Endoscopic retrograde cholangiopancreatography (ERCP) is a technique that combines the use of endoscopy and fluoroscopy to diagnose and treat certain problems of the biliary or pancreatic ductal systems. It is primarily performed by highly skilled and specialty trained gastroenterologists. Through the endoscope, the physician can see the inside of the stomach and duodenum, and inject a contrast medium into the ducts in the biliary tree and pancreas so they can be seen on radiographs.
ERCP is used primarily to diagnose and treat conditions of the bile ducts and main pancreatic duct, including gallstones, inflammatory strictures (scars), leaks (from trauma and surgery), and cancer.
ERCP can be performed for diagnostic and therapeutic reasons, although the development of safer and relatively non-invasive investigations such as magnetic resonance cholangiopancreatography (MRCP) and endoscopic ultrasound has meant that ERCP is now rarely performed without therapeutic intent.
The following represent indications for ERCP, particularly if or when less invasive options are not adequate or definitive:
Obstructive jaundice – This may be due to several causes
Gallstones with dilated bile ducts on ultrasonography
Indeterminate biliary strictures and suspected bile duct tumors
Suspected injury to bile ducts either as a result of trauma or of iatrogenic origin
Sphincter of Oddi dysfunction
Chronic pancreatitis is currently a controversial indication due to widespread availability of safer diagnostic modalities including endoscopic ultrasound, CT, and MRI/MRCP
Pancreatic tumors no longer represent a valid diagnostic indication for ERCP unless they cause bile duct obstruction and jaundice. Endoscopic ultrasound represents a safer and more accurate diagnostic alternative
ERCP may be indicated in the above diagnostic scenarios when any of the following are needed:
Endoscopic sphincterotomy of the sphincter of Oddi
Extraction of gallstones or other biliary debris
Insertion of a stent through the major duodenal papilla and ampulla of Vater into the common bile duct and/or the pancreatic duct
Dilation of strictures (e.
Cette page est générée automatiquement et peut contenir des informations qui ne sont pas correctes, complètes, à jour ou pertinentes par rapport à votre recherche. Il en va de même pour toutes les autres pages de ce site. Veillez à vérifier les informations auprès des sources officielles de l'EPFL.
Endoscopic retrograde cholangiopancreatography (ERCP) is a technique that combines the use of endoscopy and fluoroscopy to diagnose and treat certain problems of the biliary or pancreatic ductal systems. It is primarily performed by highly skilled and specialty trained gastroenterologists. Through the endoscope, the physician can see the inside of the stomach and duodenum, and inject a contrast medium into the ducts in the biliary tree and pancreas so they can be seen on radiographs.
La cholécystectomie est un acte chirurgical qui consiste en une ablation de la vésicule biliaire. Elle peut être réalisée par laparotomie, par incision sous-costale ou par cœlioscopie. La première ablation de vésicule biliaire par cœlioscopie est réalisée en 1987 par le chirurgien français Philippe Mouret. Colique hépatique Hydrocholécyste Cholécystite aigüe Cholécystite gangréneuse Angiocholite Lithiase vésiculaire douloureuse Cholangiocarcinome et tumeur bénigne de la vésicule Tumeur des voies biliaires Malformation de la vésicule biliaire La vésicule est un organe appendu au foie, qui a pour rôle de stocker la bile entre les repas, et de l'évacuer au moment du repas, afin de faciliter la digestion.
Langiocholite est une infection de la bile sur obstacle lithiasique obstruant la voie biliaire principale. Toute élévation de la pression au-delà de d'eau a pour conséquence une distension des voies biliaires qui se traduit sur le plan clinique par une douleur de type biliaire, la rétention de bile infectée des canalicules biliaires vers les sinusoïdes puis vers la circulation générale à travers le carrefour cavo-sus-hépatique : c'est le reflux cholangio-veineux, avec comme conséquence un ictère et une bactériémie (frissons).