ERCP On-Call Emergencies

  • Anand R. KumarEmail author
  • Jeffrey L. Tokar


The common indications for an urgent endoscopic retrograde cholangiopancreatography (ERCP) are acute cholangitis and biliary pancreatitis. In addition, stent migration, trapped or broken retrieval basket, hemobilia, luminal or guidewire perforation, and acute cholecystitis are some other urgent and emergent situations that therapeutic endoscopists are faced with in clinical practice. This chapter reviews management of these conditions focusing on endoscopic techniques.


ERCP Emergencies Trapped basket Guidewire perforation Cholecystitis Hemobilia Stent migration Biliary Pancreatic 

Supplementary material

Video 7.1 Cholangitis after prior biliary intervention with a plastic stent (MP4 6163 kb).

Video 7.2 Occluded biliary metal stent with sludge and debris resulting in cholangitis ((MP4 17,547 kb).

Video 7.3 Proximally migrated PD stent retrieved using a rat-tooth forceps (MP4 19,624 kb).


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Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  1. 1.Center for Digestive HealthDrexel UniversityPhiladelphiaUSA
  2. 2.Hahnemann University HospitalPhiladelphiaUSA
  3. 3.Department of MedicineFox Chase Cancer CenterPhiladelphiaUSA

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