Abstract
Since its introduction in 1968,1 endoscopic retrograde cholangiopancreatography (ERCP) has become an integral part of gastroenterological practice. During ERCP, a side-viewing endoscope is passed through the mouth to the duodenum, the papilla is identified and cannulated, and radiographic contrast material is injected into the bile duct and/or pancreatic duct under fluoroscopic guidance. Like biliary endoscopy, endoscopic retrograde pancreatography (ERP) has evolved from being only a diagnostic procedure to frequently a therapeutic one, providing patients with a minimally invasive method to treat selected pancreatic diseases that previously required open surgery.
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