2018 Volume 32 Issue 1 Pages 72-77
Recently, ERCP and EUS associated procedures are widely used for the management of biliary disorders. ERCP is useful for detection of lesions and ERCP-guided brush cytology and/or transpapillary forceps biopsy are widely applied to provide cytohistologic diagnosis. High resolution endoscopic evaluation and cholangioscopic-guided target biopsy will improve the diagnostic capability for indeterminate intraductal lesions. Endoscopic management of common bile duct stones and biliary drainage are accepted as a first line treatment because of the increasing needs for minimal invasive procesures. Endoscopic snare papillectomy in selected patients is a useful technique as an alternative to surgery. Currently, EUS has important diagnostic and therapeutic roles in the field of biliary disorders. EUS-FNA and EUS-BD is being used in cased of failed ERCP associated procedures. ERCP and EUS associated procedures are much less invasive. However, procedure-related complications occur occationary. It is necessary to be aware of the fundamental knowledge and techniques of these procedures in order to avoid unexpected results.
