In this insightful session from the 12th Annual Update Course in Pediatric Surgery, Drs. David Vitale, Luke Neff, and Jeff Ponsky break down the essentials of intraoperative cholangiography (IOC)—a technique that plays a key role in identifying biliary anatomy and managing stones.

Key Highlights:

• Technique Tips: From contrast flushes to balloon dilation, the team shares practical advice on improving success rates during IOC.
• Clinical Decision-Making: When and how to incorporate glucagon, and when to call in GI for support.
• Avoiding Pitfalls: Recognizing common challenges, including misinterpretation of images and catheter misplacement.
• Collaborative Care: How surgical teams can streamline intraoperative strategy and reduce post-op complications through consistent IOC use.

This session emphasizes IOC as a powerful tool when performed correctly—and reminds us that thoughtful execution and teamwork can make all the difference in surgical outcomes.