Table 1.
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) [23–25] – 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 |