Technical guidance of endoscopic pancreatocholangiography

  • Itaru Oi


Endoscopic pancreatocholangiography, frequently abbreviated as ERCP, is an X-ray examination of the pancreatic and biliary ducts cannulating the duodenal papilla using the fiberscope. This procedure is the only clinical examination of the pancreatic duct, and is an indispensable technique for endoscopic treatments and further investigations: endoscopic papillotomy, drainage, lithotomy, endoprothesis, pancreatoscopy, and collection and cytology of pure juice.

For this examination, a skill in endoscopy is required, and the understanding of the papilla orifice, which consists of prolapsed ampullar folds in the living body, is essential. The catheter should be inserted straight toward the individual duct: the pancreatic and the biliary duct.

As ultrasonography and computed tomography are advanced, the clinical roll of ERCP should be reevaluated. However, the pancreatography expresses exactly the ductal pathology, which is reflected by the background pathology of the pancreas: chronic pancreatitis, nonfusion, pancreatobiliary maljunction, small cancerous, mucous-producing tumors, and cystic lesions.

Key Words

Pancreas diagnosis ERCP 


  1. 1.
    Oi I. Techniques of Endoscopic Pancreatocholangiography. Tokyo: Igaku Shoin, 1973 (Japanese).Google Scholar
  2. 2.
    Leger L et al. Pancreatography by opacification of the excretory ducts of the pancreas. J. Radiol. Electr. 1954; 35: 442.PubMedGoogle Scholar
  3. 3.
    Doubilet H et al. Pancreatography; technics, principles and observation. Radiology 1955; 64: 325.PubMedGoogle Scholar
  4. 4.
    Rabinov KR et al. Peroral cannulation of the ampulla of vater for direct cholangiography and pancreatography. Radiology 1965; 85: 693.PubMedGoogle Scholar
  5. 5.
    Waldron RL et al. Experimental reflux pancreatography and cholangiography. Radiology 1967; 88: 357.PubMedGoogle Scholar
  6. 6.
    McCune WS et al. Endoscopic cannulation of the ampulla of vater. Ann. Surg. 1968; 167: 752.PubMedCrossRefGoogle Scholar
  7. 7.
    Hirschowitz BI et al. Demonstration of a new gastroscope, the “Fiberscope.” Gastroenterology 1958; 35: 50.PubMedGoogle Scholar
  8. 8.
    Oi I et al. Endoscopic pancreatocholangiography. Endoscopy 1970; 2: 103.CrossRefGoogle Scholar

Copyright information

© Humana Press Inc. 1991

Authors and Affiliations

  • Itaru Oi
    • 1
  1. 1.Tokyo Women's Medical CollegeDaini Hospital, Central LaboratoryArakawaku, TokyoJapan

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