Technological imbalance: seeking a small-caliber duodenoscope

Published:August 22, 2022DOI:
      The advent of ERCP began with diagnostic visualization of the pancreaticobiliary ducts in the 1970s.
      • Cotton P.B.
      Cannulation of the papilla of Vater by endoscopy and retrograde cholangiopancreatography (ERCP).
      This innovation rapidly evolved to therapeutic utility that has progressively supplanted more invasive surgical interventions for a variety of biliary and pancreatic conditions, most notably choledocholithiasis and acquired strictures.
      • Adler D.G.
      • Baron T.H.
      • Davila R.E.
      • et al.
      ASGE guideline: the role of ERCP in diseases of the biliary tract and the pancreas.
      The adoption of ERCP in pediatric medicine has mirrored that of other medical advances where utility and safety were first demonstrated in adult patients.
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