“…ERCP is associated with a significantly higher risk of complications than standard colonoscopy (1.67 vs. 0.02-0.07%), carrying a sixfold higher risk of perforation (0.6 vs. 0.1%) as well as a 0.3-2.0% risk of bleeding, 3-15% chance of post-ERCP pancreatitis, numerous infectious complications, and an overall mortality rate of 0.3-0.7% [9][10][11][12]. An advanced endoscopist needs to be cognizant of these higher complication rates and be willing to accept them [13], understanding that these risks are largely mitigated by the even higher risks engendered by the alternatives to these procedures, such as surgery.…”