The course provides theoretical and practical training aimed at learning and refining this endoscopic technique. Over two days, participants will work with physical simulators and animal models to practice papilla cannulation, guided catheterization, sphincterotomy, and stent placement, complementing the hands-on training with theoretical sessions on anatomy, endoscopic equipment, and complication management.
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The Endoscopic Retrograde Cholangiopancreatography (ERCP) Course, directed by Dr Francisco Miguel Sánchez Margallo, Scientific Director of CCMIJU, and Dr Miguel Fernández Bermejo, from the Digestive Endoscopy Unit of Cáceres University Hospital, provides comprehensive theoretical and practical training focused on the acquisition and refinement of skills in ERCP techniques.
Over two intensive training days, participants will gain an in-depth understanding of the anatomy of the upper gastrointestinal tract and the biliopancreatic system under the guidance of Dr Octavio López Albors, Professor at the University of Murcia. The course will also cover the fundamental principles, equipment and materials required for clinical practice, as well as ERCP-related complications, with sessions led by Dr Miguel Fernández Bermejo, Dr José María Mateos Rodríguez and Dr Ramón Sánchez Ocaña.
Course Directors:
Dr. Francisco Miguel Sánchez Margallo \ Scientific Director, CCMIJU
Dr. Miguel Fernández Bermejo \ Digestive Endoscopy Unit, Cáceres University Hospital
Faculty:
Dr José María Mateos Rodríguez \ Digestive Endoscopy Unit, Cáceres University Hospital.
Dr Miguel Fernández Bermejo \ Digestive Endoscopy Unit, Cáceres University Hospital.
Dr Octavio López Albors \ Professor of Comparative Anatomy and Comparative Pathological Anatomy, Faculty of Veterinary Medicine, University of Murcia.
Dr Ramón Sánchez Ocaña \ Gastroenterology Department, Río Hortega University Hospital, Valladolid.
Technical Secretariat:
Luna Martínez: lmartinezp@ccmijesususon.com
The course combines theoretical sessions with progressive practical sessions, in which the participant will work with different equipment both in an ex vivo simulator and in an experimental model. The program includes training in duodenoscopy, catheterization, sphincterotomy and stent placement, with direct supervision by expert endoscopists.
DAY 1
09:00 Course opening and introduction
09:10 THEORETICAL SESSION
- Anatomy of the upper gastrointestinal tract, the duodenal-papillary junction and the biliopancreatic system in pigs and dogs, and their anatomical relationship to humans (O. López-Albors).
-ERCP: endoscopic equipment and disposable materials (J.M. Mateos).
- Technical tips for performing ERCP in animal models and their application to human clinical practice (M. Fernández).
11:00 COFFEE BREAK
11:15 PRACTICAL SESSION
Hands-on training workshop using the Cook Medical physical simulator: cannulation of the duodenal papilla and sphincterotomy.
13.00 -MODULE 1:Training with a side-viewing duodenoscope in a porcine model: pyloric intubation and identification of the duodenal papilla.
14.00 LUNCH.
15.00 *HANDS-ON TRAINING.
-MODULE 2: Duodenal papilla cannulation using a guidewire through a double-lumen sphincterotome in an ex vivo simulator and experimental model.
17.30 THEORETICAL SESSION
ERCP-related complications (J.M. Mateos Rodríguez, Ramón Sánchez Ocaña).
Day 2
9.00 *PRACTICAL SESSION
-MODULE 3: Therapeutic ERCP training: contrast opacification of the biliary tract and use of a Fogarty balloon catheter, Dormia basket and sphincterotome.
11.15 COFFEE BREAK.
11.45 *PRACTICAL SESSION
-MODULE 4: Sphincterotomy and biliary stent placement.
13.30 END OF THE COURSE
