Endoscopic Retrograde Cholangiopancreatography ERCP — Access that Unlocks Opportunity

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Potential Challenges of ERCP

While endoscopic retrograde cholangiopancreatography​ (ERCP) is a valuable therapeutic intervention for many patients with​ pancreatobiliary disorders, each phase of the procedure​ presents potential obstacles to success. ​

What are the risks of ERCP procedures? Scroll through the tabs here.

The key is: our ERCP product portfolio for access, exchange and therapy — aiming for exceptional clinical outcomes and minimized patient risk. Let Olympus be your solution provider.

Access during ERCP Procedures

Limiting the amount of time, attempts and injections it takes to achieve deep cannulation of the desired duct is essential in avoiding adverse events.

Scroll through our product portfolio now.

CleverCut 3 V Sphincterotomes​

Cannulation through Consistent Orientation

The pre-curved distal end consistently extrudes to a stable 11 o’clock position,

  • assisting with the cannulation of the papilla and
  • assuring enhanced cutting which minimizes the risk of bleeding.

More information is available here:

VisiGlide Guidewires

Access with Enhanced Ductal Navigation

  • Excellent torque control and stricture navigation.
  • Higher primary cannulation success rate compared to fully hydrophilic and standard guidewire group. 11

More information is available here:

Your Skills, Our
TJF-Q190V Duodenoscope

Supporting Your Standard of Care

Square image shape and 15° backward viewing for​:

  • Expanded vertical field of view.
  • Better direction of view.
  • Improved cannulation efficiency.

Device Exchange during ERCP

Are you searching for the right tools for an effective device exchange, ensuring a more efficient ERCP procedure?​

Olympus supports both long and short wire device exchange techniques and instills your confidence in guidewire placement security.

Discover our product highlights for device exchange during ERCP here.

TJF-Q190V Duodenovideoscope

  • Dual guidewire locking mechanism for exact guidewire placement.
  • Fast and secure device exchange through the V-Groove on the forceps elevator.
  • Single-use distal cover allows visualization of the distal end and better access for reprocessing accessories during manual cleaning.

More information is available here:

Therapeutic Devices for ERCP

Unlock opportunities with a multitude of Olympus devices designed for stone and stricture management, ensuring successful ERCP procedures.

Therapeutic devices used during ERCP
are introduced here.

Stone Management

A Product Portfolio from Balloons to Baskets

Olympus offers a variety of modalities for the effective clearance of pancreaticobiliary stones.

Product brochures are available here.

Stricture Management

Stents, Dilation Balloons, Forceps, Brushes

The Olympus ERCP stricture management portfolio is designed to enable stricture diagnosis and restore biliary flow.

Product brochures are available here.

ERCP Procedure Brochure

All you need to know about the ERCP solution from Olympus — product information, clinical references, tips and tricks and more — well-structured in PDF format.

Download brochure

ERCP Video Center

This is your source for videos related to ERCP. Procedural and product videos as well as educational material are available right here.
Subscribe to the Olympus Medical Systems YouTube channel in order to stay ahead of the latest developments in the endoscopic retrograde cholangiopancreatography (ERCP) procedure.

More than 1,800 EndoTherapy Devices

Did you know that the ERCP portfolio covers all necessary devices for successful ERCP? Technical specifications, order information and compatibilities are given in our online EndoTherapy catalog.

Stop wasting time searching for therapeutic devices for endoscopic procedures — they are all available here.

Enter now

Downloads

StoneMaster V Product Brochure (PDF, 1065 KB)

Dilation Balloon with Knife for Difficult Stone Management In One Device

CleverCut 3 V Product Brochure (PDF, 716 KB)

Distal Wire-Guided Sphincterotomes for Optimal Access During ERCP

BrushMaster V Product Brochure (PDF, 825 KB)

TetraCatch V and FlowerBasket V Product Brochure (PDF, 2408 KB)

Multi-3 V Plus Brochure (PDF, 2633 KB)

Extraction Balloon with High Durability Performance

CleverLock Product Brochure (PDF, 374 KB)

Guidewire Locking Device and Biopsy Cap for Multiple Device Exchanges

VorticCatch V Product Brochure (PDF, 3372 KB)

Distal Wire-Guided Nitinol Retrieval Basket for Difficult Cases

MaxPass Product Brochure (PDF, 1819 KB)

Balloon Dilator for Reliable Dilation of Strictures in the Bilde Ducts

VisiGlide Product Brochure (PDF, 1564 KB)

Guidewire for Enhanced Cannulation Performance during ERCP

TJF-Q190V Brochure (PDF, 5117 KB)

HANAROSTENT® Brochure (PDF, 22597 KB)

Olympus Stories

Find exciting articles about recent studies, developments in our Medical Systems business, and the MedTech industry.

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ERCP Information Hub

ERCP is an effective technique for diagnosing and treating problems in the liver, gallbladder, and biliary and pancreatic ducts. This may include pancreaticobiliary and gastrointestinal diseases such as acute and chronic pancreatitis, gallstones, inflammatory strictures, scarring and tumors.

Many gastroenterologists and medical staff regard ERCP as the supreme discipline in upper gastrointestinal endoscopy. Procedural challenges such as finding the major papilla, accessing the bile and pancreatic ducts, and the maneuvering and precise execution of therapeutic measures in the bile duct require high-level orientation skills, sensitivity and a well-practiced, set routine.

Ensuring optimal ERCP outcomes and minimizing potential patient risks such as post-ERCP pancreatitis (ERCP-related adverse events: European Society of Gastrointestinal Endoscopy (ESGE) Guideline) require the successful completion of three essential phases: access, device exchange and therapy.

Every ERCP procedure presents its own unique challenges and necessities. Having a full product lineup at hand is therefore essential for optimal processes during ERCP procedures.

Olympus offers a range of guidewires and associated devices to help streamline ERCP procedures and improve patient outcomes:

  • Guidewires
  • Sphincterotomes
  • Guidewire Locking Device
  • Cannulas
  • Needle Knife

In our Best Practice in ERCP: Advances in Biliary Cannulation article, we describe the benefits of wire-guided ERCP, and explore how specific cannulation techniques are increasing procedure success and patient safety.

The Olympus ERCP stone management portfolio offers a variety of modalities in order to support the effective clearance of pancreatic stones:

  • Extraction balloons and baskets for biliary and pancreatic stone retrieval
  • Mechanical lithotriptors
  • Papillary dilation balloons
  • And a unique device that combines the two steps of sphincterotomy and sphincteroplasty

For more information on stone management see our article on Best Practice in ERCP: Enhancing Clearance of Common Bile Duct Stones.

The stricture management portfolio is designed to enable stricture diagnosis and restore biliary flow. For an overview of the latest understanding in biliary stenting and to see how advances in stricture management equipment are streamlining procedures and reducing risk of complications, see our article on Best Practice in ERCP: Advances in Endoscopic Biliary Stenting. The Olympus product range includes:

  • Biliary stents
  • Stenting systems for biliary drainage
  • Dilation balloons
  • Cytology brushes
  • Grasping forceps

Finding a routine and ensuring the correct prior preparation are essential when performing ERCP. "Are ERCP training courses available?", "When is the next ERCP training course?" are frequently asked questions from health care professionals.

Olympus offers dedicated ERCP training and virtual training sessions on a regular basis. ​

These virtual or face-to-face training sessions provide trainees with the theoretical background information on indication, contraindication and complication management in ERCP, as well as advice on specific techniques such as wire-guided cannulation, endoscopic papillectomy, sphincterotomy, tissue sampling, cholangiopancreatoscopy, difficult stone management, distal stenting and biliary drainage.

Yes, there is! In-service and procedural video material is available on our Professional Education website, where you can register free of charge. Olympus also hosts a dedicated ERCP video center containing product videos and experience reports. A concept brochure is available here (PDF, 5.7 MB) and technical product information can be found in the digital endoscopic devices catalog — the Olympus EndoTherapy Online Catalog. There is also an article series on best practices in ERCP which you can access here.

If you require further information or individual consultancy, our sales team is at your service anytime.

Related Products

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EVIS X1 Let‘s Be Clear: Elevating the Standard of Endoscopy

Our most advanced endoscopy system introduces a range of new, easy-to-use technologies that aim to revolutionize the way gastrointestinal disorders can be detected, characterized and treated.

Therapeutic Video Duodenoscope with Disposable Distal Cover: TJF-Q190V

Supporting your standard of care with improved cannulation efficiency, reliable guidewire locking, and a single use distal cover.

References

  1. 1.The role of ERCP in benign diseases of the biliary tract. American Society for Gastrointestinal Endoscopy. Gastrointest Endosc. 2015; 81(4): 795-803.
  2. 2.Difficult biliary access for ERCP. Baillie J. Curr Gastroenterol Rep. 2012; 14(6): 542-547.
  3. 3.International consensus recommendations for difficult biliary access. Liao W-C, Angsuwatcharakon P, Isayama H, et al. Gastrointest Endosc. 2017; 85(2): 296-304.
  4. 4.ERCP-related adverse events: European Society of Gastrointestinal Endoscopy (ESGE) Guideline. Dumonceau Jean-Marc et al. Endoscopy. 2020; 52: 127-149.
  5. 5.Incidence, severity, and mortality of post-ERCP pancreatitis: a systematic review by using randomized, controlled trials. Kochar B, Akshintala VS, Afghani E, et al. Gastrointest Endosc. 2015 Jan; 81(1): 143-9.
  6. 6.Needle Knife Sphincterotomy Does Not Increase the Risk of Pancreatitis in Patients with Difficult Biliary Cannulation. Swan MP, Alexander S, Moss A, et al. Clin Gastronenterol Hepatol. 2013 Apr; 11(4): 430-6.
  7. 7.Papillary cannulation and sphincterotomy techniques at ERCP: European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline. Testoni Pier Alberto et al. Endoscopy. 2016.
  8. 8.The arterial supply of the major duodenal papilla and its relevance to endoscopic sphincterotomy. Mirjalili SA and Stringer MD. Endoscopy. 2011; 43: 307-311.
  9. 9.A novel, stiff-shaft, flexible-tip guidewire for cannulation of biliary stricture during endoscopic retrograde cholangiopancreatography: a randomized trial. Albert JG, Lucas K, Filmann N, Herrmann E, et al. Endoscopy. 2014; 46(10): 857-861.
  10. 10.Effectiveness of a novel highly flexible-tip guidewire on selective biliary cannulation compared to conventional guidewire: Randomized control study. Park JS, Jeong S, and Lee DH. Digestive Endoscopy. 2018; 30: 245-251.
  11. 11.A novel, stiff-shaft, flexible-tip guidewire for cannulation of biliary stricture during endoscopic retrograde cholangiopancreatography: a randomized trial. Albert JG, Lucas K, Filmann N, Herrmann E, et al. Endoscopy. 2014;46(10):857-861.