Endoscopic retrograde cholangiopancreatography is more than just a technical procedure: Distinctions between gastroenterologist and surgeon

This commentary addresses the recent article by Yılmaz <i>et al</i>, featured in the May 2025 issue of this journal. Even though endoscopic procedures are common for both gastroenterologists and surgeons, there are clear differences between the two fields regarding when to use endoscopy, how to prepare for it, and how to monitor patients afterward. A primary determinant of these discrepancies lies in the variations in the duration and pedagogical frameworks of endoscopy training inherent to each discipline. These basic differences are very important for keeping patients safe and ensuring the procedures are done correctly, especially for treatments like endoscopic retrograde cholangiopancreatography (ERCP). This article aims to outline specific criticisms related to this topic, particularly in response to information shared about ERCP procedures performed in Türkiye.