iLearning Recorded Webinar
Cholangiopancreatoscopy
Overview
Pancreaticobiliary disorders - diseases of the pancreas, liver, gall bladder and bile duct - are highly complex in nature, running the gamut from simple stone related disorders to strictures and cancers. Cholangiopancreatoscopy is one of the various options available for diagnosis. In this one-hour continuing education activity, the speaker will present an overview of the various disorders and review the history of cholangiopancreatoscopy. She will present the latest techniques in of cholangiopancreatoscopy, which can be observed in video clips of the procedure. The presentation will utilize lecture, slides with video clips and participant discussion.
This faculty-directed education activity is intended primarily for RNs with a responsibility for or an interest in ensuring safe patient care in the endoscopy suite. The presentation will also be of interest to allied healthcare personnel and MDs involved in endoscopy.
Upon completion of this presentation, participants will be able to:
1) Describe five pancreatico-biliary disorders encountered in the Endoscopy Suite
2) Discuss the two methods of technology available to perform cholangiopancreatoscopy.
3) Describe the steps to perform cholangiopancreatoscopy using a single operator system
Participants will complete the recorded webinar learning activity. They will view the presentation, then register to complete the evaluation and take the post-test on the website. They will submit the documentation as directed. A bibliographic reference is included for those wishing additional information.
Upon successful completion of the entire online program and submission of required documentation, participants will be granted 1 contact hour. No partial credit will be granted.
Provider approved by the California Board of Registered Nursing, Provider Number 08747, the District of Columbia Board of Nursing, Provider Number 50-574, the Florida Board of Registered Nursing, Provider Number 50-574 and the Georgia Board of Nursing, Provider Number 50-574.
According to the criteria of the American Board of Certification for Gastroenterology Nurses (ABCGN), contact hours earned in this activity are considered GI Specific for the purpose of recertification through the ABCGN.
Successful completion: Participants must complete the entire program, register, achieve a score of 80% on the post-test and submit required documentation.
1. Successful completion: Participants must complete the entire program, register, achieve a score of 80% on the post-test and submit required documentation.
2. Conflict of interest: Planners disclose no conflict of interest. The speakers disclose salary or honorarium from the commercial support entity; they have signed a statement agreeing to present material fairly and without bias.
3. Commercial company support: Fees are underwritten by education funding provided by Boston Scientific.
4. Non-commercial company support: None.
5. Alternative/Complementary therapy: None.
6. Implicit Bias: Educational Dimensions supports efforts to eliminate health care disparities and implicit bias in medical treatment along the lines of race, ethnicity, gender identity, sexual orientation, age, socioeconomic status and other characteristics in CNE activities addressing direct patient care.
Participants successfully completing the activity and submitting required documentation will be permitted to print a certificate of completion. Participants are advised to retain the certificate for eight years following activity completion.
Replacement of misplaced certificate is available from Educational Dimensions. There is a fee for this service. Request a replacement by contacting us.
Guide to Study
The following steps will assist you in your successful completion of this eLearning Activity.
1. Read the content or view the recorded presentation. If you want contact hours at the completion of studying the eLearning material, you will be required to register, complete an evaluation and take a post-test prior to printing your Certificate of Completion. We urge you to complete the eLearning activity once you have started. However, if you do need to come back later, you can sign in with your email and eLearning ID.
2. First Time Visitors will be asked to register using an email address as your User Name. Make a note which email address you have used. Then you will create an eLearning ID using a combination of at least 6-10 letters or numbers. Please make a note of your eLearning ID and if for some reason you forget, you may request that your eLearning ID be sent to you. The web site is secured by Trustwave.
3. Return Visitors: If you have registered already you do not need to register again. Just Sign In using your email and eLearning ID.
4. Evaluation Form: Once you have registered or signed in you will be asked to complete an evaluation form and submit it. This is required to obtain the Certificate of Completion.
5. Post-test: A post-test, based on the content of the eLearning activity, will need to be taken. A passing score of 80% is required. This is required to obtain the Certificate of Completion.
6. Printing Your Certificate of Completion: Once you have successfully passed the post-test you will be able to print your Certificate of Completion. You will be given an opportunity to verify the information that will be printed on your certificate. Please make sure your printer is ready to print. You will not have access to the certificate page on later visits unless you contact us. Once you choose to print the Certificate of Completion, it will not be possible to make corrections. To obtain a corrected certificate you will need to contact Educational Dimensions. Fees may apply.
7. Browser recommendations: We require using an up-to-date browser with JavaScript enabled. You must enable cookies from this site in order to access the secure areas.
8. If you encounter any technical problems during this eLearning activity, please contact us.
Recorded Webinar Video
CNE Certificate Process
Note: Your computer should be connected to a printer before completing the Post-Testing in order to permit printing your course certificate.
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Ayoub, F et al (2018). Cholangioscopy in the digital era. Translational Gastroenterology and Hepatology; 3:82. http://dx.doi.org/10.21037/tgh.2018.10.08.
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Barakat, MT et al. (2018). A prospective evaluation of radiation-free direct solitary cholangioscopy for the management of choledocholithiasis. Gastrointestinal Endoscopy; 87(2): 584-589. E1. DOI: https://doi.org/10.1016/j.gie.2017.07.042.
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Barakat, MT & Banerjee, S (2018). SpyCatcher: Use of a Novel Cholangioscopic Snare for Capture and Retrieval of a Proximally Migrated Biliary Stent. Digestive Diseases and Sciences; 63: 3224-3227. Springer Science + Business Media, LLC. https://doi.org/10.1007/s10620-018-5228-8.
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Bauxbaum, JL et al (2019). ASGE guideline on the role of endoscopy in the evaluation and management of choledocholithiasis. Gastrointestinal Endoscopy; 89(6). https: //doi.org/10.1016/j.gie.2018.10.001.
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Braden, B et al. (2019). Therapeutic EUS. New tools, new devices, new applications. Endoscopic Ultrasound; 8(6): 371-381. DOI: 10.4103/eus.eus_39_19.
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Draganov, PV et al. (2019). Diagnostic accuracy of conventional and cholangioscopy-guided sampling of indeterminate bililary lesions at the time of ERCP: a prospective, long-term follow-up study. Clinical Endoscopy; 75(2): 347-353. DOI: https: //doi.org/10.1016/j.gie.2011.09.020.
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Floch, MH et al. (2020). Netter’s Gastroenterology 3rd ed; 128: 439; 129: 445-446; 130: 449-451; 135: 465; 137: 469; 138: 471; 140: 479; 141: 480; 142: 483; 177: 596; 181: 613; 163: 561. Elsevier, Inc. ISBN: 978-0-323-59624-4.
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Gastroenterology Nursing: A Core Curriculum, 6th edition. (2019). Society of Gastroenterology Nurses
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Gravito-Soares, M & Almeida, N (2018). Peroral Cholangiopancreatoscopy: New Advances Bring New Concerns. Editorial. GE Port J Gastroenterol. DOI: 10.1159/000486019.
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Komanduri, S et al (2016). Cholangiopancreatoscopy. ASGE Status Evaluation Report. Gastrointestinal Endoscopy; 84(2): 209-221. http://dx.doi.org/10.1016/j.gie.2016.03.013.
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Meseeha, M & Altica, M (last update 7Feb2023). Endoscopic Retrograde Cholangiopancreatography. Stat Pearls [Internet]. https://www.ncbi.hih.gov/books,NBI493160/ (accessed 4August2023).
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Navaneethan, U et al. (2017). Sa1378 Comparative Effectiveness of Various ERCP Based Modalities for Detection of Malignant Biliary Strictures. Gastrointestinal Endoscopy; 85(5) Supplement: AB216-AB217. DOI: https://doi.org/10.1016/j.gie.2017.03.481.
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Navaneethan, U et al. (2016). Digital, single-operator cholangiopancreatoscopy in the diagnosis and management of pancreatobiliary disorders: a multicenter clinical experience (with video). Gastrointestinal Endoscopy; 84(4): 649-655. DOI: https://doi.org/10.1016/j.gie.2016.03.789.
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Reuterwall, M et al (2019). The clinical value of ERCP-guided cholangiopancreatoscopy using a single-operator system. BMC Gastroenterology; 19:35. https://doi.org/10.1186/x12867-019-0953-9.
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Sejpal, DV et al. (2019). Digital cholangioscopy can detect residual biliary stones missed by occlusion cholangiogram in ERCP: a prospective tandem study. Endoscopy International Open; 07:368-E614. DOI: https://doi.org/10.1055/a-8042-6450. ISSN 2364-3722.
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Sethi, A et al. (2020). Digital Single-operator Cholangioscopy (DSOC) Improves Interobserver Agreement (IOA) and Accuracy for Evaluation of Indeterminate Biliary Strictures: The Monaco Classification. Journal of Clinical Gastroenterology; doi: 10.1097/MCG.000000000000321.
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Subhash, A et al (2021). Applications, Limitations, and Expansion of Cholangioscopy in Clinical Practice. Gastroenterology & Hepatology; 17(3): 110-120.
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Tyberg, A et al. (2017). Digital Pancreaticocholangioscopy for Mapping of Pancreatico-Biliary Neoplasia: Can We Alter the Surgical Resection Margin: Gastrointestinal Endoscopy; 85(5): AB95-AB96. DOI: https://doi.org/10.1016/j.gie.2017.03.140.
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Wehbi, M et al (updated 2Dec2022). Cholangioscopy. Medscape. Cholangioscopy: Background, Indications, Contraindications (Medscape.com). Accessed 7August2023).
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Yodice, M et al. (2020). The Expansion of Cholangioscopy: Established and Investigational Uses of SpyGlass in Biliary and Pancreatic Disorders. Diagnostics; 10(132). Doi: 10.3390/diagnostics10030132. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7151166/pdf/diagnostics-10-00132.pdf.
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