Endoscopic Retrograde Cholangiopancreatography

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Endoscopic Retrograde Cholangiopancreatography

(ERCP)

• Endoscope passed to duodenum
• Catheter passed through sphincter of Oddi / ampulla of Vater
• Radio-opaque contrast injected / X-ray taken

Visualises

• biliary tree and pancreatic ducts
• dilatation
• filling defect for stones / tumour

Additional procedures

• sphincterotomy
• gallstone removal
• dilation and stenting

Complications

• bleeding
• perforation
• ascending cholangitis
  • cover with 1g cefotaxime
• pancreatitis

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