1. Time frames for upper endoscopy - Familiar polyposis
m m m m m m m
…Ans: m
1-2 years
m
2. Patient positioning for ERCP
m m m
…Ans: m
prone position with the head turn toward the rightshoulder
m m m m m m m m m m
1 m/
m9
,3. patient m positioning for upper endoscopy m m m
…Ans: m
m left side down, head slightly up.
m m m m m
4. Maneuver m to look at the GE junction
m m m m m
…Ans: m
m J maneuver (tip up), rotate the shaft of the scope CCW and withdraw, pulling
m m m m m m m m m m m m m
the scope into the proximal body and cardia,rotate the scope 360 around the
m m m m m m m m m m m m m m
m GE jx, m
5. techniques m to decrease post ERCP pancreatitis
m m m m
…Ans: m
m selective bile duct cannu-lation w/ guidewire, stenting pancreatic dut w/ stent
m m m m m m m m m m m
or guidewire for difficult CBDcannulation, limiting contrast injection into the
m m m m m m m m m m m
m pancreatic duct m
2 m/
m9
, 6. Technique m for billiary sphincterotomy
m m
…Ans: m
m apply pressure w/ cutting wire toward11 o'clock direction, continue the
m m m m m m m m m m
m sphincterotomy until the intramural portion is cut.Use blended current with
m m m m m m m m m m
m cutting and coag at 15-20J. Alt: can use balloon dilation but a/w higher rate of
m m m m m m m m m m m m m m
m post-ECRP pancreatitis m
7. Direction of pancreatic cannulation during ERCP
m m m m m
…Ans: m
m1 to 3 o'clock position
m m m m
8. When to stop warfarin before ERCP
m m m m m
…Ans: m
m stop 5 days before and switch to heparinor lovenox if peri-procedural
m m m m m m m m m m m
m anticoagulation is required. This can be stopped a dayprior to the procedure
m m m m m m m m m m m m
3 m/
m9
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