Copyright ©2010 Baishideng.
World J Gastrointest Endosc. Apr 16, 2010; 2(4): 130-137
Published online Apr 16, 2010. doi: 10.4253/wjge.v2.i4.130
Table 1 ERCP cannulation techniques in patients with normal anatomy
Technical methods
Standard techniques
Guide wires in conjunction with catheters and papillotomes
Placement of pancreatic stent or guide wire to facilitate cannulation
Precut techniques
Precut papillotomy (needle knife papillotomy)
Transpapillary pancreatic sphincterotomy (precut pancreatic sphincterotomy)
Suprapapillary puncture of the common bile duct (needle knife fistuolotomy)
Endoscopic ultrasound-guided cholangiography
Pharmacologic methods
Minor papilla
Intravenous injection of Secretin
Topical Methylene blue
Intraduodenal acid infusion
Major papilla
Intravenous injection of CCK
Topical nitroglycerin
Fatty meal before ERCP