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INTRODUCTION Major advances in endoscopic techniques to diagnose and manage pancreatic biliary diseases have fundamentally changed the approach to these difficult clinical challenges. The diagnosis of benign and malignant pancreatic-biliary diseases is much more readily obtained through a combination of cross-sectional imaging and endoscopic procedures. ERCP (endoscopic retrograde cholangio-pancreatography) and EUS (endoscopic ultrasound) are the most important endoscopic tools for imaging and accessing the pancreatic biliary system. Recently, there has been a trend toward the use of fewer ERCPs. ENDOSCOPIC TECHNIQUES ERCP has traditionally been the dominant technique for diagnosis and treatment of both benign and malignant diseases. ERCP excels in providing detailed imaging of the ductal systems of the pancreas and biliary system. With the ability to access the ductal systems, ERCP has also been an important tool in providing a tissue diagnosis of ductal malignancies through the use of brush cytology. However, the yield of brush cytology has remained poor and there are many techniques that complement the biliary cytology exam.

Palabras clave: Endoscopic retrograde cholangio-pancreatography (ERCP) pancreatic biliary diseases.

2007-09-04   |   941 visitas   |   Evalua este artículo 0 valoraciones

Vol. 72 Núm.2. Agosto 2007 Pags. 101-103 Rev Gastroenterol Mex 2007; 72(Supl. 1)