Endosonography-guided cholangiopancreatography as a salvage drainage procedure for obstructed biliary and pancreatic ducts

Endoscopic ultrasound allows transmural access to the bile or pancreatic ducts and subsequent contrast injection to provide ductal drainage under fluoroscopy using endoscopic retrograde cholangiopancreatography (ERCP)-based techniques.Differing patient specifics and operator techniques result in six...

Full description

Saved in:
Bibliographic Details
Published in:World journal of gastrointestinal endoscopy 2010-06, Vol.2 (6), p.212-222
Main Authors: Perez-Miranda, Manuel, de la Serna, Carlos, Diez-Redondo, Pilar, Vila, Juan J
Format: Article
Language:English
Subjects:
cholangiopancreatography
Digestive
Drainage
Endoscopic
Endoscopy
Endosonography
retrograde
system
Therapeutics
Topic Highlight
ultrasound
Citations: Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Endoscopic ultrasound allows transmural access to the bile or pancreatic ducts and subsequent contrast injection to provide ductal drainage under fluoroscopy using endoscopic retrograde cholangiopancreatography (ERCP)-based techniques.Differing patient specifics and operator techniques result in six possible variant approaches to this procedure,known as endosonography-guided cholangiopancreatography(ESCP). ESCP has been in clinical use for a decade now,with over 300 cases reported.It has become established as a salvage procedure after failed ERCP in the palliation of malignant biliary obstruction.Its role in the management of clinically severe chronic/relapsing pancreatitis remains under scrutiny.This review aims to clarify the concepts underlying the use of ESCP and to provide technical tips and a detailed step-by-step procedural description.
ISSN:1948-5190
1948-5190
DOI:10.4253/wjge.v2.i6.212