Rochester Jeremy S, Jaffe David L
Division of Gastroenterology, Montefiore Medical Center, Albert Einstein College of Medicine, 111 East 210th Street, Bronx, NY 10467-2490, USA.
Gastrointest Endosc Clin N Am. 2007 Jan;17(1):105-27, vii. doi: 10.1016/j.giec.2006.11.002.
Endoscopic retrograde cholangiopancreatography (ERCP) is a major tool in the diagnosis and management of numerous biliary and pancreatic conditions, including choledocholithiasis as well as benign and malignant pancreatic diseases, especially those causing biliary obstruction. Since the procedure's inception, the techniques and indications have evolved along with advances in technology and an improved understanding of risks associated with ERCP. The trend has been away from purely diagnostic procedures; most ERCPs are now therapeutic in intent. ERCP remains among the more invasive of endoscopic procedures, with significant rates of complications that can be major. As advances are made in less invasive technology, it is important to understand the complications of ERCP and how best to avoid them.
内镜逆行胰胆管造影术（ERCP）是诊断和处理多种胆道及胰腺疾病的主要手段，包括胆总管结石以及胰腺良恶性疾病，尤其是那些导致胆道梗阻的疾病。自该手术开展以来，随着技术进步以及对ERCP相关风险认识的提高，其技术和适应证也不断发展。趋势是不再单纯进行诊断性操作；现在大多数ERCP操作都具有治疗目的。ERCP仍然是侵入性较强的内镜操作之一，并发症发生率较高，有些可能很严重。随着微创技术的发展，了解ERCP的并发症以及如何最好地避免这些并发症非常重要。
