The History of ERCP and EUS

  • Rikiya FujitaEmail author


Initially, endoscopic retrograde cholangiopancreatography (ERCP) was developed based on the idea that diagnosis of pancreatic cancer would be possible by injecting a contrast medium retrogradely from Vater’s papilla. After imaging diagnosis of pancreatic cancer became possible in the 1970s, ERCP gradually developed into interventional ERCP.

Around the same time, development of endoscopic ultrasonography (EUS) was underway, which was aimed at diagnosis of early stage pancreatic cancer. EUS development began in 1980, more than a decade after the development of ERCP had begun. Like ERCP, EUS was used for imaging diagnosis, and early applications took the form of endoscopic ultrasound fine-needle aspiration (EUS-FNA), later developing into interventional EUS. Today, the diagnostic and therapeutic applications of EUS have overtaken ERCP.

The capabilities of medical equipment reflect the scientific and technological conditions of the times. Today, both ERCP and EUS are indispensable for diagnosis and treatment of pancreatobiliary diseases.


Duodenoscope ERCP Endoscopic drainage EUS EUS-FNA 


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© Springer Japan KK, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Showa UniversityKanagawaJapan
  2. 2.Secom Medical CorporationTokyoJapan

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