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Gastrointestinal - ERCP
In this episode, we review endoscopic retrograde cholangiopancreatography (ERCP), a specialized procedure used to diagnose and treat biliary and pancreatic duct disorders. We break down the relevant anatomy of the ampulla of Vater and sphincter of Oddi, common indications such as choledocholithiasis and acute cholangitis, and key contraindications to consider before proceeding. The discussion walks through procedural steps, highlights complication risks—particularly post-ERCP pancreatitis—and emphasizes thoughtful patient selection.
References
1) Bushardt RL, Colomb-Lippa DM, Klinger AM, Reed H. The JAAPA QRS Review for PAs: Study Plan and Guide for PANCE and PANRE. 1st ed. LWW; 2021. ISBN: 9781975143817.
2) Johnson KD, Perisetti A, Tharian B, Thandassery R, Jamidar P, Goyal H, Inamdar S. Endoscopic retrograde cholangiopancreatography-related complications and their management strategies: a scoping literature review. Dig Dis Sci. 2020;65(2):361-375. doi:10.1007/s10620-019-05970-3.
3) Meseeha M, Goosenberg E, Attia M. Endoscopic Retrograde Cholangiopancreatography. [Updated 2025 Oct 5]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK4931603)
4) Sanders DJ, Bomman S, Krishnamoorthi R, Kozarek RA. Endoscopic retrograde cholangiopancreatography: current practice and future research. World J Gastrointest Endosc. 2021;13(8):260-274. doi:10.4253/wjge.v13.i8.260.
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By Kristopher Maday, PA-C, DFAAPAIn this episode, we review endoscopic retrograde cholangiopancreatography (ERCP), a specialized procedure used to diagnose and treat biliary and pancreatic duct disorders. We break down the relevant anatomy of the ampulla of Vater and sphincter of Oddi, common indications such as choledocholithiasis and acute cholangitis, and key contraindications to consider before proceeding. The discussion walks through procedural steps, highlights complication risks—particularly post-ERCP pancreatitis—and emphasizes thoughtful patient selection.
References
1) Bushardt RL, Colomb-Lippa DM, Klinger AM, Reed H. The JAAPA QRS Review for PAs: Study Plan and Guide for PANCE and PANRE. 1st ed. LWW; 2021. ISBN: 9781975143817.
2) Johnson KD, Perisetti A, Tharian B, Thandassery R, Jamidar P, Goyal H, Inamdar S. Endoscopic retrograde cholangiopancreatography-related complications and their management strategies: a scoping literature review. Dig Dis Sci. 2020;65(2):361-375. doi:10.1007/s10620-019-05970-3.
3) Meseeha M, Goosenberg E, Attia M. Endoscopic Retrograde Cholangiopancreatography. [Updated 2025 Oct 5]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK4931603)
4) Sanders DJ, Bomman S, Krishnamoorthi R, Kozarek RA. Endoscopic retrograde cholangiopancreatography: current practice and future research. World J Gastrointest Endosc. 2021;13(8):260-274. doi:10.4253/wjge.v13.i8.260.