Physician Controlled Wireguided Cannulation, by Steven Edmundowicz, MD, FASGE

Dr. Steven Edmundowicz, Barnes Jewish Hospital, St. Louis, Missouri, discusses the advantages of wireguided cannulation (WGC) and various cannulation techniques. He also discusses physician-controlled WGC and the benefits of using a short-wire system, which include having a tactile feel to correctly position and manipulate the guidewire. Forming an Alpha Loop to get beyond a tight stricture is also demonstrated.