ERCP

Section I: General topics. Four decades: the history and future of ERCP -- The ERCP room -- Radiologic issues and radiation safety during ERCP -- Endoscopes, guidewires and accessories -- Duodenoscope reprocessing -- Sedation in ERCP -- Indications for and contraindications to ERCP including when and when not to perform ERCP -- Adverse events of ERCP: prediction, prevention and management -- ERCP training -- Preparation for ERCP -- Principles of electrosurgery -- Quality issues and measures in ERCP -- Medicolegal issues in ERCP -- Section II: Techniques. Cannulation of the major papilla -- Access (precut) papillotomy -- Sphincter of oddi manometry -- Biliary sphincterotomy -- Balloon dilation of the native and postsphincterotomy papilla -- Stone extraction -- Pancreatic sphincterotomy -- Minor papilla cannulation and papillotomy -- Plastic pancreaticobiliary stents and nasopancreaticobiliary tubes: concepts and insertion techniques -- Biliary metal stent insertion: indications and insertion techniques -- Pancreaticobiliary stent removal: migrated and non-migrated -- Papillectomy and ampullectomy -- Pancreatoscopy -- Cholangioscopy -- Endomicroscopy ninepoint of the pancreaticobiliary tree -- ERCP in children -- ERCP in pregnancy -- ERCP in surgically altered anatomy -- Endoscopic ultrasound-guided biliary drainage -- Endoscopic ultrasound and EUS guided endotherapy -- Section III: Approach to clinical problems. Pancreaticobiliary disorders. what is the role of CT, MRCP, and EUS relative to ERCP? -- Pancreas divisum, biliary cysts, and other congenital anomalies -- Approach to the dilated bile duct and pneumobilia -- The dilated pancreatic duct -- Ampullary neoplasia -- Malignant biliary obstruction: distal -- Malignant biliary obstruction of the hilum and proximal bile ducts including radiofrequency ablation for cancer and percutaneous vs. Endoscopic drainage -- Indeterminate biliary stricture -- Combined biliary and duodenal obstruction w/EUS including percutaneous versus endoscopic drainage -- Benign biliary strictures -- Biliary surgery adverse events including liver transplantation -- ERCP for acute and chronic adverse events of pancreatic surgery and pancreatic trauma -- Choledocholithiasis -- Pancreatobiliary pain and suspected sphincter of Oddi dysfunction -- Sclerosing cholangitis -- Tropical parasitic infections -- Recurrent pyogenic cholangitis -- Cystic lesions of the pancreas -- Unexplained acute pancreatitis and ARP -- Biliary intervention in acute gallstone pancreatitis -- Pancreatic interventions in acute pancreatitis: ascites, fistulae, leaks, and other disruptions -- Chronic pancreatitis: stones and strictures -- Endoscopic drainage of pancreatic pseudocysts, abscesses and walled-off (organized) necrosis with update on pancreatic necrosis."