ERCP, 2nd Edition


2nd Edition

By Todd H. Baron, MD, FASGE, Professor of Medicine, Division of Gastroenterology & Hepatology, Director of Pancreaticobiliary Endoscopy, Mayo Clinic, Rochester, Minnesota; Richard A. Kozarek, MD, FASGE, Executive Director, Digestive Disease Institute, Virginia Mason Medical Center; Clinical Professor of Medicine, University of Washington, Seattle, Washington and David Leslie Carr-Locke, MD, FRCP, FACG, FASGE, Chief, Division of Digestive Diseases, Beth Israel Medical Center; Professor, Albert Einstein College of Medicine, New York, New York


1 Four Decades: The History of ERCP

2 The ERCP Room

3 Radiologic Issues and Radiation Safety During ERCP

4 Endoscopes, Guidewires and Accessories

5 Sedation in ERCP

6 Indications for and Contraindications to ERCP

7 Adverse Events of ERCP: Prediction, Prevention and Management

8 ERCP Training

9 Preparation for ERCP

10 Principles of Electrosurgery

11 Quality Issues and Measures in ERCP

12 Medicolegal Issues in ERCP


13 Cannulation of the Major Papilla

14 Access (Precut) Papillotomy

15 Sphincter of Oddi Manometry

16 Biliary Sphincterotomy

17 Balloon Dilation of the Native and Postsphincterotomy Papilla

18 Stone Extraction

19 Pancreatic Sphincterotomy

20 Minor Papilla Cannulation and Sphincterotomy

21 Plastic Pancreaticoiliary Stents and Nasopancreaticobiliary Tubes: Concepts and Insertion Techniques

22 Biliary Metal Stent Insertion

23 Pancreaticobiliary Stent Removal: Migrated and Nonmigrated

24 Papillectomy and Ampullectomy

25 Pancreatoscopy

26 Cholangioscopy

27 ERCP in Children

28 ERCP in Pregnancy

29 ERCP in Surgically Altered Anatomy

30 Echoendoscopic Ultrasound-Guided Biliary Drainage

31 Endoscopic Ultrasound-Assisted Access to the Pancreatic Duct


32 Pancreas Divisum, Biliary Cysts, and Other Congenital Anomalies

33 Approach to the Dilated Bile Duct and Pneumobilia

34 The Dilated Pancreatic Duct

35 Ampullary Neoplasia

36 Malignant Biliary Obstruction: Distal

37 Malignant Biliary Obstruction of the Hilum and Proximal Bile Ducts

38 Indeterminate Biliary Stricture

39 Combined Biliary and Duodenal Obstruction

40 Benign Biliary Strictures

41 Biliary Surgery Adverse Events Including Liver Transplantation

42 ERCP for Acute and Chronic Adverse Events of Pancreatic Surgery and Pancreatic Trauma

43 Choledocholithiasis

44 Pancreatobiliary Pain and Suspected Sphincter of Oddi Dysfunction

45 Sclerosing Cholangitis

46 Tropical Parasitic Infestations

47 Recurrent Pyogenic Cholangitis

48 Cystic Lesions of the Pancreas

49 Unexplained Acute Pancreatitis

50 Biliary Intervention in Acute Gallstone Pancreatitis

51 Pancreatic Interventions in Acute Pancreatitis: Ascites, Fistulae, Leaks, and Other Disruptions

52 Chronic Pancreatitis: Stones and Strictures

53 Endoscopic Drainage of Pancreatic Pseudocysts, Abscesses, and Walled-Off (Organized) Necrosis