ERCP performed and described by surgical endoscopists

Area of Science:

• Gastroenterology and Endoscopic Procedures
• Surgical Endoscopy

Background:

• Endoscopic retrograde cholangiopancreatography (ERCP) is a key endoscopic technique for diagnosing and treating biliopancreatic diseases.
• The procedure, first performed in 1968, utilizes fluoroscopy for visualization.
• While commonly performed by gastroenterologists, surgeons also undertake ERCP, often with comparable outcomes.

Purpose of the Study:

• To review the fundamental principles of ERCP.
• To detail the practical application and methodology of ERCP as performed in the authors' practice.

Main Methods:

• Review of established endoscopic retrograde cholangiopancreatography techniques.
• Description of procedural steps and considerations in a surgical endoscopy setting.
• Discussion of training pathways for advanced gastrointestinal endoscopy.

Main Results:

• Surgeons trained in advanced gastrointestinal endoscopy achieve success rates and outcomes similar to gastroenterologists performing ERCP.
• The review underscores the efficacy of ERCP in managing biliopancreatic conditions.

Conclusions:

• ERCP is a versatile and effective endoscopic procedure for biliopancreatic system disorders.
• Surgical expertise in advanced endoscopy complements gastroenterology in ERCP practice.
• Understanding ERCP's core principles and procedural execution is crucial for successful clinical application.