**6. Conclusion**

We want to finish with the conclsuive statement made by ESGE [35]; *"In conclusion, urgent ERCP with sphincterotomy did not reduce the composite endpoint of major complications or mortality in patients with predicted severe gallstone pancreatitis, compared with conservative treatment. These findings support a conservative strategy with an ERCP indicated only in patients with cholangitis or persistent cholestasis. With this conservative strategy, about two-thirds of patients did not need to undergo ERCP".* In the presence of cholangitis, ERCP as E-ERCP should be done only after hemodynamic stabilisation and relieved organ hipoperfusion with aggressive fluid replacement and antibiotic treatment within the first 24 hours, Elective ERCP to prevent ABP attacks is suggested only for patients unsuitable for an choecystectomy procedure.

*Endoscopic Retrograde Cholangiopancreatography in Acute Biliary Pancreatitis DOI: http://dx.doi.org/10.5772/intechopen.96545*
