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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.
Peter B. Cotton (born 1939) is a British gastroenterologist [1] best known for his advancement in digestive disease, pioneering and naming the Endoscopic retrograde cholangiopancreatography (ERCP) procedure [citation needed] and creating the Digestive Disease Center at the Medical University of South Carolina.
MRCP has been slowly replacing endoscopic retrograde cholangiopancreatography (ERCP) as investigation of choice. MRCP is highly accurate in diagnosing the biliary system, pancreatic duct and accessing surrounding solid organs. Several advantages offered by MRCP is its non-invasive nature, less costly, requires less examination time when ...
In addition, it is commonly performed during an endoscopic retrograde cholangiopancreatography (ERCP), and it may be used for facilitating diagnostic procedures such as transpapillary bile duct biopsy, papillary tumor biopsy, and insertion of a cholangioscope. [1]
Depending on the need to test for specific diseases such as ascites, special tests may be performed as a part of the physical examination. [2] An abdominal examination may be performed because the physician suspects a disease of the organs inside the abdominal cavity (including the liver, spleen, large or small intestines), or simply as a part ...
It remained a condition generally treated by surgeons, with exploration of the bile duct and excision of gallstones, until the ascendancy of ERCP in 1968. [25] ERCP is generally performed by internal medicine or gastroenterology specialists. In 1992 it was shown that ERCP was generally safer than surgical intervention in ascending cholangitis. [26]
The MRCP exam has three parts: MRCP Part 1 (written paper); MRCP Part 2 (written paper); and MRCP Part 2 Clinical Examination (PACES). The MRCP part 1 examination consists of multiple choice questions in the best of five format. Starting from September 2019 MRCP part 1 exam will be available in USA.
Cathartic preparation should be performed in order to clean residual stool from bowel loops from to allow a better visualization of mucosal features and an easier luminal distention as well. This type of preparation usually implies a fiber restricted diet and intake of water solution with laxative effect few days before the exam, and abstaining ...