Endoscopic retrograde cholangiopancreatography using a mobile image intensifier.

A method of performing endoscopic cholangiopancreatography using a mobile intensifier in a theatre or endoscopy unit setting is described. A total of 140 ERCPs were attempted in 132 patients. The examination was diagnostically successful in 114 (85%) of patients and endoscopic sphincterotomy was performed in 54 (38.5%). There were 10 (18%) complications after sphincterotomy and one postoperative death after a retroperitoneal leak. With increasing expertise, it is hoped to match the figures from specialist centres, and this method is suggested as an alternative way to expand this service where X-ray department facilities are not readily available.