Ercp update diagnostic and therapeutic applications siegel jh endoscopic retograde cholangiopancreatography ercp is currently utilized to evaluate jaundice both intra and extrahepatic and can differentiate between these by demonstrating specific anatomic lesions. Ercp can be performed for diagnostic and therapeutic reasons although the development of safer and relatively non invasive investigations such as magnetic resonance cholangiopancreatography mrcp and endoscopic ultrasound has meant that ercp is now rarely performed without therapeutic intent. Note citations are based on reference standards however formatting rules can vary widely between applications and fields of interest or study the specific requirements or preferences of your reviewing publisher classroom teacher institution or organization should be applied. Endoscopic ultrasound new diagnostic and therapeutic applications points to remember o endoscopic ultrasound eus remains the primary method for evaluating and staging pancreatic cancer and has emerged as a valuable tool for assessing people at high risk for the disease o the role of eus has expanded well beyond its use in diagnostic . The newest application of ercp endoscopic papillotomy ep has revolutionized the treatment of common bile duct gallstones and stenosis of the duct offering a safe and effective alternative to repeated surgery especially in those patients at risk
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