Consensus guidelines for the perioperative management of patients undergoing endoscopic retrograde cholangiopancreatography

In most clinical scenarios, MAC is favoured over GA

Patients with increased risk of pulmonary aspiration and those undergoing prolonged, highly complex procedures were thought to benefit from GA with tracheal intubation

Patient age and ASA physical status not considered factors for choosing between MAC and GA

An individual risk-benefit analysis accounting for provider and institutional experience, patient comorbidities and procedural risks is also needed