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Gastroenterology Research and Practice
Volume 2013 (2013), Article ID 869214, 9 pages
http://dx.doi.org/10.1155/2013/869214
Review Article

Outcomes of Endoscopic-Ultrasound-Guided Cholangiopancreatography: A Literature Review

Department of Medicine, Division of Gastroenterology, Winthrop University Hospital, Mineola, NY 11507, USA

Received 27 January 2013; Revised 19 February 2013; Accepted 20 February 2013

Academic Editor: Everson L. A. Artifon

Copyright © 2013 Shahzad Iqbal et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Endoscopic retrograde cholangiopancreatography (ERCP) can fail in 3–10% of the cases even in experienced hands. Although percutaneous transhepatic cholangiography (PTC) and surgery are the traditional alternatives, there are morbidity and mortality associated with both. In this paper, we have discussed the efficacy and safety of endoscopic-ultrasound-guided cholangiopancreatography (EUS-CP) in decompression of biliary and pancreatic ducts. The overall technical and clinical success rates are around 90% for biliary and 70% for pancreatic duct drainage. The overall EUS-CP complication rate is around 15%. EUS-CP is, however, a technically challenging procedure and should be performed by an experienced endoscopist skilled in both EUS and ERCP. Same session EUS-CP as failed initial ERCP is practical and may result in avoidance of additional procedures. With increasing availability of endoscopists trained in both ERCP and EUS, the role of EUS-CP is likely to grow in clinical practice.