It remained a condition generally treated by surgeons, with exploration of the bile duct and excision of gallstones, until the ascendancy of ERCP in 1968. ERCP is generally performed by internal medicine or gastroenterology specialists. In 1992 it was shown that ERCP was generally safer than surgical intervention in ascending cholangitis.
It remained a standard approach generally handled by surgeons, involving examination of the bile duct and removal of gallstones, until the emergence of ERCP in 1968. The procedure is typically performed by internal medicine or gastroenterology experts, who have since shown it to be safer than surgical intervention.