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Management of Pancreaticobiliary Disease: Endoscopic Retrograde Cholangiopancreatography (ERCP)

  • Colleen M. Alexander
  • Vimal Kumar Narula
Chapter

Abstract

Endoscopic retrograde cholangiopancreatography (ERCP) is an endoscopic technique developed to allow access to the pancreaticobiliary system. Many individuals have contributed to the development of ERCP into the diagnostic and therapeutic tool that it is today. With the development of better imaging modalities, the indications for strictly diagnostic ERCP are shrinking; however, ERCP techniques are used for a widening variety of therapeutic interventions. Indications for ERCP range from treatment of benign conditions such as choledocholithiasis and sphincter of Oddi dysfunction to treatment of malignant strictures and advanced techniques such as radiofrequency ablation. Careful patient selection and technique is necessary to minimize the risk profile of the procedure. Those performing ERCP should be aware of the risks and complications as well as their treatment. Techniques utilizing ERCP will likely continue to expand in the future, making it a useful minimally invasive tool for the treatment of many diseases of patients.

Keywords

ERCP Indications Contraindications Complications Technique Choledocholithiasis Biliary stricture Sphincterotomy Biliary stent Pancreatic stent 

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Copyright information

© Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) 2020

Authors and Affiliations

  • Colleen M. Alexander
    • 1
  • Vimal Kumar Narula
    • 2
    • 3
  1. 1.Center for Minimally Invasive Surgery, The Ohio State University Wexner Medical Center, Department of SurgeryColumbusUSA
  2. 2.The Ohio State Wexner Medical Center, Department of SurgeryColumbusUSA
  3. 3.The Ohio State University College of Medicine, Department of Surgery, Division of General and Gastrointestinal SurgeryColumbusUSA

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