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Fifty years of ERCP: a personal review

  • Peter B. Cotton
    Correspondence
    Reprint requests: Peter B. Cotton, MD, FRCS, FRCP, Professor of Medicine, Digestive Disease Center, MUSC, 114 Doughty St, Suite 258, MSC 702, Charleston, SC 29425.
    Affiliations
    Digestive Disease Center, Medical University of South Carolina, Charleston, South Carolina
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Published:April 11, 2018DOI:https://doi.org/10.1016/j.gie.2018.04.013
      Fifty years ago, in 1968, the pancreas and biliary system were locked away in a dark box, the abdomen. Diagnoses were made by clinical intuition, helped a little by basic laboratory test results and plain radiographs. There were no scans. I remember that jaundice was investigated simply by waiting for a few weeks. If it gradually improved it was medical. If it did not, surgery followed and often was fatal.

      Abbreviations:

      NSAID (nonsteroidal anti-inflammatory drug), PTC (percutaneous transhepatic cholangiography)
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