Skip to main content

Table 2 Reasons for technical failure by ERCP indication

From: Infection control in ERCP using a duodenoscope with a disposable cap (ICECAP): rationale for and design of a randomized controlled trial

Reason(s) for Technical Failure

Inability to locate papilla in patient with normal anatomy

Inability to locate papilla in patient with altered anatomy, including:

 • duodenal or peri-ampullary diverticulum

 • Billroth II surgery

 • Roux-en-Y surgery

Inability to achieve an en-face view of the papilla of interest due to a luminal stricture

Inability to cannulate duct of interest

Inability to perform sphincterotomy when necessary

Inability to clear duct of interest

Inability to place stent proximal to area of interest

Inability to remove or exchange stent

Inability to achieve hemostasis endoscopically

Inability to successfully load, exchange or remove devices necessary for the completion of the procedure

Inability to safely complete procedure due to issues with sedationa

  1. aIf this is the only reason for technical failure, the patient will be excluded from final analysis