title: Endoscopic ultrasonography-guided endoscopic retrograde cholangiopancreatography: endosonographic cholangiopancreatography.
abstract: Endoscopic retrograde cholangiopancreatography (ERCP) is the standard approach to gaining access to the biliary and pancreatic ductal systems. However, in a small subset of cases anatomic constraints imposed by disease states or abnormal anatomy preclude ductal access via conventional ERCP. With the advent of endoscopic ultrasonography (EUS), with its unique capabilities of accurate imaging and ductal access via transmural puncture, there is now an alternative to surgical and percutaneous radiologic approaches in situations inaccessible to ERCP: endosonographic cholangiopancreatography (ESCP). This article reviews the background, technical details, published experience, and role of ESCP in clinical practice.
authors: Division of Gastroenterology and Hepatology, Hospital Universitario Rio Hortega, Valladolid University Medical School, Valladolid, Spain. mperezmiranda@saludcastillayleon.es
authors: Manuel
authors: M
authors: Perez-Miranda
authors: Robert L
authors: RL
authors: Barclay
authors: Michel
authors: M
authors: Kahaleh
mesh_terms: D001652:Bile Ducts; D002760:Cholangiopancreatography, Endoscopic Retrograde / Q000379:methods*; D002779:Cholestasis / Q000628:therapy*; D004322:Drainage / Q000379:methods*; D019160:Endosonography; D006801:Humans; D010183:Pancreatic Ducts; D015607:Stents; D018084:Ultrasonography, Interventional / Q000379:methods*