Skip to main content
SpringerLink
Log in
Book cover

Endotherapy in Biliopancreatic Diseases: ERCP Meets EUS pp 37–45Cite as

ERCP Standard and Special Devices

  • Chapter
  • First Online:

  • 681 Accesses

Abstract

Devices and endoscopes for biliopancreatic endoscopies are constantly under development.

In the present chapter, the main types of endoscope equipment and the available devices are introduced and the main features and indications given.

The knowledge of all the described devices is crucial for the endoscopist who would like to treat biliopancreatic diseases because, on one hand, a missing device can lower the success rate of any procedure and, on the other hand, a singular device can help to succeed in a challenging case.

This is a preview of subscription content, log in via an institution.

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   89.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Abbreviations

ERCP:

Endoscopic retrograde cholangiopancreatography

MRCP:

Magnetic resonance cholangiopancreatography

PDT:

Photodynamic therapy

SEMS:

Self-expanding metal stents

References

  1. Classen M, Demling L. [Endoscopic sphincterotomy of the papilla of vater and extraction of stones from the choledochal duct (author’s transl)]. Dtsch Med Wochenschr. 1974;99(11):496–7.

    Google Scholar 

  2. Keswani RN, et al. Association between endoscopist and center endoscopic retrograde cholangiopancreatography volume with procedure success and adverse outcomes: a systematic review and meta-analysis. Clin Gastroenterol Hepatol. 2017;15(12):1866–1875.e3.

    Article  PubMed  Google Scholar 

  3. Carr-Locke DL. Overview of the role of ERCP in the management of diseases of the biliary tract and the pancreas. Gastrointest Endosc. 2002;56(6 Suppl):S157–60.

    Article  PubMed  Google Scholar 

  4. Goetz M, Malek NP. Novel triple lumen catheter for ERCP tissue diagnosis. Endosc Int Open. 2018;6(8):E984–8.

    Article  PubMed  PubMed Central  Google Scholar 

  5. Jacob L, Geenen JE. ERCP guide wires. Gastrointest Endosc. 1996;43(1):57–60.

    Article  CAS  PubMed  Google Scholar 

  6. Singhvi G, Dea SK. Guidewires in ERCP. Gastrointest Endosc. 2013;77(6):938–40.

    Article  PubMed  Google Scholar 

  7. Testoni PA, et al. Papillary cannulation and sphincterotomy techniques at ERCP: European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline. Endoscopy. 2016;48(7):657–83.

    Article  PubMed  Google Scholar 

  8. Tse F, et al. Guide wire-assisted cannulation for the prevention of post-ERCP pancreatitis: a systematic review and meta-analysis. Endoscopy. 2013;45(8):605–18.

    Article  CAS  PubMed  Google Scholar 

  9. Reddy SC, Draganov PV. ERCP wire systems: the long and the short of it. World J Gastroenterol. 2009;15(1):55–60.

    Article  PubMed  PubMed Central  Google Scholar 

  10. Albert JG, et al. A novel, stiff-shaft, flexible-tip guidewire for cannulation of biliary stricture during endoscopic retrograde cholangiopancreatography: a randomized trial. Endoscopy. 2014;46(10):857–61.

    Article  PubMed  Google Scholar 

  11. Kaffes AJ, et al. Early institution of pre-cutting for difficult biliary cannulation: a prospective study comparing conventional vs. a modified technique. Gastrointest Endosc. 2005;62(5):669–74.

    Article  PubMed  Google Scholar 

  12. Lim JU, et al. Early use of needle-knife fistulotomy is safe in situations where difficult biliary cannulation is expected. Dig Dis Sci. 2012;57(5):1384–90.

    Article  PubMed  Google Scholar 

  13. Ishiwatari H, et al. Balloon catheter versus basket catheter for endoscopic bile duct stone extraction: a multicenter randomized trial. Endoscopy. 2016;48(4):350–7.

    Article  PubMed  Google Scholar 

  14. Maple JT, et al. The role of endoscopy in the management of choledocholithiasis. Gastrointest Endosc. 2011;74(4):731–44.

    Article  PubMed  Google Scholar 

  15. Korc P, Sherman S. ERCP tissue sampling. Gastrointest Endosc. 2016;84(4):557–71.

    Article  PubMed  Google Scholar 

  16. Sauerbruch T, et al. Fragmentation of gallstones by extracorporeal shock waves. N Engl J Med. 1986;314(13):818–22.

    Article  CAS  PubMed  Google Scholar 

  17. Swahn F, et al. Ten years of Swedish experience with intraductal electrohydraulic lithotripsy and laser lithotripsy for the treatment of difficult bile duct stones: an effective and safe option for octogenarians. Surg Endosc. 2010;24(5):1011–6.

    Article  PubMed  Google Scholar 

  18. Kamiyama R, et al. Electrohydraulic lithotripsy for difficult bile duct stones under endoscopic retrograde cholangiopancreatography and peroral transluminal cholangioscopy guidance. Gut Liver. 2018;12(4):457–62.

    Article  PubMed  PubMed Central  Google Scholar 

  19. Neuhaus H, et al. Randomized study of intracorporeal laser lithotripsy versus extracorporeal shock-wave lithotripsy for difficult bile duct stones. Gastrointest Endosc. 1998;47(5):327–34.

    Article  CAS  PubMed  Google Scholar 

  20. Finkelmeier F, et al. ERCP in elderly patients: increased risk of sedation adverse events but low frequency of post-ERCP pancreatitis. Gastrointest Endosc. 2015;82(6):1051–9.

    Article  PubMed  Google Scholar 

  21. Buxbaum J, et al. Randomized trial of cholangioscopy-guided laser lithotripsy versus conventional therapy for large bile duct stones (with videos). Gastrointest Endosc. 2018;87(4):1050–60.

    Article  PubMed  Google Scholar 

  22. Ring ME. How a dentist’s name became a synonym for a life-saving device: the story of Dr. Charles Stent. J Hist Dent. 2001;49(2):77–80.

    CAS  PubMed  Google Scholar 

  23. Dumonceau J-M, et al. Endoscopic biliary stenting: indications, choice of stents, and results: European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline—updated October 2017. Endoscopy. 2018;50(9):910–30.

    Article  PubMed  Google Scholar 

  24. Blero D, Huberty V, Devière J. Novel biliary self-expanding metal stents: indications and applications. Expert Rev Gastroenterol Hepatol. 2015;9(3):359–67.

    Article  CAS  PubMed  Google Scholar 

  25. Tal AO, et al. Multiple plastic stents versus covered metal stent for treatment of anastomotic biliary strictures after liver transplantation: a prospective, randomized, multicenter trial. Gastrointest Endosc. 2017;86(6):1038–45.

    Article  PubMed  Google Scholar 

  26. Kim MH, et al. Endoscopic retrograde cholangiopancreatography and needle-knife sphincterotomy in patients with Billroth II gastrectomy: a comparative study of the forward-viewing endoscope and the side-viewing duodenoscope. Endoscopy. 1997;29(2):82–5.

    Article  CAS  PubMed  Google Scholar 

  27. Abdelhafez M, et al. Comparison of endoscopic sphincterotomy techniques after Billroth II gastrectomy using a novel mechanical simulator. Surg Endosc. 2017;31(12):5342–7.

    Article  PubMed  Google Scholar 

  28. Steel AW, et al. Endoscopically applied radiofrequency ablation appears to be safe in the treatment of malignant biliary obstruction. Gastrointest Endosc. 2011;73(1):149–53.

    Article  PubMed  Google Scholar 

  29. Kahaleh M, et al. Unresectable cholangiocarcinoma: comparison of survival in biliary stenting alone versus stenting with photodynamic therapy. Clin Gastroenterol Hepatol. 2008;6(3):290–7.

    Article  PubMed  Google Scholar 

  30. Ortner MA, et al. Photodynamic therapy of nonresectable cholangiocarcinoma. Gastroenterology. 1998;114(3):536–42.

    Article  CAS  PubMed  Google Scholar 

  31. Talreja JP, Kahaleh M. Photodynamic therapy for cholangiocarcinoma. Gut Liver. 2010;4(Suppl 1):S62–6.

    Article  PubMed  PubMed Central  Google Scholar 

  32. Kawai K, et al. [A new endoscopic method: the peroral choledocho-pancreatoscopy (author’s transl)]. Leber Magen Darm. 1976;6(2):121–4.

    Google Scholar 

  33. Kahaleh M, Xu M-M. Recent developments in choledochoscopy: technical and clinical advances. Clin Exp Gastroenterol. 2016;9:119–24.

    Article  PubMed  PubMed Central  Google Scholar 

  34. Albert JG, et al. Peroral cholangioscopy for diagnosis and therapy of biliary tract disease using an ultra-slim gastroscope. Endoscopy. 2011;43(11):1004–9.

    Article  CAS  PubMed  Google Scholar 

  35. Robles-Medranda C, et al. Reliability and accuracy of a novel classification system using peroral cholangioscopy for the diagnosis of bile duct lesions. Endoscopy. 2018;50(11):1059–70.

    PubMed  Google Scholar 

  36. Navaneethan U, et al. Single-operator cholangioscopy and targeted biopsies in the diagnosis of indeterminate biliary strictures: a systematic review. Gastrointest Endosc. 2015;82(4):608–614.e2.

    Article  PubMed  PubMed Central  Google Scholar 

  37. Jung JH, Park SW, Shin E. Endoscopic mucosal resection for intra-ductal growing type intrahepatic cholangiocarcinoma under direct per-oral cholangioscopy. Dig Endosc. 2018;30(6):785–8.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Gastroenterologie, Internistische Praxisgemeinschaft - IPG Hanau, Hanau, Germany

    Andrea Oliver Tal

  2. Hepatologie und Endokrinologie, Abteilung für Gastroenterologie, Robert-Bosch-Krankenhaus, Auerbachstraße, Stuttgart, Germany

    Jörg G. Albert

Authors
  1. Andrea Oliver Tal
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Jörg G. Albert
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Digestive and Interventional Endoscopy Unit, Grande Ospedale Metropolitano Niguarda, Piazza dell’Ospedale Maggiore, Milano, Italy

    Massimiliano Mutignani

  2. Hepatologie und Endokrinologie, Abteilung für Gastroenterologie, Robert-Bosch-Krankenhaus, Auerbachstraße, Stuttgart, Germany

    Jörg G. Albert

  3. Department of Gastroenterology, Azienda USL di Forlì-Cesena, Bologna, Italy

    Carlo Fabbri

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Tal, A.O., Albert, J.G. (2020). ERCP Standard and Special Devices. In: Mutignani, M., Albert, J.G., Fabbri, C. (eds) Endotherapy in Biliopancreatic Diseases: ERCP Meets EUS. Springer, Cham. https://doi.org/10.1007/978-3-030-42569-2_5

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-42569-2_5

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-42568-5

  • Online ISBN: 978-3-030-42569-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation