CBM 2001-4

Endoscopic Retrograde Cholangiopancreatography

(ERCP) for Diagnosis and Therapy

January 1990 through September 2001, plus selected earlier citations

1714 Citations

Prepared by

Karen Patrias, M.L.S., National Library of Medicine

Peggie S. Tillman, Ph.D., M.L.S., National Library of Medicine

Frank A. Hamilton, M.D., M.P.H., National Institute of Diabetes and Digestive and Kidney Diseases

2001 December

U.S. DEPARTMENT OF HEALTH

 AND HUMAN SERVICES

Public Health Service

National Institutes of Health

National Library of Medicine

Reference Section

8600 Rockville Pike

Bethesda, MD 20894
ii

SERIES NOTE

Each bibliography in the Current Bibliographies in Medicine (CBM) series covers a distinct subject area of

biomedicine and fulfills a current awareness function. Online databases and the Internet are the primary

sources for citations in these bibliographies. Relevance to the subject is the only criterion for inclusion of

works in a CBM; the format, ownership, or location of the material are not considered.

Other publications in the Current Bibliographies in Medicine series are available at no cost to anyone with

Internet access through the Library's World Wide Web site at http://www.nlm.nih.gov/pubs/resources.html.

Comments and suggestions on this series may be addressed to:

Karen Patrias, Editor

Current Bibliographies in Medicine

Reference Section

National Library of Medicine

Bethesda, MD 20894

Phone: 301-496-6097

Fax: 301-402-1384

Internet: ref@nlm.nih.gov

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provides access primarily to the journal literature; LOCATORplus is an online catalog of the books, journal

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alternative ways to search.
iii

TABLE OF CONTENTS

page

Introduction v

Sample Citations vi

 

Overview/General 1

Common Bile Duct Stones

Diagnostic Use of ERCP 15

Therapeutic Use of ERCP 19

Radiologic Interventions versus ERCP 32

Surgical Intervention versus ERCP 39

Pancreatic Malignancies

Diagnostic Use of ERCP 45

Therapeutic Use of ERCP 51

Radiologic Interventions versus ERCP 53

Surgical Intervention versus ERCP 60

Biliary Tract Malignancies

Diagnostic Use of ERCP 61

Therapeutic Use of ERCP 63

Radiologic Interventions versus ERCP 65

Surgical Intervention versus ERCP 67

Pancreatitis

Acute Pancreatitis

- Diagnostic Use of ERCP 68

- Therapeutic Use of ERCP 71

- Radiologic Interventions versus ERCP 73

- Endoscopic Ultrasound versus ERCP 74

- Ultrasound versus ERCP 76

- Surgery versus ERCP 76

Chronic Pancreatitis

- Diagnostic Use of ERCP 77

- Therapeutic Use of ERCP 79

- Radiologic Interventions versus ERCP 81

- Endoscopic Ultrasound versus ERCP 82

- Ultrasound versus ERCP 83

- Surgery versus ERCP 84
iv

page

Abdominal Pain

Diagnostic Use of ERCP 85

Endoscopic Ultrasound versus ERCP 87

Balancing the Risks and Benefits of ERCP

General 88

Anestethic Reactions 91

Bile Leakage 91

Contrast Media Complications 93

Cardiorespiratory Complications 94

Elevated Enzymes 95

Hemorrhage 96

Infection 96

Injuries 102

Perforation 102

Stent Placement Complications 103

Other 103

Determinants of Success in ERCP Utilization 104

Outcome Measures in ERCP 109
v

INTRODUCTION

Diseases of the gallbladder, pancreas, and liver are conditions that are frequently encountered by the

practicing clinician in daily practice. Examination of the biliary and pancreatic ducts is often required for

the appropriate diagnosis and management of patients with these diseases. Over the last three decades the

dramatic improvement of flexible endoscopes has established endoscopy as the primary method to diagnose

and treat many pancreatic and biliary diseases.

Endoscopic retrograde cholangiopancreatography (ERCP) is the most commonly used procedure in

pancreatic and biliary endoscopy. ERCP provides adequate visualization of the duodenal loop and ampulla

of Vater (point of entry of the bile and pancreatic ducts) combined with X-rays for good quality

cholangiograms and pancreatograms. ERCP facilitates tissue diagnosis by brush cytology and biopsy as

well as removal of bile duct stones and treatment of postoperative bile leaks.

Although ERCP first came into use about 30 years ago and has been applied to the diagnosis and

management of a variety of gastrointestinal disorders, the value of ERCP relative to other means for

diagnosing and treating these diseases has not been firmly established. Over the last two decades there has

been the development of new diagnostic and therapeutics tools – ultrasound, standard and helical computer

tomography, magnetic resonance imaging (MRI), magnetic resonance cholangiography (MRCP),

endoscopic ultrasound, and laparoscopic ultrasound – with potential usefulness in management of

pancreatic and hepatobiliary diseases. Each of these tools has variable detail and accuracy.

This bibliography has been prepared in support of the National Institutes of Health (NIH) State of the

Science Conference on Endoscopic Retrograde Cholangiopancreatography (ERCP) for Diagnosis and

Therapy to be held on January 14-16, 2002, in Bethesda, Maryland. Primary sponsors of this meeting are

the National Institute of Diabetes and Digestive and Kidney Diseases and the NIH Office of Medical

Applications of Research. Co-sponsors include the National Cancer Institute and the Food and Drug

Administration. This NIH Conference has been convened to examine the current state of knowledge

regarding the use of ERCP for diagnosis and therapy and to identify directions for future research. The

following key questions are to be addressed:

• What is the role of ERCP in gallstone disease?

• What is the role of ERCP in pancreatic and biliary malignancy?

• What is the role of ERCP in pancreatitis?

• What is the role of ERCP in abdominal pain of possible pancreatic or biliary origin?

• What are the factors determining adverse events/success?

• What future research directions are needed?

This bibliography strives to provide the audience with the best evidence based review of the literature that

has applicability to this State of the Science Conference. Citations were carefully selected from a candidate

pool of over 6000 citations to the medical literature. References reviewed covered a broad range from case

study reports to randomized controlled trials evaluating the ERCP and other new technologies for

diagnosis and treatment of pancreatic and hepatobiliary diseases. Citations chosen for inclusion are

primarily from peer-reviewed journals, and those citations that were clearly not appropriate to the scientific

questions of the conference were not selected.

The bibliography contains selected citations to journal articles, books and book chapters, conference

proceedings and meeting abstracts, and audiovisuals published in all languages from 1990 forward; some

additional references from 1974 through 1989 have also been included. References have been arranged

into nine broad categories that parallel the topics to be presented at the conference; an item may appear in
vi

more than one category. Note that all of the books, book chapters, and audiovisuals have been placed

under the “Overview” category.

The compilers wish to thank Twann Jackson, National Library of Medicine, for her valuable production

assistance.

If you wish to cite this bibliography, the correct format is:

Patrias, Karen; Tillman, Peggie S.; Hamilton, Frank A., compilers. Endoscopic retrograde

cholangiopancreatography (ERCP) for diagnosis and therapy [bibliography on the Internet].

Bethesda (MD): National Library of Medicine (US); 2001 Dec [insert cited year month day in brackets].

111 p. (Current bibliographies in medicine; no. 2001-4). 1714 citations from January 1990 through

September 2001, plus selected earlier citations. Available from:

http://www.nlm.nih.gov/pubs/cbm/ercp.pdf
vii

SAMPLE CITATIONS

Citations are formatted according to the rules established for Index Medicus®*. Sample journal,

monograph, and audiovisual citations appear below. For journal articles written in a foreign language, the

English translation of the title displays in brackets; for monographs and audiovisuals the title is given in the

original language. In all cases the language of publication is shown by a three-letter abbreviation appearing

at the end of the citation.

Note also for journal articles that an availability statement follows many citations. This statement contains

the identification number (PMID) for the citation in the PubMed retrieval system. The user may enter this

number in PubMed on the NLM Web site (http://pubmed.gov/) to retrieve the record, which includes an

abstract for most articles and may also provide a link to the publisher's Internet site.

Journal Article:

Authors Article Title

Barloon TJ, Bergus GR, Weissman AM. Diagnostic imaging to identify the cause of jaundice.

Am Fam Physician 1996 Aug;54(2):556-62. Available from: PMID 8701836.

 Abbreviated Journal Date Volume Issue Pages Availability

 Title

Monograph:

Authors/Editors Title

Siegel JH, Delmont J, Harris AG. Endoscopic retrograde cholangiopancreatography: technique,

diagnosis, and therapy. New York: Raven Press; c1992. 426 p.

 Place of Publisher Date Total No.

 Publication of Pages

Audiovisual:

Authors Title Medium Designator

Baillie J, Wells S, Blankinship B. ERCP radiology for the endoscopist [videocassette].

Durham (NC): Duke Recording Studios; 1994. 1 videocassette: 18 min., sound, color, 1/2 in.

 Place of Publisher Date Physical

 Publication Description

__________________

*For details of the formats used for references, see the following publication:

 Patrias, Karen. National Library of Medicine recommended formats for bibliographic citation.

 Bethesda (MD): The Library; 1991 Apr. Available from: NTIS, Springfield, VA; PB91-182030.
viii
1

OVERVIEW/GENERAL

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M. Pancreaticobiliary diseases. Comparison of 2D

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Baillie J, Wells S, Blankinship B. ERCP radiology for

the endoscopist: a diagnostic case study review

[videocassette]. Durham (NC): Duke Recording

Studios; 1994. 1 videocassette: 18 min., sound, color,

1/2 in.

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Barloon TJ, Bergus GR, Weissman AM. Diagnostic

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Physician 1996 Aug;54(2):556-62. Available from:

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Barr LL, Frame BC, Coulanjon A. Proposed criteria

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2

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JC, Picaud R. Follow-up of selective endoscopic

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Biery DL. Endoscopic retrograde

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Blandino A, Gaeta M, Mazziotti S, Settineri N,

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Borsch G, Wegener M, Wedmann B, Kissler M,

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Brown KO, Goldschmiedt M. Endoscopic therapy of

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Carr-Locke DL, Conn MI, Faigel DO, Laing K, Leung

JW, Mills MR, Nelson DB, Tarnasky PR, Waxman I.

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