October 1992

Endoscopic Retrograde Cholangiopancreatography: Technique, Diagnosis, and Therapy

Author Affiliations

Cincinnati, Ohio


By Jerome H. Siegel, 426 pp, $159, New York, NY, Raven Press, 1992.

Arch Surg. 1992;127(10):1257. doi:10.1001/archsurg.1992.01420100123025

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Since its introduction in 1968, endoscopic retrograde cholangiopancreatography (ERCP) and its therapeutic extensions have revolutionized our management of pancreaticobiliary disorders. Indeed, in numerous clinical settings such as choledocholithiasis following cholecystectomy, acute suppurative cholangitis, and biliary obstruction due to unresectable pancreatic cancer, ERCP is the procedure of choice. This conclusion presumes appropriate endoscopic expertise, which the author clearly possesses.

Drawing heavily on his own extensive experience, Siegel has compiled an impressive volume reviewing the current status of this evolving discipline. The book is divided into three sections: technique, diagnosis, and therapy. Each section is amply illustrated, occasionally to excess. In my opinion, some of the illustrations seem redundant (eg, chapter 13), and review of the text can become cumbersome when interrupted by the illustrations. Nevertheless, the illustrations and the nicely reproduced video endoscopic images constitute a valuable ERCP atlas. Chapter 8, guest-authored by Delmont and Harris, provides an excellent overview of

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