Endoscopic retrograde cholangiopancreatography

Introduction

Endoscopic retrograde cholangiopancreatography (ERCP) is pivotal in the diagnosis and management of pancreaticobiliary disorders. At the same time it is one of the most sophisticated and challenging techniques in our endoscopic armamentarium. This article reviews some of the highlights of the ERCP-related research presented at this year’s Digestive Disease Week. Clinical investigation was aimed at enhancing efficacy, improving safety, and expanding the applications of ERCP. The most compelling themes addressed new techniques and new technologies applied to new and old problems. The overall impression is that while the quantity of ERCP-related research might be diminishing over the years, the quality is growing.

References

• 1 Da Silveira E B, Barkun A N, Romagnuolo J. et al . An economic evaluation from randomized trial data comparing ERCP to MRCP in suspected biliary obstruction.  Gastrointest Endosc. 2007;  65 AB95
• 2 Artifon E L, Sakai P, Marques S B. et al . An interim analysis of EUS vs. ERCP guided biliary therapeutic intervention.  Gastrointest Endosc. 2007;  65 AB95
• 3 Park D, Yun S Y, Kwon T H. et al . Peroral direct cholangioscopic argon plasma coagulation (APC) by using an ultra-slim upper endoscope for recurrent hepatoma with intraductal nodular tumor growth.  Gastrointest Endosc. 2007;  65 AB4
• 4 Itoi T, Sofuni A, Itokawa F. et al . Peroral choledochoscopy (POCS) diagnosis of biliary tract diseases using narrow-band imaging (NBI).  Gastrointest Endosc. 2007;  65 AB4
• 5 Seo D W, Lee S S, Lee S K, Kim M H. Cholangioscopic observation of bile duct lesions.  Gastrointest Endosc. 2007;  65 AB4
• 6 Stevens P D, Chen Y K, Pleskow D K. et al . Biliary stone extraction (BSE) guided by direct visualization using the new SpyGlass Direct Visualization System.  Gastrointest Endosc. 2007;  65 AB96
• 7 Lo S, Kozarek R A, Slivka A. SpyGlass cholangioscopy (SGC): preliminary clinical experience in 3 tertiary care centers.  Gastrointest Endosc. 2007;  65 AB122
• 8 Telford J J, Carr-Locke D L, Poneros J M. et al . A randomized trial comparing the covered and uncovered Wallstent in the palliation of malignant distal biliary obstruction: interim analysis.  Gastrointest Endosc. 2007;  65 AB123
• 9 Kahaleh M, Behm B W, Clarke B W. et al . Temporary placement of covered self-expandable metal stents in benign biliary strictures: long-term results.  Gastrointest Endosc. 2007;  65 AB123
• 10 Perez-Miranda M, Mata L, Saracíbar E. et al . Temporary access fistulas (TAFs) using covered self-expandable metal stents (cSEMS): a feasible tool for interventional pancreaticobiliary endoscopy.  Gastrointest Endosc. 2007;  65 AB123
• 11 Chahal P, Baron T H, Tarnasky P R. et al . A prospective multicenter randomized trial of pancreatic duct stents to prevent acute post-ERCP pancreatitis.  Gastrointest Endosc. 2007;  65 AB129
• 12 Guda N, Catalano M F, Geenen J E. Post-ERCP pancreatitis: differences in outcomes between 3 Fr long pigtail and modified short 5 Fr Geenen stents: a randomized controlled trial.  Gastrointest Endosc. 2007;  65 AB113
• 13 Ortner M E, Caca K, Berr F. et al . Successful photodynamic therapy for nonresectable cholangiocarcinoma: a randomized prospective study.  Gastroenterology. 2003;  125 1355-1363
• 14 Kahaleh M, Mishra R, Shami V M. et al . Unresectable cholangiocarcinoma: does photodynamic therapy (PDT) with stenting increase survival when compared to stenting alone?.  Gastrointest Endosc. 2007;  65 AB96
• 15 Yoo B, Kim J, Jung J. et al . Large balloon sphincteroplasty along with or without sphincterotomy in patients with large extrahepatic bile duct stones: a multicenter study.  Gastrointest Endosc. 2007;  65 AB97