Choledocholithiasis in pregnancy: When and how to perform ERCP?

• References

• 1 Shah JN, Bhat YM, Hamerski CM. et al. Feasibility of nonradiation EUS-based ERCP in patients with uncomplicated choledocholithiasis (with video). Gastrointest Endosc 2016; 84: 76-79
• 2 Othman MO, Stone E, Hashimi M. et al. Conservative management of cholelithiasis and its complications in pregnancy is associated with recurrent symptoms and more emergency department visits. Gastrointest Endosc 2012; 76: 564-569
• 3 Azab M, Bharadwaj S, Jayaraj M. et al. Safety of endoscopic retrograde cholangiopancreatography (ERCP) in pregnancy: A systematic review and meta-analysis. Saudi J Gastroenterol 2019; 25: 341-354
• 4 Dumonceau JM, Garcia-Fernandez FJ, Verdun FR. et al. Radiation protection in digestive endoscopy: European Society of Digestive Endoscopy (ESGE) Guideline. Endoscopy 2012; 44: 408-424
• 5 Liao C, Thosani N, Kothari S. et al. Radiation exposure to patients during ERCP is significantly higher with low-volume endoscopists. Gastrointest Endosc 2015; 81: 391-398
• 6 Shergill AK, Ben-Menachem T, Chandrasekhara V. et al. Guidelines for endoscopy in pregnant and lactating women. Gastrointest Endosc 2012; 76: 18-24
• 7 Tang S, Mayo MJ, Rodriguez-Frias E. et al. Safety and utility of ERCP during pregnancy. Gastrointest Endosc 2009; 69: 453-461
• 8 Kahaleh M, Hartwell GD, Arseneau KO. et al. Safety and efficacy of ERCP in pregnancy. Gastrointest Endosc 2004; 60: 287-292
• 9 Smith I, Gaidhane M, Goode A. et al. Safety of endoscopic retrograde cholangiopancreatography in pregnancy: Fluoroscopy time and fetal exposure, does it matter?. World J Gastrointest Endosc 2013; 5: 148-153
• 10 Shelton J, Linder JD, Rivera-Alsina ME. et al. Commitment, confirmation, and clearance: new techniques for nonradiation ERCP during pregnancy (with videos). Gastrointest Endosc 2008; 67: 364-368
• 11 Huang P, Zhang H, Zhang XF. et al. Comparison of endoscopic retrograde cholangiopancreatography performed without radiography and with ultrasound-guidance in the management of acute pancreaticobiliary disease in pregnant patients. Chin Med J (Engl) 2013; 126: 46-50
• 12 Li S, Dargavel C, Muradali C. et al. Real-time transabdominal ultrasound-guided ERCP is feasible and effective in pregnancy: a case series. EIO 2020; 1: 1807-CR.R1
• 13 Inamdar S, Berzin TM, Sejpal DV. et al. Pregnancy is a risk factor for pancreatitis after endoscopic retrograde cholangiopancreatography in a national cohort study. Clin Gastroenterol Hepatol 2016; 14: 107-114
• 14 Barakat MT, Girotra M, Choudhary A. et al. A prospective evaluation of radiation-free direct solitary cholangioscopy for the management of choledocholithiasis. Gastrointest Endosc 2018; 87: 584-589