The role of urgent endoscopic retrograde cholangio-pancreatography (ERCP) in acute biliary pancreatitis is for many years a subject for disagreement among physicians. Although the evidence seemed to be in favor of performing ERCP, endoscopists usually hesitate to conform to the guidelines. ERCP is an invasive procedure, with complications which can affect patients' outcome. Recent evidence suggests that we should probably modify our policy, recruiting less invasive procedures, like magnetic resonance cholangio-pancreatography and endoscopic ultrasound, before conducting ERCP in patients with acute biliary pancreatitis. In this editorial the different aspects regarding the role of ERCP in acute biliary pancreatitis are discussed. (C) 2010 Baishideng. All rights reserved.
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Japanese Red Cross Date Gen Hosp, Dept Gastroenterol, Date, Hokkaido, JapanJapanese Red Cross Date Gen Hosp, Dept Gastroenterol, Date, Hokkaido, Japan
Hisai, Hiroyuki
Sakurai, Tamaki
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Japanese Red Cross Date Gen Hosp, Dept Gastroenterol, Date, Hokkaido, JapanJapanese Red Cross Date Gen Hosp, Dept Gastroenterol, Date, Hokkaido, Japan
Sakurai, Tamaki
Seki, Ryoya
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Japanese Red Cross Date Gen Hosp, Dept Gastroenterol, Date, Hokkaido, JapanJapanese Red Cross Date Gen Hosp, Dept Gastroenterol, Date, Hokkaido, Japan
Seki, Ryoya
Koshiba, Yutaka
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Japanese Red Cross Date Gen Hosp, Dept Gastroenterol, Date, Hokkaido, JapanJapanese Red Cross Date Gen Hosp, Dept Gastroenterol, Date, Hokkaido, Japan
Koshiba, Yutaka
Kanari, Yusuke
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Japanese Red Cross Date Gen Hosp, Dept Gastroenterol, Date, Hokkaido, JapanJapanese Red Cross Date Gen Hosp, Dept Gastroenterol, Date, Hokkaido, Japan
Kanari, Yusuke
Ikeda, Yuuki
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Japanese Red Cross Date Gen Hosp, Dept Gastroenterol, Date, Hokkaido, JapanJapanese Red Cross Date Gen Hosp, Dept Gastroenterol, Date, Hokkaido, Japan
Ikeda, Yuuki
Miyazaki, Etsu
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Japanese Red Cross Date Gen Hosp, Dept Gastroenterol, Date, Hokkaido, JapanJapanese Red Cross Date Gen Hosp, Dept Gastroenterol, Date, Hokkaido, Japan