Table 1.

Description of the different HOUSE-classes

HOUSE class 1

Diagnostic ERCP

Endoscopic sphincterotomy

Single stone (<10 mm)

Plastic stent subhilar

Brush cytology

Multiple stones or stone >10 mm

Metal stent

Plastic stent above hilus

Intraoperative rendez-vous ERCP

HOUSE class 2

Intrahepatic stone

Multiple metal/plasticstents

ERCP specifically pancreatic

Intrahepatic interventions

All patients with PSC or liver Tx

Prophylactic pancreatic stent

“Caged” papilla

ERCP with ESWL

HOUSE class 3

All precut-incl pancreatic sphincterotomy

Spy-Glass

Mother-Baby Scopy

EHL

Lithotripsy (pancreatic)

Multiple pancreatic stent

Papillectomy

Confocal endoscopy

PTC- or EUS-rendez-vous.

B2, Roux-en Y, Whipple, via enteroscopy, GBY-op