Schöfl R, Haefner M
Dept. of Internal Medicine IV, St. Elizabeth's Hospital, Linz, Austria.
Endoscopy. 2003 Feb;35(2):145-55. doi: 10.1055/s-2003-37017.
As in recent years, the articles on diagnostic endoscopic retrograde cholangiopancreatography (ERCP) published between July 2001 and June 2002 again reflect a defensive attitude and are mainly concerned with magnetic resonance cholangiopancreatography (MRCP) and the complications associated with the new imaging method. Diagnostic ERCP is declining in importance and has held its position mainly due to new advances in tissue sampling, pressure measurement, and the use of echo probes and miniature endoscopes. Problems of training in ERCP have still not yet been resolved, due to the contradictions inherent in low case loads, the desire to offer a wide spectrum of training, and issues of quality assurance.
与近年来一样，2001年7月至2002年6月期间发表的关于诊断性内镜逆行胰胆管造影术（ERCP）的文章再次反映出一种保守态度，主要关注磁共振胰胆管造影术（MRCP）以及与这种新成像方法相关的并发症。诊断性ERCP的重要性正在下降，其仍能保持地位主要得益于组织采样、压力测量以及回声探头和微型内镜使用方面的新进展。由于病例数量少、希望提供广泛培训以及质量保证问题等内在矛盾，ERCP的培训问题仍未得到解决。
