title: Endoscopic ultrasound and endoscopic retrograde cholangiopancreatography: Can they be successfully combined?
abstract: Endoscopic ultrasound (EUS) and endoscopic retrograde cholangiopancreatography (ERCP) have much in common, including their main indications (biliopancreatic disorders), powerful therapeutic capacities and a steep learning curve. Over the years they have evolved from novel diagnostic procedures to interventional therapeutic techniques, but along different paths (different scopes or devices and endoscopists specializing exclusively in one or the other technique). However, EUS has gradually developed into a therapeutic technique that requires skills in the use of ERCP devices and stents, leading some ERCP specialists to explore the therapeutic potential of EUS. The corresponding literature, which has grown exponentially, includes recent experiments on combining the two techniques, which have gradually come to be used in routine care in a number of centers, with positive technical, clinical and financial outcomes. We review EUS and ERCP as individual or combined procedures for managing biliopancreatic disorders.
authors.affiliation: Endoscopy Unit, Department of Digestive Diseases, Hospital Universitari de Bellvitge-IDIBELL, Barcelona, Catalonia, Spain. Electronic address: jgornals@bellvitgehospital.cat.
authors.forename: Joan B
authors.initials: JB
authors.lastname: Gornals
authors.affiliation: Endoscopy Unit, Department of Digestive Diseases, Hospital Clinic San Carlos, Madrid, Spain.
authors.forename: José Miguel
authors.initials: JM
authors.lastname: Esteban
authors.affiliation: Endoscopy Unit, Department of Digestive Diseases, Hospital Santa Creu i Sant Pau, Barcelona, Catalonia, Spain.
authors.forename: Carlos
authors.initials: C
authors.lastname: Guarner-Argente
authors.affiliation: Endoscopy Unit, Department of Digestive Diseases, Hospital Universitario Araba sede Txagorritxu, Alava, Spain.
authors.forename: Carlos
authors.initials: C
authors.lastname: Marra-Lopez
authors.affiliation: Endoscopy Unit, Department of Digestive Diseases, Hospital Virgen de la Salud, Toledo, Spain.
authors.forename: Alejandro
authors.initials: A
authors.lastname: Repiso
authors.affiliation: Endoscopy Unit, Department of Digestive Diseases, Hospital Clinic, Barcelona, Catalonia, Spain.
authors.forename: Oriol
authors.initials: O
authors.lastname: Sendino
authors.affiliation: Endoscopy Unit, Department of Digestive Diseases, Hospital Mútua Terrassa, CIBEREHD, Terrassa, Catalonia, Spain.
authors.forename: Carme
authors.initials: C
authors.lastname: Loras
mesh_terms: D001660:Biliary Tract Diseases / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D044963:Biopsy, Fine-Needle / Q000379:methods; D002760:Cholangiopancreatography, Endoscopic Retrograde / Q000379:methods*; D004322:Drainage; D019160:Endosonography / Q000379:methods*; D005544:Forecasting; D006801:Humans; D059032:Learning Curve; D064847:Multimodal Imaging / Q000379:methods*; D010182:Pancreatic Diseases / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D012189:Retrospective Studies; D018084:Ultrasonography, Interventional / Q000379:methods
keywords: Aparato digestivo; Biliary drainage; Colangiopancreatografía retrógrada endoscópica; Digestive system; Drenaje biliar; Ecografía endoscópica; Endoscopia; Endoscopic retrograde cholangiopancreatography; Endoscopic ultrasound; Endoscopy; Procedimiento en una sola sesión; Single-session procedure; Terapéutica; Therapeutics