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. 2025 Feb 21;8(Suppl 2):S74–S80. doi: 10.1093/jcag/gwae043

Table 3.

Summary table of the role of ERCP in pancreatitis.

Diagnosis Management
1. Acute biliary pancreatitis Early ERCP should be considered only in selected patients with co-existing cholangitis or biliary obstruction
2. Sphincter of Oddi dysfunction (SOD)
Type I SOD (papillary stenosis)
Type II SOD (functional)
Type III SOD

Endoscopic sphincterotomy
Endoscopic sphincterotomy in selected cases with positive SOM
Endoscopic sphincterotomy is not indicated
3. Pancreas divisum Endotherapy (minor papillotomy ± stenting) should be performed only in cases with well-documented episodes of pancreatitis
4. Chronic pancreatitis

a.Pancreatic ductal calculi
b.Pancreatic ductal stricture
Endotherapy is indicated in those with a single dominant stricture or solitary calculus in the head
ESWL ± ERCP recommended for large (>5 mm) PD calculi
Endotherapy with 1 or more plastic stents for 1 year
Multiple plastic stents in symptomatic refractory strictures