Endoscopic Retrograde Cholangiopancreatography (ERCP)
(Gastrointest Endosc 2005;62:1-8 & 2003;57:633-38)
INDICATIONS:
Biliary
Diagnosis and extraction of common bile duct stones (if high suspicion)
Diagnosis of primary sclerosing cholangitis
Investigation, brushing and therapy of bile duct strictures
Staging of bile duct cancer
Diagnosis of bile duct anomalies
Palliation of biliary obstruction from bile duct, ampullary, or pancreas cancer
Imaging of bile and pancreatic ducts prior to ampullectomy
Questions to ask about a stricture:
Long or short? Symmetric or asymmetric? What is above/below the stricture?
Pancreatic
Acute recurrent pancreatitis (to rule out obstructive cause or sphincter dysfunction-should not be performed during acute episode)
Type I and II Sphincter of Oddi dysfunction (manometry and biliary/pancreatic sphincterotomy)Stay updated, free articles. Join our Telegram channel
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