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