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Previous Volume 341:1808-1816 December 9, 1999 Number 24 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Dramatic improvements in the quality of instrumentation have established endoscopy as the primary method for diagnosing and treating many pancreatic and biliary diseases. Endoscopic retrograde cholangiopancreatography (ERCP) is the most commonly used procedure in pancreatic–biliary endoscopy. Through its use of detailed endoscopic and fluoroscopic images, ERCP has evolved into a predominantly therapeutic technique. A new endoscopic procedure, endoscopic ultrasonography, provides high-resolution ultrasound images of the pancreas and biliary ducts and complements the findings of ERCP. With continued improvements in instrumentation, small-diameter catheters will permit even better imaging of the ductal systems with high-resolution endoscopy and ultrasonography.

Instrumentation

The duodenoscopes used for . . . [Full Text of this Article]

Biliary Diseases

Acute Cholangitis and Choledocholithiasis

Benign Biliary Strictures and Bile Leaks

Malignant Biliary Obstruction

Pancreatic Diseases

Acute Pancreatitis

Chronic Pancreatitis

Pancreatic Tumors

Complications of ERCP and Endoscopic Ultrasonography

Conclusions

Source Information

From the Gastrointestinal Unit, Massachusetts General Hospital (W.R.B.); and the Gastroenterology Division, Brigham and Women's Hospital (J.V.D.) — both in Boston.

Address reprint requests to Dr. Brugge at the Gastrointestinal Endoscopy Unit, Massachusetts General Hospital, Blake 452c, Boston, MA 02114, or at brugge.william@mgh.harvard.edu.

References

Related Letters:

Endoscopy
Fisher N. C., Putnam S. G., Schwarz R. E., Dam J. V., Brugge W. R.
Extract | Full Text  
N Engl J Med 2000; 342:1219-1221, Apr 20, 2000. Correspondence

This article has been cited by other articles:

• Willett, C. G., Czito, B. G., Bendell, J. C., Ryan, D. P. (2005). Locally Advanced Pancreatic Cancer. JCO 23: 4538-4544 [Abstract] [Full Text]  
• Fisher, N. C., Putnam, S. G., Schwarz, R. E., Dam, J. V., Brugge, W. R. (2000). Endoscopy. NEJM 342: 1219-1221 [Full Text]