Terms in this set (139)
Quiz____?
Time frames for upper endoscopy - Familiar polyposis -
Answer✓✓
1-2 years
Quiz____?
Patient positioning for ERCP -
Answer✓✓
prone position with the head turn toward the right shoulder
Quiz____?
patient positioning for upper endoscopy -
Answer✓✓
left side down, head slightly up.
1
, Quiz____?
Maneuver to look at the GE junction -
Answer✓✓
J maneuver (tip up), rotate the shaft of the scope CCW and withdraw, pulling the scope into
the proximal body and cardia, rotate the scope 360 around the GE jx,
Quiz____?
techniques to decrease post ERCP pancreatitis -
Answer✓✓
selective bile duct cannulation w/ guidewire, stenting pancreatic dut w/ stent or guidewire for
difficult CBD cannulation, limiting contrast injection into the pancreatic duct
Quiz____?
Technique for billiary sphincterotomy -
Answer✓✓
apply pressure w/ cutting wire toward 11 o'clock direction, continue the sphincterotomy until
the intramural portion is cut. Use blended current with cutting and coag at 15-20J. Alt: can use
balloon dilation but a/w higher rate of post-ECRP pancreatitis
Quiz____?
2
, Direction of pancreatic cannulation during ERCP -
Answer✓✓
1 to 3 o'clock position
Quiz____?
When to stop warfarin before ERCP -
Answer✓✓
stop 5 days before and switch to heparin or lovenox if peri-procedural anticoagulation is
required. This can be stopped a day prior to the procedure
Quiz____?
rate of post ERCP pancreatitis -
Answer✓✓
3-5%
Quiz____?
Timing of colonoscopy for first degree relative w/ CRC or adenomas prior to age 60 -
Answer✓✓
colonoscopy at age 40 or 10 years before the youngest affected relative, whichever is earlier.
Then repeat every 5 yrs
3
, Quiz____?
Indications for ECRP -
Answer✓✓
Tissue sampling - bile duct, pancreatic duct, ampulla bx
chronic pancreatitis/divisum
pancreatic malignancy
billiary malignancy
Benign strictures
Ductal disruption/injury
Jaundice
cholangitis
gallstone pancreatitis
dilated CBD
Quiz____?
maneuvers to enter IC valve -
Answer✓✓
rotate the scope until the valve is at the bottom of the visual field, look down into the valve,
gently insufflate air to open up the valve, OR retroflex the tip in the cecum and shorten the
scope (hook the IV valve)
4
Quiz____?
Time frames for upper endoscopy - Familiar polyposis -
Answer✓✓
1-2 years
Quiz____?
Patient positioning for ERCP -
Answer✓✓
prone position with the head turn toward the right shoulder
Quiz____?
patient positioning for upper endoscopy -
Answer✓✓
left side down, head slightly up.
1
, Quiz____?
Maneuver to look at the GE junction -
Answer✓✓
J maneuver (tip up), rotate the shaft of the scope CCW and withdraw, pulling the scope into
the proximal body and cardia, rotate the scope 360 around the GE jx,
Quiz____?
techniques to decrease post ERCP pancreatitis -
Answer✓✓
selective bile duct cannulation w/ guidewire, stenting pancreatic dut w/ stent or guidewire for
difficult CBD cannulation, limiting contrast injection into the pancreatic duct
Quiz____?
Technique for billiary sphincterotomy -
Answer✓✓
apply pressure w/ cutting wire toward 11 o'clock direction, continue the sphincterotomy until
the intramural portion is cut. Use blended current with cutting and coag at 15-20J. Alt: can use
balloon dilation but a/w higher rate of post-ECRP pancreatitis
Quiz____?
2
, Direction of pancreatic cannulation during ERCP -
Answer✓✓
1 to 3 o'clock position
Quiz____?
When to stop warfarin before ERCP -
Answer✓✓
stop 5 days before and switch to heparin or lovenox if peri-procedural anticoagulation is
required. This can be stopped a day prior to the procedure
Quiz____?
rate of post ERCP pancreatitis -
Answer✓✓
3-5%
Quiz____?
Timing of colonoscopy for first degree relative w/ CRC or adenomas prior to age 60 -
Answer✓✓
colonoscopy at age 40 or 10 years before the youngest affected relative, whichever is earlier.
Then repeat every 5 yrs
3
, Quiz____?
Indications for ECRP -
Answer✓✓
Tissue sampling - bile duct, pancreatic duct, ampulla bx
chronic pancreatitis/divisum
pancreatic malignancy
billiary malignancy
Benign strictures
Ductal disruption/injury
Jaundice
cholangitis
gallstone pancreatitis
dilated CBD
Quiz____?
maneuvers to enter IC valve -
Answer✓✓
rotate the scope until the valve is at the bottom of the visual field, look down into the valve,
gently insufflate air to open up the valve, OR retroflex the tip in the cecum and shorten the
scope (hook the IV valve)
4
