Prevention and management of adverse events of endoscopic retrograde cholangiopancreatography

Endoscopic retrograde cholangiopancreatography (ERCP) is a therapeutic procedure with the potential for a variety of adverse events, including acute pancreatitis, perforation, bleeding, and cardiopulmonary complications, which are well-established risk factors. It has become standard that patients u...

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Bibliographic Details
Published inGastrointestinal endoscopy clinics of North America Vol. 23; no. 2; p. 385
Main Authors Balmadrid, Bryan, Kozarek, Richard
Format Journal Article
LanguageEnglish
Published United States 01.04.2013
Subjects
Bile Ducts - injuries
Cholangiopancreatography, Endoscopic Retrograde - adverse effects
Hemorrhage - etiology
Hemorrhage - prevention & control
Humans
Pancreatic Ducts - injuries
Pancreatitis - etiology
Pancreatitis - prevention & control
Risk Factors
Sphincterotomy, Endoscopic - adverse effects
Stents
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Summary:Endoscopic retrograde cholangiopancreatography (ERCP) is a therapeutic procedure with the potential for a variety of adverse events, including acute pancreatitis, perforation, bleeding, and cardiopulmonary complications, which are well-established risk factors. It has become standard that patients undergoing ERCP are carefully selected based on appropriate indications. Once an ERCP is undertaken, preprocedure and intraprocedure risks should be assessed and appropriate risk-reducing modalities, such as prophylactic pancreatic stent placement and rectal indomethacin, should be used if patient or procedural factors suggest an increased risk of post-ERCP pancreatitis.
ISSN:1558-1950
DOI:10.1016/j.giec.2012.12.007