ERCP.pptx

ERCP QUIZLET FOR MEDICAL STUDENT

1. ERCP

2. Endoscopic retrograde cholangiopancreatography (ERCP) is a diagnostic and interventional procedure technique using both endoscopy and fluoroscopy for examination and intervention of the biliary tree and pancreatic ducts.

3. Indications
biliary drainage 2
bile duct stones removal (e.g. Choledocholithiasis ) 4
biliary stenting for strictures and leakage
biliary or pancreatic ductal system tissue sampling
triple tissue sampling (TTS) is a common practice 3 manometry for sphincter of Oddi balloon dilation of the duodenal papilla or ductal strictures sphincterotomy (e.g. Sphincter of Oddi dysfunction or stenosis)

4. Contraindications
relative
altered anatomy in post-surgical states (e.g. Billroth II gastrojejunostomy , Roux- en -Y jejunostomy ) 4
structural abnormalities of oesophagus, stomach or duodenum 4
coagulopathy
unstable patient (severe cardiac/respiratory diseases) 4

5. Complications
pancreatitis (~5%) 1
haemorrhage (2%)
severe bleeding in 0.1 to 0.5% of cases 1
perforation leading to pneumoperitoneum and/or pneumoretroperitoneum (<1%) 1
infection (e.g. Cholangitis) 1
migration of a biliary or pancreatic duct stent
complications secondary to endoscopy e.g. Oesophageal and gastric injury