Since the introduction of magnetic resonance cholangiopancreatography (MRCP), the
focus in endoscopic retrograde cholangiopancreatography (ERCP) has shifted from diagnosis
to treatment - a change that has organizational implications in relation to teaching
and providing access to ERCP. Most of last year's papers on ERCP described refinements
of the technique and indication, tissue sampling, and efforts to reduce complications.
Many studies compared MRCP with various other imaging methods and with histopathological
findings. Bile duct stones and strictures are still the main target, but new entities
for evaluation with MRCP have been found: primary sclerosing cholangitis, choledochal
cysts, chronic pancreatitis, pancreatic injury, and postoperative abnormalities. Helical
computed-tomographic cholangiography is still attracting some interest. This review
closes with a comparison of ERCP with MRCP with regard to availability, legal aspects,
operator-dependency, and cost-effectiveness.
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R. Schöfl,M.D.
Dept. of Internal Medicine IVGastroenterology and Hepatology
University of Vienna
Währingergürtel 18 - 20
1090 Vienna
Austria
Fax: Fax:+ 43-1-404004735
Email: E-mail:rainer.schoefl@akh-wien.ac.at
