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Endoscopic Procedures V: ERCP

Endoscopic Procedures V: ERCP

Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
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Related Experiment Video

Updated: May 9, 2026

Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction

Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction

Published on: March 25, 2022

Endobiliary radiofrequency ablation for malignant biliary obstruction.

Halil Alis¹, Cetin Sengoz, Murat Gonenc

¹General Surgery Clinics, Dr. Sadi Konuk Training and Research Hospital, Istanbul 34147, Turkey. halilalis@gmail.com

Hepatobiliary & Pancreatic Diseases International : HBPD INT

|August 9, 2013

Summary

Endobiliary radiofrequency ablation combined with endoscopic stenting offers a safe palliative option for malignant biliary obstruction in extrahepatic cholangiocarcinoma, potentially extending stent patency.

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Last Updated: May 9, 2026

Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction

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Published on: March 25, 2022

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Intraoperative Strategy under Complex Vascular Adhesion for Laparoscopic Radical Resection of Bismuth-Corlette Type IIIb Perihilar Cholangiocarcinoma

Intraoperative Strategy under Complex Vascular Adhesion for Laparoscopic Radical Resection of Bismuth-Corlette Type IIIb Perihilar Cholangiocarcinoma

Published on: February 13, 2026

Area of Science:

Gastroenterology
Interventional Endoscopy
Oncology

Background:

Malignant biliary obstruction in inoperable extrahepatic cholangiocarcinoma necessitates palliative treatment.
Endoscopic stenting is the primary method but faces challenges with stent obstruction.
Endobiliary radiofrequency ablation (RFA) is explored as an adjunct to improve stent patency.

Purpose of the Study:

To evaluate the safety and efficacy of endobiliary RFA as an adjunct to endoscopic stenting.
To assess the impact of RFA on stent patency and patient outcomes in malignant biliary obstruction.

Main Methods:

Retrospective analysis of patients with inoperable extrahepatic cholangiocarcinoma undergoing ERCP.
Inclusion criteria: successful endobiliary RFA and stenting.
Data collected: technical details, stent patency, hospital stay, morbidity, and mortality.

Main Results:

Ten patients were included; 9 achieved successful biliary decompression.
Median stent patency was 9 months (range 6-15 months).
30-day morbidity was 20% (mild pancreatitis in 2), with 0% mortality.

Conclusions:

Endobiliary RFA is a safe and feasible palliative approach for malignant biliary obstruction.
This technique may prolong stent patency and potentially improve survival in extrahepatic cholangiocarcinoma.