Abstract
The best way to decrease ERCP complications is to avoid doing the unnecessary ERCP. Both intraoperative and postoperative ERCP rely on the use of intraoperative cholangiography as a final diagnostic test for choledocholithiasis (CLD), whenever clinical data, biochemical tests and radiological studies (ultrasound and sometimes MR cholangiography) were unable to exclude CLD. Besides, intraoperative ERCP could become a therapeutic option in patients with biliary lithiasis and a previous preoperative ERCP failure, avoiding re operations .We present our experience with intraoperative ERCP, as a follow up of an clinical research comparing intraoperative and preoperative ERCP on the CLD management (1).
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