Endoscopic retrograde cholangiopancreatography (ERCP): an appraisal.

Cannulation of the ampulla of Vater via a fiberoptic duodenoscope to obtain radiographic visualisation of biliary and pancreatic ductal systems is a new technique to many hospitals. The experience of the first fifty examinations by this technique at Auckland Hospital is reported. One serious complication was encountered and this responded to appropriate therapy. It is concluded that some of the difficulties of mastering the technique have been exaggerated and the contribution to management of biliary disease is firmly established. It is possible to diagnose several pancreatic disorders to a high confidence level by pancreatography, but this has not yet been proven to influence the patient's management.