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PubMed · 12117897

Evaluating ERCP is important but difficult.

P B Cotton
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Abstract

ERCP is a valuable technique now practised widely throughout the world. It revolutionised the diagnosis and management of benign and malignant biliary and pancreatic diseases in the 1970s and 1980s. However, recent developments have highlighted the need for detailed evaluation of current ERCP practice. This review is based on a presentation to a recent NIH "state of the science" conference on ERCP, and refers to an article which appears in this issue of Gut from researchers in Hong Kong who report on a randomised controlled trial of endoscopic sphincterotomy in acute cholangitis.

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Biliary Tract DiseasesCholangiopancreatography, Endoscopic RetrogradeHumansPancreatic DiseasesUnited StatesEvaluation StudyJournal ArticleComment

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P B Cotton. 2002. Evaluating ERCP is important but difficult.. https://doi.org/10.1136/gut.51.2.287

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MR cholangiopancreatography.

Although MRCP is still an evolving technique, it has established itself as clinically useful and comparable with ERCP for the evaluation of various biliary or pancreatic ductal diseases. MRCP is not only comparable with ERCP in its diagnostic ability, but it has the tremendous advantage of being noninvasive. Furthermore, MR imaging is useful in patients with incomplete or failed ERCP, and in patients with certain biliary or gastrointestinal surgical procedures it is the imaging modality of choice. ERCP will remain an extremely important modality because of the great clinical importance for interventional biliary procedures with this technique. Nonetheless, MRCP may in the near future replace most of the diagnostic imaging of the biliary tree, with diagnostic results even more improved with further developments of hardware and technique.

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