Eminler AT. Endoscopic retrograde cholangiopancreatography is more than just a technical procedure: Distinctions between gastroenterologist and surgeon. World J Gastrointest Surg 2025; 17(10): 110945 [PMID: 41178844 DOI: 10.4240/wjgs.v17.i10.110945]
Corresponding Author of This Article
Ahmet T Eminler, MD, Professor, Department of Gastroenterology, Sakarya University Faculty of Medicine, Korucuk Street Konuralp Boulevard No:81/1 Korucuk Campus, Sakarya 54290, Türkiye. eminler77@gmail.com
Research Domain of This Article
Gastroenterology & Hepatology
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Letter to the Editor
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This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Oct 27, 2025 (publication date) through Nov 15, 2025
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Publication Name
World Journal of Gastrointestinal Surgery
ISSN
1948-9366
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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
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Eminler AT. Endoscopic retrograde cholangiopancreatography is more than just a technical procedure: Distinctions between gastroenterologist and surgeon. World J Gastrointest Surg 2025; 17(10): 110945 [PMID: 41178844 DOI: 10.4240/wjgs.v17.i10.110945]
World J Gastrointest Surg. Oct 27, 2025; 17(10): 110945 Published online Oct 27, 2025. doi: 10.4240/wjgs.v17.i10.110945
Endoscopic retrograde cholangiopancreatography is more than just a technical procedure: Distinctions between gastroenterologist and surgeon
Ahmet T Eminler
Ahmet T Eminler, Department of Gastroenterology, Sakarya University Faculty of Medicine, Sakarya 54290, Türkiye
Author contributions: Eminler AT contributed to the references search, reading, and preparation of the manuscript.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Ahmet T Eminler, MD, Professor, Department of Gastroenterology, Sakarya University Faculty of Medicine, Korucuk Street Konuralp Boulevard No:81/1 Korucuk Campus, Sakarya 54290, Türkiye. eminler77@gmail.com
Received: June 19, 2025 Revised: July 10, 2025 Accepted: August 8, 2025 Published online: October 27, 2025 Processing time: 127 Days and 18.7 Hours
Abstract
This commentary addresses the recent article by Yılmaz et al, featured in the May 2025 issue of this journal. Even though endoscopic procedures are common for both gastroenterologists and surgeons, there are clear differences between the two fields regarding when to use endoscopy, how to prepare for it, and how to monitor patients afterward. A primary determinant of these discrepancies lies in the variations in the duration and pedagogical frameworks of endoscopy training inherent to each discipline. These basic differences are very important for keeping patients safe and ensuring the procedures are done correctly, especially for treatments like endoscopic retrograde cholangiopancreatography (ERCP). This article aims to outline specific criticisms related to this topic, particularly in response to information shared about ERCP procedures performed in Türkiye.
Core Tip: Endoscopic retrograde cholangiopancreatography (ERCP) is a therapeutic endoscopic procedure that requires the practitioner to possess much more than just technical skills. There are differences in the general approach to ERCP procedures among gastroenterologists and surgeons. Differences in both theoretical and practical training in general endoscopy, particularly concerning ERCP education, can lead to varying outcomes in terms of complications and procedural quality.
