Advances in pancreatobiliary endoscopy

Current Opinion in Gastroenterology
Gregory A Cote, S Sherman

Abstract

The role of diagnostic and therapeutic endoscopic retrograde cholangiopancreatography (ERCP) continues to mature. We will review the progress of pancreatobiliary endoscopy in the evaluation and treatment of benign and malignant pancreatobiliary diseases. First, minimizing contrast injection of the pancreas, wire-guided cannulation and prophylactic pancreatic stenting have been re-emphasized in recent studies as the most important endoscopic interventions that can lower the risk of post-ERCP pancreatitis. The role of preoperative ERCP in patients with jaundice secondary to pancreatic cancer was raised in a randomized trial; the widespread use of preoperative biliary drainage is now up for debate. The use of ERCP, intraoperative cholangiography, endoscopic ultrasound and magnetic resonance cholangiopancreatography in the evaluation of suspected common bile duct stones is discussed. We conclude by evaluating studies of fully covered, self-expandable metallic stents, with an emphasis on their potential use in benign biliary disease. Given the risk of complications and development of alternative imaging modalities, diagnostic ERCP is rarely indicated. However, therapeutic ERCP has been bolstered by advances such as fully covered met...Continue Reading

References

Aug 18, 1999·Annals of Surgery·K D Lillemoe
Sep 29, 2001·Gastrointestinal Endoscopy·M L FreemanJ P Roel
Apr 7, 2004·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Abdullah RashdanGlen A Lehman
Jun 3, 2004·Gastrointestinal Endoscopy·Fausto LellaUmberto Bonassi
Nov 3, 2004·Gastroenterology·James A DisarioStephen C Alder
Aug 6, 2005·Journal of Clinical Gastroenterology·Emad M Abu-HamdaBret T Petersen
Jan 13, 2006·The American Journal of Gastroenterology·Chi-Liang ChengGlen A Lehman
Mar 28, 2006·Gastrointestinal Endoscopy·Todd H BaronIrving M Pike
Jun 24, 2006·Annals of Surgery·John L CameronKenneth A Belcher
Feb 27, 2007·Gastrointestinal Endoscopy·Young Koog CheonGlen A Lehman
Jun 22, 2007·The American Journal of Gastroenterology·Everson L A ArtifonAtul Kumar
Apr 1, 2008·Annals of Surgery·Thomas SchnelldorferMichael B Farnell
Nov 15, 2008·Gastrointestinal Endoscopy·Tae Hoon LeeSun-Joo Kim
Mar 10, 2009·Digestive Diseases and Sciences·Henry HoMichel Kahaleh
Mar 17, 2009·Gastrointestinal Endoscopy·Peter B CottonJoseph Romagnuolo
Apr 22, 2009·Current Opinion in Gastroenterology·Andrew S Ross, Richard A Kozarek
May 19, 2009·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Prabhleen ChahalTodd H Baron
Jun 30, 2009·Gastrointestinal Endoscopy·Alberto Herreros de TejadaUNKNOWN UDOGUIA-04 Group
Jun 30, 2009·Annals of Surgery·Hjalmar C van SantvoortUNKNOWN Dutch Acute Pancreatitis Study Group
Aug 21, 2009·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·László MadácsyIván Székely
Sep 15, 2009·World Journal of Gastroenterology : WJG·Hyun Gun KimMoon Sung Lee
Oct 28, 2009·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Philip A PhilipJoel Tepper
Jan 15, 2010·The New England Journal of Medicine·Niels A van der GaagDirk J Gouma

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Citations

Oct 2, 2013·Gastrointestinal Endoscopy Clinics of North America·Nisa M Kubiliun, B Joseph Elmunzer
Jun 1, 2012·The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland·Jun YangWei Chen
Aug 14, 2012·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·B Joseph ElmunzerJames M Scheiman
Nov 23, 2013·Diagnostic Cytopathology·Sydney D FinkelsteinEric Ellsworth
Oct 29, 2015·Digestive Diseases and Sciences·Rajesh N KeswaniGregory A Coté
Jun 9, 2018·United European Gastroenterology Journal·Kwang Hyun ChungYong-Tae Kim

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