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ERCP in Pregnancy

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Dilemmas in ERCP

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Abstract

The incidence of pancreaticobiliary disease is increased in pregnancy and is a notable cause of morbidity and mortality for both the mother and the fetus. In situations where therapeutic intervention is necessary, endoscopic retrograde cholangiopancreatography (ERCP) is the preferred therapeutic modality compared to surgical and radiological approaches. Standard ERCP with fluoroscopy has been shown to be safe and effective during pregnancy and immediately postpartum. The long-term effects of radiation exposure, however, remain unknown and continue to be a primary area of concern. Novel techniques that eliminate the need for radiation during ERCP are on the rise. In general, the literature shows that in experienced hands and with modified techniques, ERCP with or without fluoroscopy can be performed successfully at all stages during pregnancy.

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Authors and Affiliations

  1. University of Hawaii, Queens Medical Center, Honolulu, HI, USA

    Jaclyn Kagihara & Larissa Fujii-Lau

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  1. Jaclyn Kagihara
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  2. Larissa Fujii-Lau
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Correspondence to Larissa Fujii-Lau .

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Editors and Affiliations

  1. Division of Gastroenterology, Washington University in St. Louis School of Medicine, St. Louis, MO, USA

    Daniel K. Mullady

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Kagihara, J., Fujii-Lau, L. (2019). ERCP in Pregnancy. In: Mullady, D. (eds) Dilemmas in ERCP. Springer, Cham. https://doi.org/10.1007/978-3-030-12741-1_18

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  • DOI: https://doi.org/10.1007/978-3-030-12741-1_18

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  • Publisher Name: Springer, Cham

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