title: Therapeutic endoscopic retrograde cholangiopancreatography and instrumentation.
abstract: Over the last 40 years, endoscopic retrograde cholangiopancreatography (ERCP) has evolved from being a purely diagnostic to a primarily therapeutic procedure. The 2 recent developments in ERCP-based stricture management include the increased use of cholangioscopy-guided sampling and self-expandable metal stents. The role of ERCP in pancreatic diseases continues to evolve; ERCP-based pancreatic therapy requires advanced endoscopic expertise and is associated with a high rate of postprocedure complications. Therefore, a multidisciplinary team approach at a center with expertise in pancreatic therapy should serve as a basis for very careful patient selection.
authors: Division of Internal Medicine, Department of Medicine, University of Florida, Gainesville, FL 32610-0214, USA.
authors: Davinderbir S
authors: DS
authors: Pannu
authors: Peter V
authors: PV
authors: Draganov
mesh_terms: D001660:Biliary Tract Diseases / Q000628:therapy*; D002760:Cholangiopancreatography, Endoscopic Retrograde / Q000295:instrumentation*; D019723:Endoscopes; D006801:Humans; D008096:Lithotripsy / Q000295:instrumentation; D010182:Pancreatic Diseases / Q000628:therapy*; D015607:Stents