Advanced cannulation technique and precut

Gastrointest Endosc Clin N Am. 2012 Jul;22(3):417-34. doi: 10.1016/j.giec.2012.05.010.


For most ERCP endoscopists, the greatest hurdle to a successful procedure is deep cannulation of the bile duct. This article explores basic cannulation technique, then reviews a variety of instruments and techniques designed to increase the average endoscopist's success rate. Expert ERCP endoscopists have a few favorite techniques that have proved reliable over time. The most frequently used ones are highlighted in this review.

Publication types

  • Review

MeSH terms

  • Biliary Tract Diseases / therapy
  • Catheterization / methods*
  • Cholangiopancreatography, Endoscopic Retrograde / methods*
  • Humans
  • Pancreatic Diseases / therapy
  • Sphincterotomy, Endoscopic / methods*