| Endoscopic retrograde cholangiopancreatography | |
|---|---|
 Duodenoscopic image of two black pigment stones extracted from common bile duct after sphincterotomy | |
| ICD-9-CM | 51.10 |
| MeSH | D002760 |
| OPS-301 code | 1-642 |
Endoscopic retrograde cholangiopancreatography (ERCP) is a technique that combines the use of endoscopy and fluoroscopy to diagnose and treat certain problems of the biliary or pancreatic ductal systems. It is primarily performed by highly skilled and specialty trained gastroenterologists. Through the endoscope, the physician can see the inside of the stomach and duodenum, and inject a contrast medium into the ducts in the biliary tree and/or pancreas so they can be seen on radiographs.
ERCP is used primarily to diagnose and treat conditions of the bile ducts and main pancreatic duct,[1] including gallstones, inflammatory strictures (scars), leaks (from trauma and surgery), and cancer. ERCP can be performed for diagnostic and therapeutic reasons, although the development of safer and relatively non-invasive investigations such as magnetic resonance cholangiopancreatography (MRCP) and endoscopic ultrasound has meant that ERCP is now rarely performed without therapeutic intent.[2]
- ^ Adler, Douglas G.; Baron, Todd H.; Davila, Raquel E.; Egan, James; Hirota, William K.; Leighton, Jonathan A.; Qureshi, Waqar; Rajan, Elizabeth; Zuckerman, Marc J.; Fanelli, Robert; Wheeler-Harbaugh, Jo; Faigel, Douglas O.; Standards of Practice Committee of American Society for Gastrointestinal, Endoscopy. (July 2005). "ASGE guideline: The role of ERCP in diseases of the biliary tract and the pancreas". Gastrointestinal Endoscopy. 62 (1): 1–8. doi:10.1016/j.gie.2005.04.015. PMID 15990812.
- ^ Tharian, B.; George, N. E.; Tham, T. C. (2015). "What is the current role of endoscopy in primary sclerosing cholangitis?". World Journal of Gastrointestinal Endoscopy. 7 (10): 920–927. doi:10.4253/wjge.v7.i10.920. PMC 4530326. PMID 26265986.