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. 2020 Mar 12;20:64. doi: 10.1186/s12876-020-01200-7

Table 1.

Definitions of technical success by ERCP indication

Indication for ERCP Definition(s) of Technical Success
Suspected or confirmed bile duct stone(s)

Extraction of stone(s)

OR

CBD clearance based on absence of filling defects on occlusion cholangiogram

[If difficult biliary stones are encountered during procedure, use ‘Difficult biliary stone(s)’ indication below, and above definition does not apply]

Difficult biliary stone(s) [2325] – any of:

 • One or more stone(s) ≥ 15 mm

 • Barrel or other unusual shape

 • Multiple (4 or more stones)

 • Impacted stone(s)

 • Intrahepatic or cystic duct stone(s)

 • Stricture below stone(s)

Extraction of stone(s)

OR

CBD clearance based on absence of filling defects on occlusion cholangiogram

OR

Stenting of CBD as part of future plan to clear duct

Biliary stricture (benign or malignant)

Successful placement of stent with proximal margin proximal to stricture

OR

Successful dilatation of stricture

Cholangioscopy or pancreatoscopy Successful cholangioscopic or pancreatoscopic visualization of area of interest
Chronic pancreatitis, pancreatic stone(s) and/or pancreatic stricture(s)

Successful cannulation of main pancreatic duct (PD)

AND AT LEAST 1 OF:

Pancreatic sphincterotomy

Stenting or dilatation of PD

Extraction of PD stone(s)

Pancreas divisum

Successful minor papilla cannulation

AND

Successful pancreatic sphincterotomy

Stent removal or exchange Successful removal and/or exchange of stent(s)
Treatment of peri-ampullary bleeding Successful endoscopic hemostasis
Sphincter of Oddi dysfunction Successful biliary sphincterotomy