Medline ® Abstracts for References 1,2
Unusual complications related to endoscopic retrograde cholangiopancreatography and its endoscopic treatment.
Kwon CI, Song SH, Hahm KB, Ko KH
Clin Endosc. 2013 May;46(3):251-9. Epub 2013 May 31.
Endoscopic retrograde cholangiopancreatography (ERCP)-induced complications, once occurred, can lead to significant morbidity. Commonly 5% to 10% of patients experience procedure related complications such as post-ERCP pancreatitis, biliary hemorrhage, and cholangitis, in descending order. However, complications such as perforation, pneumothorax, air embolism, splenic injury, and basket impaction are rare but are associated with high mortality if occurred. Such unexpected unusual complications might extend the length of hospitalization, require urgent surgical intervention, and put the patient in miserable condition leading to permanent disability or mortality. Although these ERCP-induced complications can be minimized by a skilled operator using advanced techniques and devices, the occurrence of unusual complications are hard to expect and induce very difficult management condition. In this review, we will focus on the uncommon complications related to ERCP. This review is also aimed at suggesting optimal endoscopic treatment strategies for several complications based on our institutional experiences.
Digestive Disease Center, CHA Bundang Medical Center, CHA University, Seongnam, Korea.
Uncommon and rarely reported adverse events of endoscopic retrograde cholangiopancreatography.
Chavalitdhamrong D, Donepudi S, Pu L, Draganov PV
Dig Endosc. 2014 Jan;26(1):15-22. Epub 2013 Sep 30.
Endoscopic retrograde cholangiopancreatography (ERCP) has become a primary tool for the treatment of biliary and pancreatic ductal diseases. It is essential for the endoscopist carrying out the ERCP to have a thorough understanding of the potential adverse events. Typically, endoscopists are well familiar with common adverse events such as post-ERCP pancreatitis, cholangitis, post-sphincterotomy bleeding, post-sphincterotomy perforation, and sedation-related cardiopulmonary compromises. However, there are other less common adverse events that arecritical to promptly recognize in order to provide appropriate therapy and prevent disastrous outcomes. This review focuses on the presentation and management of the less common and rare adverse events of an ERCP from the perspective of the practicing endoscopist.
Division of Gastroenterology, Hepatology, and Nutrition, University of Florida, Gainesville, USA.