내시경역행담췌관조영술(ERCP)은 다양한 췌장담도 질환의 진단과 치료에 있어 기본적이며 중요한 시술이다. 그러나 ERCP는 시술의 위험 요소가 크며, 여러 합병증을 동반할 수 있다. 이에 시술자는 적절한 ERCP 수행 능력이 요구되며 여러 술기에 대해 이해하고 가이드라인에 따른 안전한 시술이 필요하며 발생한 합병증에 적절히 대처할 수 있어야 한다.

The first endoscopic retrograde cholangiopancreatography (ERCP) wad performed in 1968. With tremendous progress in techniques, instruments and devices, ERCP has played an important role in modern medicine for the diagnosis and management of various pancreaticobiliary diseases. ERCP has a potential risk of various complications even in the hands of the experts. The incidence of all ERCP-related complications is known to be about 4–10%, and that of fatal complications to be less than 0.5%. In order to prevent and minimize its side effects, the everyone who performs ERCP needs to fully understand various techniques and also recognize and deal with ERCP-related complications. In this review, we have summarized the must-know points in techniques and complications of ERCP for the beginners.

서 론
본 론
    1. ERCP 적응증
    2. 선택적 담관 삽관술
    3. 내시경 유두 괄약근 절개술
    4. 예비 절개술(precutting sphincterotomy)
    5. 십이지장 유두 주위 게실
    6. 변형된 해부학적 구조
    7. ERCP 관련 합병증
    8. 담관 결석 제거율
    9. 플라스틱 스텐트 또는 자가팽창형 금속 스텐트 삽입술
결 론
요 약
REFERENCES

• 이정욱(부산대학교 의과대학 양산부산대학교병원 내과) | Jung Wook Lee (Department of Internal Medicine, Pusan National University Yangsan Hospital, Pusan National University School of Medicine)
• 남형석(부산대학교 의과대학 양산부산대학교병원 내과) | Hyeong Seok Nam (Department of Internal Medicine, Pusan National University Yangsan Hospital, Pusan National University School of Medicine) Corresponding author