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World J Gastrointest Endosc. Nov 16, 2014; 6(11): 513-524
Published online Nov 16, 2014. doi: 10.4253/wjge.v6.i11.513
Published online Nov 16, 2014. doi: 10.4253/wjge.v6.i11.513
Endoscopic ultrasound guided biliary and pancreatic duct interventions
David Prichard, Advanced and Therapeutic Endoscopy, Vancouver General Hospital, University of British Columbia, Vancouver V5Z 1M9, Canada
Michael F Byrne, Medicine, Vancouver General Hospital, University of British Columbia, Vancouver V5Z 1M9, Canada
Author contributions: Prichard D and Byrne MF drafted and finalised the manuscript.
Correspondence to: Dr. Michael F Byrne, MB, MA (Cantab), MRCP, FRCPC, Clinical Professor of Medicine, Vancouver General Hospital, University of British Columbia, 5153-2775 Laurel Street, Vancouver V5Z 1M9, Canada. michael.byrne@vch.ca
Telephone: +1-604-8755640
Received: September 7, 2014
Revised: October 10, 2014
Accepted: October 23, 2014
Published online: November 16, 2014
Revised: October 10, 2014
Accepted: October 23, 2014
Published online: November 16, 2014
Core Tip
Core tip: When endoscopic retrograde cholangiopancreatography fails or is not technically possible, endosonography guided cholangiopancreatography (ESCP) should be considered as the next potential intervention when the technical expertise is available. The increasing volume and quality of literature demonstrates that rendezvous procedures facilitated using ESCP are efficacious and safe. Other interventions are associated with greater complication rates and may be best undertaken only after multi-disciplinary discussion.