Potential Challenges of ERCP

While endoscopic retrograde cholangiopancreatography​ (ERCP) is a valuable therapeutic intervention for many patients with​ pancreatobiliary disorders, each phase of the procedure​ presents potential obstacles to success. ​

What are the risks of ERCP procedures? Scroll through the tabs here.

The key is: our ERCP product portfolio for access, exchange and therapy — aiming for exceptional clinical outcomes and minimized patient risk. Let Olympus be your solution provider.

Access during ERCP Procedures

Limiting the amount of time, attempts and injections it takes to achieve deep cannulation of the desired duct is essential in avoiding adverse events.

Scroll through our product portfolio now.

CleverCut 3 V Sphincterotomes​

Cannulation through Consistent Orientation

The pre-curved distal end consistently extrudes to a stable 11 o’clock position,

  • assisting with the cannulation of the papilla and
  • assuring enhanced cutting which minimizes the risk of bleeding.

More information is available here:

VisiGlide Guidewires

Access with Enhanced Ductal Navigation

  • Excellent torque control and stricture navigation.
  • Higher primary cannulation success rate compared to fully hydrophilic and standard guidewire group. 11

More information is available here:

Your Skills, Our
TJF-Q190V Duodenoscope

Supporting Your Standard of Care

Square image shape and 15° backward viewing for​:

  • Expanded vertical field of view.
  • Better direction of view.
  • Improved cannulation efficiency.

Device Exchange during ERCP

Are you searching for the right tools for an effective device exchange, ensuring a more efficient ERCP procedure?​

Olympus supports both long and short wire device exchange techniques and instills your confidence in guidewire placement security.

Discover our product highlights for device exchange during ERCP here.

TJF-Q190V Duodenovideoscope

  • Dual guidewire locking mechanism for exact guidewire placement.
  • Fast and secure device exchange through the V-Groove on the forceps elevator.
  • Single-use distal cover allows visualization of the distal end and better access for reprocessing accessories during manual cleaning.

More information is available here:

Therapeutic Devices for ERCP

Unlock opportunities with a multitude of Olympus devices designed for stone and stricture management, ensuring successful ERCP procedures.

Therapeutic devices used during ERCP
are introduced here.

Stone Management

A Product Portfolio from Balloons to Baskets

Olympus offers a variety of modalities for the effective clearance of pancreaticobiliary stones.

Product brochures are available here.

Stricture Management

Stents, Dilation Balloons, Forceps, Brushes

The Olympus ERCP stricture management portfolio is designed to enable stricture diagnosis and restore biliary flow.

Product brochures are available here.

ERCP Procedure Brochure

All you need to know about the ERCP solution from Olympus — product information, clinical references, tips and tricks and more — well-structured in PDF format.

Download brochure

ERCP Video Center

This is your source for videos related to ERCP. Procedural and product videos as well as educational material are available right here.
Subscribe to the Olympus Medical Systems YouTube channel in order to stay ahead of the latest developments in the endoscopic retrograde cholangiopancreatography (ERCP) procedure.

    More than 1,800 EndoTherapy Devices

    Did you know that the ERCP portfolio covers all necessary devices for successful ERCP? Technical specifications, order information and compatibilities are given in our online EndoTherapy catalog.

    Stop wasting time searching for therapeutic devices for endoscopic procedures — they are all available here.

    Enter now

    ERCP Information Hub

    ERCP is an effective technique for diagnosing and treating problems in the liver, gallbladder and pancreaticobiliary — gastrointestinal diseases such as acute and chronic pancreatitis, gallstones, inflammatory strictures, scarring and tumors.

    Many gastroenterologists and the medical staff regard ERCP as the supreme discipline in upper gastrointestinal endoscopy. Procedural challenges such as finding the father's papilla, access to the bile and pancreatic ducts, and the maneuvering and precise execution of the necessary therapeutic measures in the bile duct require orientation skills, sensitivity and a routine.

    Optimal ERCP outcomes and minimized potential patient risks such as post-ERCP pancreatitis (ERCP-related adverse events: European Society of Gastrointestinal Endoscopy (ESGE) Guideline) require the successful completion of three essential phases: access, device exchange and therapy.

    A multitude of endoscopic instruments are necessary to perform ERCP. The Olympus ERCP stone management portfolio offers a variety of modalities in order to support the effective clearance of pancreatic stones:

    • Extraction balloons for biliary and pancreatic stone retrieval.
    • Sphincterotomes and papillary dilation balloons.
    • Mechanical lithotriptors.
    • Stone retrieval baskets.

    The stricture management portfolio is designed to enable stricture diagnosis and restore biliary flow. The product range includes:

    • Biliary stents.
    • Stenting systems for biliary drainage.
    • Grasping forceps.
    • Dilation balloons.
    • Cytology brushes.

    Every ERCP procedure presents its own unique challenges and necessities. Having a full product lineup at hand is therefore essential for optimal processes during ERCP procedures.

    Finding a routine and the preparation prior to performing ERCP is essential. "Are ERCP training courses available?", "When is the next ERCP training course?" are frequently asked questions from health care professionals.

    Olympus offers dedicated ERCP training and virtual training sessions on a regular basis. ​

    These virtual or face-to-face training sessions provide trainees with the theoretical background information on indication, contraindication and complication management in ERCP, as well as with the specific techniques like wire-guided cannulation, endoscopic papillectomy, sphincterotomy, tissue sampling, cholangiopancreatoscopy, difficult stone management, distal stenting and biliary drainage.​

    Yes, there is! In-service and procedural video material is available on our Professional Education website, where you can register free of charge. Olympus also hosts a dedicated ERCP video center containing product videos and experience reports. A concept brochure is available here (PDF, 5.7 MB) and technical product information can be found in the digital endoscopic devices catalog — the Olympus EndoTherapy Online Catalog.

    If you require further information or individual consultancy, our sales team is at your service anytime.


    1. 1.The role of ERCP in benign diseases of the biliary tract. American Society for Gastrointestinal Endoscopy. Gastrointest Endosc. 2015; 81(4): 795-803.
    2. 2.Difficult biliary access for ERCP. Baillie J. Curr Gastroenterol Rep. 2012; 14(6): 542-547.
    3. 3.International consensus recommendations for difficult biliary access. Liao W-C, Angsuwatcharakon P, Isayama H, et al. Gastrointest Endosc. 2017; 85(2): 296-304.
    4. 4.ERCP-related adverse events: European Society of Gastrointestinal Endoscopy (ESGE) Guideline. Dumonceau Jean-Marc et al. Endoscopy. 2020; 52: 127-149.
    5. 5.Incidence, severity, and mortality of post-ERCP pancreatitis: a systematic review by using randomized, controlled trials. Kochar B, Akshintala VS, Afghani E, et al. Gastrointest Endosc. 2015 Jan; 81(1): 143-9.
    6. 6.Needle Knife Sphincterotomy Does Not Increase the Risk of Pancreatitis in Patients with Difficult Biliary Cannulation. Swan MP, Alexander S, Moss A, et al. Clin Gastronenterol Hepatol. 2013 Apr; 11(4): 430-6.
    7. 7.Papillary cannulation and sphincterotomy techniques at ERCP: European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline. Testoni Pier Alberto et al. Endoscopy. 2016.
    8. 8.The arterial supply of the major duodenal papilla and its relevance to endoscopic sphincterotomy. Mirjalili SA and Stringer MD. Endoscopy. 2011; 43: 307-311.
    9. 9.A novel, stiff-shaft, flexible-tip guidewire for cannulation of biliary stricture during endoscopic retrograde cholangiopancreatography: a randomized trial. Albert JG, Lucas K, Filmann N, Herrmann E, et al. Endoscopy. 2014; 46(10): 857-861.
    10. 10.Effectiveness of a novel highly flexible-tip guidewire on selective biliary cannulation compared to conventional guidewire: Randomized control study. Park JS, Jeong S, and Lee DH. Digestive Endoscopy. 2018; 30: 245-251.
    11. 11.A novel, stiff-shaft, flexible-tip guidewire for cannulation of biliary stricture during endoscopic retrograde cholangiopancreatography: a randomized trial. Albert JG, Lucas K, Filmann N, Herrmann E, et al. Endoscopy. 2014;46(10):857-861.