Table 3.

Indications related to ERCP

Procedural indication	Critical patient-important outcome(s)	Consensus time interval	Consensus reached (%)
15Painless jaundice with suspected biliary obstruction∗	Improvement/palliation of symptoms	Within 1-8 weeks	91
16Jaundice with suspected biliary obstruction, with abdominal pain (no cholangitis suspected)	Improvement/palliation of symptoms; avoidance of major surgery/hospitalization	Within 1 week	69.2
17Jaundice with suspected cholangitis	Avoidance of death/prolongation of life	Within 1 week	100
18No jaundice, but abnormal liver function test results and abdominal pain, with known/suspected choledocholithiasis∗ ,	Avoidance of major surgery and/or hospitalization	Within 1 week	70
19Normal liver function test results and incidental finding of choledocholithiasis on imaging studies∗ , † , ‡	Avoidance of major surgery and/or hospitalization	Defer >8 weeks, and reassess timing	83
20Asymptomatic patient with pancreatic stent, for ERCP for stent removal	Avoidance of major surgery and/or hospitalization	Defer >8 weeks, and reassess timing	75
21Asymptomatic patients with plastic biliary stent for >3 months, for stent removal∗	Avoidance of major surgery and/or hospitalization	Defer >8 weeks, and reassess timing	67
22Postsurgical bile leak	Avoidance of major surgery and/or hospitalization	Within 1 week	100
23Patients with ampullary adenoma, for ampullectomy	Avoidance of cancer/avoidance of cancer progression; avoidance of major surgery and /or hospitalization	Defer >8 weeks, and reassess timing	84.6
24Patients with ampullary adenoma with high-grade dysplasia, for ampullectomy∗	Avoidance of cancer/avoidance of cancer progression; avoidance of major surgery and/or hospitalization	Defer >8 weeks, and reassess timing	67
25Patients with chronic pancreatitis with obstructing pancreatic duct stones and abdominal pain, for stone management∗	Avoidance of major surgery and/or hospitalization and Improvement or palliation of symptoms	Defer >8 weeks, and reassess timing	92
26Patient post liver transplant with unexplained increase in the results of liver function test or bilirubin level, anastomotic stricture suspected∗	Avoidance of major surgery and/or hospitalization	Within 1-8 weeks	75

^∗No consensus achieved on the first round of voting.

^†No consensus achieved on the second round of voting.

^‡Consensus was achieved on the second round of voting.