PubMed · 4448655
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R Berchtold, C Ghielmetti. 1974. [Operative cholangioscopy].. https://pubmed.ncbi.nlm.nih.gov/4448655/
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Endoscopic retrograde cholangiopancreatography (ERCP) is still a gold standard in the diagnostic work-up of the pancreaticobiliary system. However, the problem of post-ERCP pancreatitis has not yet been solved. Since the appearance of magnetic resonance cholangiopancreatography (MRCP), there has been a trend for it to replace ERCP as an imaging tool. At present, MRCP equipment is not available at every institution. In addition, MRCP images are not satisfactorily comparable to those provided by ERCP, although technological advances will fill this gap in the near future. If this is achieved, diagnostic ERCP may be reduced to the specific tasks of obtaining histological and cytological materials, and for functional studies.
Therapeutic biliary endoscopy continues to evolve; some small but important developments were seen during the last year. Competing technologies are continuing to develop.
Areas of application for endosonography can be roughly divided into three categories: standard diagnostic examination; operative diagnostic examination (fine-needle aspiration); and operative therapeutic procedures. Nevertheless, endoscopic ultrasonography remains a single technique, in which the physician can not only raise a suspicion of a particular disease, but can also obtain cytological confirmation when needed and carry out a therapeutic procedure when indicated. Widely accepted indications for endosonography are the staging of esophageal and rectal cancer, and the visualization of submucosal lesions and gastric wall diseases; other indications, such as imaging of the pancreas and biliary tree, are still being discussed.