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Just got my hands on this NEW fully rotatable sphincterotome! The rotation is silky smooth & adds the final degree of freedom missing in tip control so badly needed in: intra-dochal (hilar, cystic), altered anatomy ERCP and papilla in duodenal diverticulum! #GITwitter
20,262 просмотров • 2 лет назад •via X (Twitter)
Комментарии: 10

My favorite analogy to understand the myriad movements of ERCP — BOXING! Left jab for PD. Right upper cut for CBD. #GITwitter

Bow= bend at elbow Elevator= raise at shoulder Big wheel up/down = step forward+stand / step back+crouch Push/pull scope = crouch/stand Small wheel R/L= R/L shoulder forward Torque scope R/L= R/L leg forward Push tome/wire = punch Now: ROTATE TOME= rotate at shoulder !

While it’s not quite the articulating tool that our surgical brothers enjoy, we can see we’re getting closer!

I think this may be a game changer in the intraductal work!

Maybe achieving this will no longer take me eating 15 minutes of fluoro?!

Definitely agree. Does make cystic calculations easier

Really great video. Thank you for sharing this concept! I really struggle with this cystic duct cannulation especially when it is by definition obstructed (cholecystitis). I sometimes think I’m a cardiologist opening blockage with PCI!

@BilalMohammadMD @AdvaniRashmiMD @TomTielleman @KM_Pawlak @drkeithsiau @EndoscopyOthman @neilRsharmaMD @KMonkemuller @ericpaulimd @SAGES_Updates @AnotherPatelMD @MetabolicEndo @ChahalPrabhleen @AustinChiangMD @DrMohdZein @DrLakhtakia @VKumbhari @GI_Guy @TrieuMD

@ZSobaniMD @MendozaLadd @NickMcDonaldMD @podimuwa @stevenbollipo @EndoCollabcom @DavidDiehlMD @flaubert_sena @helpatologist @RobertoSimonsMD @mikewallacemd @AgnihotriGI @TarunRustaGI_MD @Bjorn_Rembacken @GBrennanMD @HPanagiotakis @MarijoRojasMD @EndoTx @alan_barkun

I’m just waiting to see what innovative thing you do with it for GI bleeding 😂
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