Endoscopic Retrograde Cholangiopancreatography: Pancreatic Endoscopy

Abstract

The evolution of pancreatic endoscopic retrograde cholangiopancreatography (ERCP) has transformed from a diagnostic tool to now a primarily therapeutic modality. Mainly utilized within the spectrum of pancreatitis, pancreatic ERCP can help resolve pancreatic duct (PD) leaks, disruptions, and pancreatic fluid collections. In chronic pancreatitis, ERCP is effective for the treatment of PD strictures and stones with the improvement of pancreatoscopy greatly facilitating targeted therapy. Pancreatoscopy also allows for accurate mapping of main duct intraductal papillary mucinous neoplasms, which can help guide surgical resection.

Keywords: Acute recurrent pancreatitis; Chronic pancreatitis; Intraductal papillary mucinous neoplasm; Pancreas divisum; Pancreatic duct leak; Pancreatic duct stone; Pancreatic duct stricture; Pancreatoscopy.