Endoscopic Retrograde Cholangiopancreatography: Summary
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چکیده
Diseases of the pancreas and biliary tree are common in the United States. An estimated 6 per 100,000 people are afflicted with common bile duct stones, representing only a small fraction of those with gallstones. There are approximately 57,400 newly diagnosed cases of malignancy of the pancreas, gallbladder, or extrahepatic biliary tract each year, and the prognosis is usually poor. Pancreatitis can occur in an acute, acute recurrent, or chronic pattern, with common etiologic factors including alcohol consumption and choledocholithiasis. This report is the product of a systematic literature review of the evidence on the diagnostic and therapeutic effectiveness of endoscopic retrograde pancreatography (ERCP) focusing on four clinical conditions: common bile duct stones, pancreaticobiliary malignancy, pancreatitis, and abdominal pain of possible pancreaticobiliary origin. In addition, the evidence describing patient, procedure, or operator determinants of complications of ERCP is systematically reviewed. The evidence on the prediction of common bile duct stones is reviewed as well.
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