Recommendations

1.	ERCP with balloon dilatation is recommended for PSC patients associated with dominant stricture and significant cholestasis. (Grade I/B)
2.	Biliary stent insertion should be reserved for cases where stricture dilatation and biliary drainage are unsatisfactory. (Grade I/B)
3.	For PSC with a dominant stricture identified on imaging, the patient should receive ERCP with cytology, biopsies, and FISH, before any attempt at endoscopic therapy to exclude the diagnosis of CCA. (Grade I/B)
4.	Antibiotic prophylaxis for PSC patients booked for ERCP is recommended to prevent post ERCP cholangitis. (Grade I/B)