This study is designed to learn whether rinsing the papilla with cold water at the end of an ERCP procedure, in addition to standard medicine, can help lower the chance of developing pancreatitis, which is the most common major complication after ERCP.
Native papilla present.
Undergoing ERCP for diagnostic or therapeutic indications.
Able to provide informed consent.
Post-operative reconstructed intestinal tract other than Billroth I reconstruction.
Acute pancreatitis at the time of ERCP.
Chronic pancreatitis.
Pancreatic head cancer with occlusion of the main pancreatic duct.