Professional
Technical
IVT
ERCP cannulation
The process of selectively inserting a catheter into the bile duct or pancreatic duct during endoscopic retrograde cholangiopancreatography.
Full Definition
ERCP cannulation represents one of the most technically challenging aspects of therapeutic endoscopy, requiring precise manipulation of a guidewire and catheter through the ampulla of Vater into either the biliary or pancreatic ductal systems. Success depends on proper patient positioning, duodenoscope manipulation, and understanding of anatomical variations. Failed cannulation may require alternative techniques such as precut sphincterotomy, needle-knife access, or conversion to percutaneous approaches.
Usage
Usage note: ERCP is typically not spelled out when discussing cannulation specifically.
In Context
- "Successful ERCP cannulation was achieved after multiple attempts using a guidewire technique." — Endoscopy procedure note
- "Deep ERCP cannulation carries risks of post-procedure pancreatitis." — Informed consent documentation
Also known as
selective cannulation
ductal access
Contrasted with
failed cannulation
Don't confuse with
sphincterotomy
papillotomy