This randomized study demonstrated that transpancreatic biliary sphincterotomy (TPBS) is an effective alternative to a double-guidewire (DGW) technique following failure of the conventional ERCP technique. TPBS achieved cannulation without increasing the risk of post-ERCP pancreatitis compared with DGW use.

This ESGE Position Statement comprehensively addresses, for the first time in Europe, a clear framework for the provision of training in both endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic ultrasound (EUS). It encompasses the skills required prior to commencing training in ERCP and EUS, structured training for trainees to become independent endoscopists, and ways of ensuring competence is achieved and evidenced, with several practice recommendations.