European Congress of Endoscopic Ultrasonography 6th EUS-ERCP Connection The EURCP Concept Course 2022

Welcome to the premier educational program dedicated to the convergence of Endoscopic Ultrasound (EUS) and Endoscopic Retrograde Cholangiopancreatography (ERCP).
Traditionally, these two modalities were taught as separate disciplines. The 2022 EURCP Concept challenges this dogma. This course advocates for the modern “Biliopancreatic Endoscopist”—a single operator capable of using EUS for precise diagnosis and staging, followed immediately by ERCP for therapeutic intervention in the same session.
This curriculum encapsulates the high-yield lectures, live demonstrations, and consensus guidelines presented at the 6th European Congress, offering a definitive guide to combined endoscopic procedures.

Format: High-Definition Video Modules + Case-Based Learning.

Clinical Standard: Based on ESGE (European Society of Gastrointestinal Endoscopy) Guidelines.

Target Audience
This advanced course is strictly designed for:

Gastroenterologists: Who already perform basic endoscopy and wish to sub-specialize in interventional biliopancreatic procedures.

Advanced Endoscopy Fellows: Seeking to bridge the gap between diagnostic EUS and therapeutic ERCP.

Hepatobiliary Surgeons: Who utilize endoscopic approaches for minimally invasive management of pancreaticobiliary pathologies.

Learning Objectives
By the end of this intensive program, participants will be able to:

Master the “EURCP” Workflow: Seamlessly integrate EUS and ERCP in a single clinical session to minimize patient risk and anesthesia time.

Navigate Difficult Biliary Access: Utilize EUS-guided rendezvous techniques when standard ERCP cannulation fails.

Advanced Stenting: Understand the indications for Lumen-Apposing Metal Stents (LAMS) in pancreatic fluid collections and biliary drainage.

Oncological Management: Perform EUS-guided tissue acquisition (FNB) followed by ERCP biliary palliation (stenting) for pancreatic cancer patients.

Why Enroll?

“Don’t just see the pathology. Treat it.”

The 2022 EURCP Concept represents the future of interventional endoscopy. This course moves you beyond being just a “diagnostician” or a “technician” to becoming a complete Interventional Endoscopist.
Course Topics & Conference Highlights
*Note: these are continuous video recordings during the conference, they include individual lectures mentioned in the section below
State-of-the-art modules derived from the 2022 Scientific Program.
TOPIC 1: The EURCP Philosophy – The Single Session Approach

Rationale: Why combining EUS and ERCP reduces costs and complications.

Room Setup: Ergonomics and fluoroscopy management for the dual-modality endoscopist.

Sedation: Anesthesia considerations for prolonged combined procedures.

TOPIC 2: EUS-Guided Biliary Drainage (EUS-BD)

The “Rescue” Algorithm: What to do when ERCP fails?

Techniques:

EUS-Guided Choledochoduodenostomy (CDS).

EUS-Guided Hepaticogastrostomy (HGS).

The Rendezvous Technique: Using EUS to pass a wire for ERCP cannulation.

TOPIC 3: Pancreatic Fluid Collections (PFCs)

Necrosectomy Revolution: Management of Walled-Off Necrosis (WON).

LAMS Deployment: Step-by-step guide to placing Lumen-Apposing Metal Stents (Hot Axios, Spaxus, etc.).

Plastic vs. Metal: 2022 Consensus on when to use which stent.

TOPIC 4: Diagnostic & Therapeutic Interventions in Oncology

Pancreatic Cancer Staging: The critical role of EUS prior to ERCP.

Tissue Acquisition: Fine Needle Biopsy (FNB) needles vs. FNA – obtaining core histology for personalized oncology.

Radiofrequency Ablation (RFA): EUS-guided ablation of pancreatic neuroendocrine tumors and cysts.

TOPIC 5: Managing Adverse Events

Prevention and management of Post-ERCP Pancreatitis (PEP) in combined procedures.

Handling bleeding and perforations: Clips, sprays, and suturing devices.