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,ERCP
ThegFundamentals
,ERCP
The Fundamentals
g
ThirdgEdition
Editedgby
Peter B. Cotton, MD, FRCP, FRCS
g g g g g
DigestivegDiseasegCenter
MedicalgUniversitygofgSouthgCarolinagCharles
ton,gSC,gUSA
Joseph W. Leung, MD, FRCP, FACP, MACG, FASGE
g g g g g g g
DepartmentgofgGastroenterologygandgHepatologyg
UniversitygofgCaliforniagDavisgSchoolgofgMedicineg
Sacramento,gCA,gUSA;
Sectiong ofgGastroenterology
VAgNortherngCaliforniagHealthgCaregSystemgGI
gUnit,gSacramentogVAMC
Mather,gCA,gUSA
, Thisgeditiongfirstgpublishedg2020
©g2020gJohngWileyg&gSonsgLtd
Editiong History
Wiley‐Blackwellg(2e,g2015)
Allgrightsgreserved.gNogpartgofgthisgpublicationgmaygbegreproduced,gstoredgingagretrievalgsystem,gorgtransmitted,ginganygf
ormg orgbyganygmeans,gelectronic,gmechanical,gphotocopying,grecordinggorgotherwise,gexceptgasgpermittedgbyglaw.gAdv
icegong howgtogobtaingpermissiongtogreusegmaterialgfromgthisgtitlegisgavailablegatghttp://www.wiley.com/go/permissions.
ThegrightgofgPetergB.gCottongandgJosephgW.gLeung,gtogbegidentifiedgasgthegauthor(s)gofgthegeditorialgmaterialgingthisg
workg hasgbeengassertedgingaccordancegwithglaw.
RegisteredgOffice(s)
JohngWileyg &gSons,g Inc.,g 111g Riverg Street,gHoboken,g NJg 07030,g USA
JohngWileyg &g Sonsg Ltd,g Theg Atrium,g Southerng Gate,g Chichester,g Westg Sussex,g PO19g 8SQ,g UK
Editorialg Office
9600gGarsingtongRoad,gOxford,gOX4g2DQ,gUK
Forgdetailsgofgourgglobalgeditorialgoffices,gcustomergservices,gandgmoreginformationgaboutgWileygproductsgvisit
gusg atgwww.wiley.com.
Wileygalsogpublishesgitsgbooksgingagvarietygofgelectronicgformatsgandgbygprint‐on‐
demand.gSomegcontentgthatgappearsging standardgprintgversionsgofgthisgbookgmaygnotgbegavailablegingothergformats.
Limitg ofg Liability/Disclaimerg ofg Warranty
Thegcontentsgofgthisgworkgaregintendedgtogfurtherggeneralgscientificgresearch,gunderstanding,gandgdiscussiongonlygandga
reg notgintendedgandgshouldgnotgbegreliedgupongasgrecommendinggorgpromotinggscientificgmethod,gdiagnosis,gorgtreatm
entgbyg physiciansgforganygparticulargpatient.gIngviewgofgongoinggresearch,gequipmentgmodifications,gchangesginggovern
mentalg regulations,gandgthegconstantgflowgofginformationgrelatinggtogthegusegofgmedicines,gequipment,gandgdevices,gth
egreadergisg urgedgtogreviewgandgevaluategtheginformationgprovidedgingthegpackageginsertgorginstructionsgforgeachgmedi
cine,gequipment,g orgdevicegfor,gamonggothergthings,ganygchangesgingtheginstructionsgorgindicationgofgusagegandgforgad
dedgwarnings
andgprecautions.gWhilegthegpublishergandgauthorsghavegusedgtheirgbestgeffortsgingpreparinggthisgwork,gtheygmakegno
g representationsgorgwarrantiesgwithgrespect gtogthegaccuracygorgcompletenessgofgthegcontentsgofgthisgworkgandgspecifi
callyg disclaimgallgwarranties,gincludinggwithoutglimitationganygimpliedgwarrantiesgofgmerchantabilitygorgfitnessgforgag
particularg purpose.gNogwarrantygmaygbegcreatedgorgextendedgbygsalesgrepresentatives,gwrittengsalesgmaterialsgorgpr
omotionalg statementsgforgthisgwork.gThegfactgthatgangorganization,gwebsite,gorgproductgisgreferredgtogingthisgworkga
sgagcitationgand/g orgpotentialgsourcegofgfurtherginformationgdoesgnotgmeangthatgthegpublishergandgauthorsgendorsegt
heginformationgorg servicesgthegorganization,gwebsite,gorgproductgmaygprovidegorgrecommendationsgitgmaygmake.gThi
sgworkgisgsoldgwithgtheg understandinggthatgthegpublishergisgnotgengagedgingrenderinggprofessional gservices.gThegadv
icegandgstrategiesgcontainedg hereingmaygnotgbegsuitablegforgyourgsituation.gYougshouldgconsultgwithgagspecialistgwh
eregappropriate.gFurther,greadersg shouldgbegawaregthatgwebsitesglistedgingthisgworkgmayghavegchangedgorgdisappeare
dgbetweengwhengthisgworkgwasgwritteng andgwhengitgisgread.gNeithergthegpublishergnorgauthorsgshallgbegliablegforgan
yglossgofgprofitgorganygothergcommercialg damages,gincludinggbutgnotglimitedgtogspecial,gincidental,gconsequential,go
rgothergdamages.
LibrarygofgCongressgCataloging‐in‐PublicationgData
Names:gCotton,gPetergB.,geditor.g|gLeung,gJ.gW.gC.,geditor.
Title:gERCPg:gthegfundamentalsg/g[editedgby]gPetergB.gCotton,gMDgFRCPgFRCS,gProfessorgofgMedicine,gDigestivegDiseasegCen
ter,g MedicalgUniversitygofgSouthgCarolina,gCharleston,gSouthgCarolina,gJosephgW.gLeung,gMDgFRCPgFACPgMACGgFAS
GE,
Mr.g&gMrs.gC.W.gLawgProfessorgofgMedicine,gDepartmentgofgGastroenterologygandgHepatology,gUniversitygofgCalifo
rnia,g DavisgSchoolgofgMedicine,gChief,gSectiongofgGastroenterology,gVAgNortherngCaliforniagHealthgCaregSystem,gGI
gUnit,g SacramentogVAMCg Mather,gCalifornia.
Description:gThirdgedition.g|g Hoboken,g NJg:gWiley-Blackwell,g 2020.g|g Includesg index.
Identifiers:gLCCNg2020010927g(print)g|gLCCNg2020010928g(ebook)g|gISBNg9781119601098g(hardback)g|g
ISBNg9781119601067g(adobegpdf)g|gISBNg9781119601081g(epub)
Subjects:g LCSH:g Endoscopicg retrogradeg cholangiopancreatography. g |g Gastroscopy.
Classification:gLCCgRC847.5.E53gA38g2020g (print)g|gLCCgRC847.5.E53g (ebook)g|gDDCg616.36/07572–
dc23g LCgrecordgavailablegatghttps://lccn.loc.gov/2020010927
LCgebookgrecordgavailablegatghttps://lccn.loc.gov/2020010928
Coverg Design:gWiley
CovergImage:g Courtesyg ofg JosephgW.g Leung
Setging9.5/12.5ptgSTIXTwoTextgbygSPigGlobal,gPondicherry,gIndia
10g g 9g g 8g g 7g g 6g g 5g g 4g g 3g g 2g g 1
,ERCP
ThegFundamentals
,ERCP
The Fundamentals
g
ThirdgEdition
Editedgby
Peter B. Cotton, MD, FRCP, FRCS
g g g g g
DigestivegDiseasegCenter
MedicalgUniversitygofgSouthgCarolinagCharles
ton,gSC,gUSA
Joseph W. Leung, MD, FRCP, FACP, MACG, FASGE
g g g g g g g
DepartmentgofgGastroenterologygandgHepatologyg
UniversitygofgCaliforniagDavisgSchoolgofgMedicineg
Sacramento,gCA,gUSA;
Sectiong ofgGastroenterology
VAgNortherngCaliforniagHealthgCaregSystemgGI
gUnit,gSacramentogVAMC
Mather,gCA,gUSA
, Thisgeditiongfirstgpublishedg2020
©g2020gJohngWileyg&gSonsgLtd
Editiong History
Wiley‐Blackwellg(2e,g2015)
Allgrightsgreserved.gNogpartgofgthisgpublicationgmaygbegreproduced,gstoredgingagretrievalgsystem,gorgtransmitted,ginganygf
ormg orgbyganygmeans,gelectronic,gmechanical,gphotocopying,grecordinggorgotherwise,gexceptgasgpermittedgbyglaw.gAdv
icegong howgtogobtaingpermissiongtogreusegmaterialgfromgthisgtitlegisgavailablegatghttp://www.wiley.com/go/permissions.
ThegrightgofgPetergB.gCottongandgJosephgW.gLeung,gtogbegidentifiedgasgthegauthor(s)gofgthegeditorialgmaterialgingthisg
workg hasgbeengassertedgingaccordancegwithglaw.
RegisteredgOffice(s)
JohngWileyg &gSons,g Inc.,g 111g Riverg Street,gHoboken,g NJg 07030,g USA
JohngWileyg &g Sonsg Ltd,g Theg Atrium,g Southerng Gate,g Chichester,g Westg Sussex,g PO19g 8SQ,g UK
Editorialg Office
9600gGarsingtongRoad,gOxford,gOX4g2DQ,gUK
Forgdetailsgofgourgglobalgeditorialgoffices,gcustomergservices,gandgmoreginformationgaboutgWileygproductsgvisit
gusg atgwww.wiley.com.
Wileygalsogpublishesgitsgbooksgingagvarietygofgelectronicgformatsgandgbygprint‐on‐
demand.gSomegcontentgthatgappearsging standardgprintgversionsgofgthisgbookgmaygnotgbegavailablegingothergformats.
Limitg ofg Liability/Disclaimerg ofg Warranty
Thegcontentsgofgthisgworkgaregintendedgtogfurtherggeneralgscientificgresearch,gunderstanding,gandgdiscussiongonlygandga
reg notgintendedgandgshouldgnotgbegreliedgupongasgrecommendinggorgpromotinggscientificgmethod,gdiagnosis,gorgtreatm
entgbyg physiciansgforganygparticulargpatient.gIngviewgofgongoinggresearch,gequipmentgmodifications,gchangesginggovern
mentalg regulations,gandgthegconstantgflowgofginformationgrelatinggtogthegusegofgmedicines,gequipment,gandgdevices,gth
egreadergisg urgedgtogreviewgandgevaluategtheginformationgprovidedgingthegpackageginsertgorginstructionsgforgeachgmedi
cine,gequipment,g orgdevicegfor,gamonggothergthings,ganygchangesgingtheginstructionsgorgindicationgofgusagegandgforgad
dedgwarnings
andgprecautions.gWhilegthegpublishergandgauthorsghavegusedgtheirgbestgeffortsgingpreparinggthisgwork,gtheygmakegno
g representationsgorgwarrantiesgwithgrespect gtogthegaccuracygorgcompletenessgofgthegcontentsgofgthisgworkgandgspecifi
callyg disclaimgallgwarranties,gincludinggwithoutglimitationganygimpliedgwarrantiesgofgmerchantabilitygorgfitnessgforgag
particularg purpose.gNogwarrantygmaygbegcreatedgorgextendedgbygsalesgrepresentatives,gwrittengsalesgmaterialsgorgpr
omotionalg statementsgforgthisgwork.gThegfactgthatgangorganization,gwebsite,gorgproductgisgreferredgtogingthisgworkga
sgagcitationgand/g orgpotentialgsourcegofgfurtherginformationgdoesgnotgmeangthatgthegpublishergandgauthorsgendorsegt
heginformationgorg servicesgthegorganization,gwebsite,gorgproductgmaygprovidegorgrecommendationsgitgmaygmake.gThi
sgworkgisgsoldgwithgtheg understandinggthatgthegpublishergisgnotgengagedgingrenderinggprofessional gservices.gThegadv
icegandgstrategiesgcontainedg hereingmaygnotgbegsuitablegforgyourgsituation.gYougshouldgconsultgwithgagspecialistgwh
eregappropriate.gFurther,greadersg shouldgbegawaregthatgwebsitesglistedgingthisgworkgmayghavegchangedgorgdisappeare
dgbetweengwhengthisgworkgwasgwritteng andgwhengitgisgread.gNeithergthegpublishergnorgauthorsgshallgbegliablegforgan
yglossgofgprofitgorganygothergcommercialg damages,gincludinggbutgnotglimitedgtogspecial,gincidental,gconsequential,go
rgothergdamages.
LibrarygofgCongressgCataloging‐in‐PublicationgData
Names:gCotton,gPetergB.,geditor.g|gLeung,gJ.gW.gC.,geditor.
Title:gERCPg:gthegfundamentalsg/g[editedgby]gPetergB.gCotton,gMDgFRCPgFRCS,gProfessorgofgMedicine,gDigestivegDiseasegCen
ter,g MedicalgUniversitygofgSouthgCarolina,gCharleston,gSouthgCarolina,gJosephgW.gLeung,gMDgFRCPgFACPgMACGgFAS
GE,
Mr.g&gMrs.gC.W.gLawgProfessorgofgMedicine,gDepartmentgofgGastroenterologygandgHepatology,gUniversitygofgCalifo
rnia,g DavisgSchoolgofgMedicine,gChief,gSectiongofgGastroenterology,gVAgNortherngCaliforniagHealthgCaregSystem,gGI
gUnit,g SacramentogVAMCg Mather,gCalifornia.
Description:gThirdgedition.g|g Hoboken,g NJg:gWiley-Blackwell,g 2020.g|g Includesg index.
Identifiers:gLCCNg2020010927g(print)g|gLCCNg2020010928g(ebook)g|gISBNg9781119601098g(hardback)g|g
ISBNg9781119601067g(adobegpdf)g|gISBNg9781119601081g(epub)
Subjects:g LCSH:g Endoscopicg retrogradeg cholangiopancreatography. g |g Gastroscopy.
Classification:gLCCgRC847.5.E53gA38g2020g (print)g|gLCCgRC847.5.E53g (ebook)g|gDDCg616.36/07572–
dc23g LCgrecordgavailablegatghttps://lccn.loc.gov/2020010927
LCgebookgrecordgavailablegatghttps://lccn.loc.gov/2020010928
Coverg Design:gWiley
CovergImage:g Courtesyg ofg JosephgW.g Leung
Setging9.5/12.5ptgSTIXTwoTextgbygSPigGlobal,gPondicherry,gIndia
10g g 9g g 8g g 7g g 6g g 5g g 4g g 3g g 2g g 1
