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Controversies in ERCP: Indications and preparation

1 Department of Ultrasound, The First Affiliated Hospital of Zhengzhou University, China; Johann Wolfgang Goethe University, Frankfurt/Main, Germany; Department of Allgemeine Innere Medizin, Kliniken Hirslanden Beau Site, Salem und Permanence, Bern, Switzerland
2 Translational Gastroenterology Unit, Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom
3 Surgical Gastroenterology Unit, Groote Schuur Hospital, Cape Town, South Africa
4 Department of Ultrasound, Zhongshan Hospital, Fudan University, Shanghai, China
5 Leeds Teaching Hospitals NHS Trust, Leeds, United Kingdom
6 Medical Department, Helios Klinikum Meiningen, Meiningen, Germany
7 Medical Department 2, Caritas-Krankenhaus, Uhlandstr 7, D-97980 Bad Mergentheim, Germany
8 University Hospitals of North Midlands, North Midlands, United Kingdom
9 HPB Unit, Freeman Hospital, Newcastle upon Tyne, United Kingdom
10 Endoscopy Center, Sheng Jing Hospital of China Medical University, Shenyang, Liaoning, China
11 Department of Internal Medicine, Krankenhaus Markisch-Oderland, Strausberg; Brandenburg Institute for Clinical Ultrasound at Medical University Brandenburg, Neuruppin, Germany
12 Translational Gastroenterology Unit, Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom; Johann Wolfgang Goethe University, Frankfurt/Main, Germany

Correspondence Address:
Christoph F Dietrich,
Department Allgemeine Innere Medizin, Kliniken Beau Site, Salem und Permanence, Hirslanden, Bern, CH-3036 Bern

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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/EUS-D-21-00106

PMID: 34677145

The aim of the series of papers on controversies of biliopancreatic drainage procedures is to discuss the pros and cons of the varying clinical practices and techniques in ERCP and EUS for drainage of biliary and pancreatic ducts. The first part focuses on indications, clinical and imaging prerequisites before ERCP, sedation options, post-ERCP pancreatitis (PEP) prophylaxis, and other related technical topics. In the second part, specific procedural ERCP-techniques including precut techniques and its timing as well as management algorithms are discussed. In addition, controversies in EUS-guided bile duct and pancreatic drainage procedures are under preparation.

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