ERCP Management of Complicated Stone Disease of the Bile Duct and Pancreas

Calculi of the biliary tract and pancreatic duct are a frequent problem encountered by the endoscopist. Indeed, while the majority of these stones can be removed via basic standard techniques of endoscopic retrograde cholangiopancreatography (ERCP), there remains those which will require a more advanced skill set. This chapter reviews the issues in stone disease of the pancreatobiliary tract that pose a challenge to the endoscopist, the tools available to deal with these problems, and the ideal ways in which competence in these techniques can be achieved and maintained.