Table 2

Grades of ERCP

Grades of ERCPDiagnosticTherapeutic
1 – StandardSelective deep cannulationBiliary sphincterotomy
Stones <10 mm
Stents for biliary leak
Biopsy and cytologyStents for low tumours
2 – AdvancedBilroth II diagnosticsStones >10 mm
Minor papilla cannulationHilar tumour stent placement
3 – TertiarySphincter manometryBenign biliary strictures
WhippleBilroth II therpaeutics
Roux-en-YIntrahepatic stones
Intra-ductal endoscopyPancreatic treatments
  • ERCP, endoscopic retrograde cholangio-pancreatography.