ASGE Masterclasses, facilitated by expert gastroenterologists and endoscopists, will highlight clinical cases, practical tips learned, ASGE technology reviews and guideline recommendations on Endoscopic retrograde cholangiopancreatography (ERCP).  You will be able to listen and participate in interactive sessions in addition to engaging Q&A throughout the program.

The program begins by highlighting initial trends in ERCP use as a procedure of choice over the past two decades to address acute pancreatitis with coexisting acute cholangitis or biliary obstruction. Faculty specifically review ERCP prevalence trends, hospitalization cost and stay, and predictors of utilization of ERCP amongst patients with acute pancreatitis. Discussions progress into areas of fundamental changes in treatment approaches that have included a decrease in the use of routine preoperative biliary drainage in patients with obstructive jaundice, an increase in the use of intraoperative cholangiogram, and a decrease in surgical bile duct injuries with the advent of laparoscopic cholecystectomy.  

Faculty conclude this program with a vision forward and the projected changes and disruptive approaches in the medical, endoscopic, and surgical management of pancreaticobiliary disease. 

• Review common developments of dedicated duodenoscopes, techniques and tools for therapeutic intervention and how ERCP is used in the management of pancreaticobiliary disease (comprehension)
• Outline standards of practice for the appropriateness of preoperative noninvasive imaging or preoperative ERCP, before cholecystectomy based on pretest probability of retained bile duct stone.
• Interpret various cases, videos and images presented on the use of ERCP. (application)
• Summarize trends anticipated and disruptive approaches in the medical, endoscopic, and surgical management of pancreaticobiliary disease. (synthesis)

Ashley L. Faulx, MD, FASGE
Professor of Medicine
Director of Endoscopy, Cleveland VA Medical Center
Case Western Reserve University School of Medicine
Cleveland, OH, USA

John A. Martin, MD, FASGE
Associate Professor of Medicine
Consultant, Division of Gastroenterology and Hepatology, Department of Internal Medicine
Mayo Clinic
Rochester, MN, USA

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