Open AccessEndosonography-guided cholangiopancreatography as a salvage drainage procedure for obstructed biliary and pancreatic ducts
Author(s) -
Manuel Pérez-Miranda,
Carlos De La Serna,
Pilar DíezRedondo,
Juan J. Vila
Publication year - 2010
Publication title -
world journal of gastrointestinal endoscopy
Language(s) - English
Resource type - Journals
ISSN - 1948-5190
DOI - 10.4253/wjge.v2.i6.212
Subject(s) - medicine , endoscopic retrograde cholangiopancreatography , fluoroscopy , pancreatitis , radiology , biliary drainage , surgery
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.