What is the role of ERCP in the diagnosis of cholecystitis?

Updated: May 20, 2021
  • Author: Alan A Bloom, MD; Chief Editor: BS Anand, MD  more...
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Answer

Endoscopic retrograde cholangiopancreatography (ERCP) may be useful for visualizing the anatomy in patients at high risk for gallstones if signs of common bile duct obstruction are present. A study performed by Sahai et al found that ERCP was preferred over endoscopic ultrasonography and intraoperative cholangiography for patients at high risk for common bile duct stones undergoing laparoscopic cholecystectomy. [33]

Disadvantages of ERCP include the need for a skilled operator, high cost, and complications such as pancreatitis, which occurs in 3%-5% of cases.

See Acute Cholecystitis Imaging and Acalculous Cholecystitis Imaging for more complete information on these topics.


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