preparation, indications, outcomes, and adverse events are discussed elsewhere.
AB - Selective cannulation is the most important part of ERCP because all therapeutic techniques depend upon it. Sphincterotomy is the most dangerous aspect because of the potential adverse events. The success of ERCP (cannulation) depends on understanding the "AOA," which stands for Axis, Orientation, and Alignment. The key to avoid problems is in the "AXIS," which denotes correct Alignment with the appropriate axis, appropriate use of X-ray of fluoroscopy to obtain a three-dimensional image of the target organ for the procedures and to stay on track, and to have a real Indication for the procedure, and, finally, Selective cannulation to get into the respective ductal system and avoid unnecessary or overfilling (mostly of the pancreas). This chapter attempts to explain how to do the many diagnostic and therapeutic techniques that can be performed by ERCP. Details of preparation, indications, outcomes, and adverse events are discussed elsewhere.
KW - Cannulation
KW - ERCP
KW - Lithotripsy
KW - Sphincterotomy
KW - Stenting
KW - Stone extraction
KW - Technique
UR - http://www.scopus.com/inward/record.url?scp=84976447976&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84976447976&partnerID=8YFLogxK
U2 - 10.1002/9781118769409.ch7
DO - 10.1002/9781118769409.ch7
M3 - Chapter
AN - SCOPUS:84976447976
SN - 9781118769416
SP - 67
EP - 120
BT - ERCP: The Fundamentals: Second Edition
PB - Wiley Blackwell
ER -