Therapeutic pancreaticobiliary endoscopy

Area of Science:

• Gastroenterology and Hepatology
• Minimally Invasive Surgery

Background:

• Therapeutic endoscopic retrograde cholangiopancreatography (ERCP) has significantly advanced, establishing endoscopy as a primary treatment modality for pancreaticobiliary disorders.
• The evolution from sphincterotomy for stone disease has spurred the development of diverse endoscopic techniques for complex conditions.

Purpose of the Study:

• To review the techniques and outcomes of endoscopic interventions for a wide spectrum of pancreaticobiliary diseases.
• To highlight the favorable comparison of endoscopic therapy with surgical options for conditions like cholangitis.

Main Methods:

• Discussion of established and emerging endoscopic techniques for treating pancreaticobiliary conditions.
• Review of clinical results and safety profiles of various endoscopic procedures.

Main Results:

• Endoscopic therapy demonstrates comparable or superior outcomes to surgery for specific pancreaticobiliary disorders.
• ERCP is effective in managing gallstone pancreatitis, obstructive jaundice, neoplasia, strictures, and fistulas.

Conclusions:

• Endoscopic retrograde cholangiopancreatography is a safe, effective, and cost-efficient treatment choice for numerous biliary and pancreatic diseases.
• The expanding scope and proven efficacy of ERCP drive continued demand for its application in pancreaticobiliary care.