Controversies in ERCP: Technical aspects

Endosc Ultrasound. 2022 Jan-Feb;11(1):27-37. doi: 10.4103/EUS-D-21-00102.

Abstract

The aim of the series of papers on controversies of biliopancreatic drainage procedures is to discuss pros and cons of the varying clinical practices and techniques in ERCP and EUS for drainage of biliary and pancreatic ducts. While the first part focuses on indications, clinical and imaging prerequisites prior to ERCP, sedation options, post-ERCP pancreatitis prophylaxis, and other related technical topics, the second part discusses specific procedural ERCP techniques including precut techniques and their timing as well as management algorithms. In addition, reviews on controversies in EUS-guided bile duct and pancreatic drainage procedures are under preparation.

Keywords: EUS; bile stones; endoscopic sphincterotomy; magnetic resonance cholangio pancreaticography; papillotomy; tumor.