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Correspondence to Author: Pitro Fusarol, 

Nanjing Medical University, Nanjing, PR China.

Abstract: The preferred treatment for choledocholithiasis is endoscopic retrograde cholangiopancreatography (ERCP) with sphincterotomy and stone extraction, which can successfully clear the common bile duct (CBD) in as many as 90% of cases. The best diagnostic accuracy for CBD stones is provided by endoscopic ultrasound (EUS), which has a sensitivity and specificity range of 89–94% and 94–95%, respectively. The fields of EUS and ERCP, which were once thought to be distinct entities, have lately united under the new field of bilio-pancreatic endoscopy.However, due to the intricacy of both EUS and ERCP, the European Society of Gastrointestinal endoscopic recently recommended that endoscopic quality be given high priority in its curricular requirements. There are a number of clinical advantages to performing EUS and ERCP in the same session, including the use of real-time information from EUS, the use of a single sedation for both biliary stone diagnosis and treatment, a decreased risk of cholangitis or acute pancreatitis during the waiting period for ERCP following EUS diagnosis, and, in the end, a reduction in hospital stay and expenses while maintaining patient outcomes. Pregnant women, those who are not surgically fit, patients with symptoms following a cholecystectomy, and people at high risk for CBD stones are all possible candidates for the same session method. The primary technical features and supporting data from the literature on EUS and ERCP in the treatment of choledocholithiasis are included in this narrative review

Keywords:endosonography; EUS; ERCP; choledocholithiasis; biliary stones; same session.

Citation:

Pitro Fusarol. For Biliary Stones, Eus And Ercp In The Same Session: From Risk Assessment To Treatment Approach In Various Clinical Situations. Journal Of Acute Pancreatitis 2025.