Skip to main content
SpringerLink
Log in

30. Complications of Endoscopic Retrograde Cholangiopancreatography

  • Chapter
  • First Online:
Book cover The SAGES Manual

  • 2071 Accesses

Abstract

Endoscopic retrograde cholangiopancreatography (ERCP) offers many diagnostic and therapeutic options for the management of biliary and pancreatic diseases. It carries associated risks of pancreatitis, hemorrhage, cholangitis, perforation, and other rare complications. This chapter details the rates of occurrence and predisposing factors for the development of these complications. Technical details are highlighted as prevention strategies to decrease complication rates. Medical, endoscopic, and surgical treatment options for these conditions are also discussed.

* This chapter was contributed by Morris Washington, M.D., and Ali Ghazi, M.D., in the previous edition.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 99.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 129.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Selected References

  • Andriulli A, Loperfido S, Napolitano G, Niro G, Valvano MR, et al. Incidence rates of post-ERCP complications: a systematic survey of prospective studies. Am J Gastroenterol. 2007;102(8):1781–8.

    Article  PubMed  Google Scholar 

  • Aronson N, Flamm CR, Bohn RL, Mark DH, Speroff T. Evidence-based assessment: patient, procedure, or operator factors associated with ERCP complications. Gastrointest Endosc. 2002;56(6 Suppl):S294–302.

    Article  PubMed  Google Scholar 

  • Baillie J. Predicting and preventing post-ERCP pancreatitis. Rev Cur Gastroenterol Rep. 2002;4:112–9.

    Article  Google Scholar 

  • Byl B, Deviere J, Struelens MJ, et al. Antibiotic prophylaxis for infectious complications after therapeutic endoscopic retrograde cholangiopancreatography: a randomized, double-blind, placebo-controlled study. Clin Infect Dis. 1995;20:1236–40.

    Article  PubMed  CAS  Google Scholar 

  • Demols A, Deviere J. New frontiers in the pharmacological prevention of post-ERCP pancreatitis: the cytokines. Pancreas. 2003;4:49–57.

    Google Scholar 

  • Freeman ML. Adverse outcomes of endoscopic retrograde cholangiopancreatography: avoidance and management. Gastrointest Endosc Clin N Am. 2003;13:775–98.

    Article  PubMed  Google Scholar 

  • Freeman ML, Nelson DB, Sherman S, Haber GB. Complications of endoscopic biliary sphincterotomy. N Engl J Med. 1996;335:909–18.

    Article  PubMed  CAS  Google Scholar 

  • Ghazi A, Washington M. Endoscopic diagnosis and management of diseases of the pancreas and hepatobiliary tract. Curr Probl Surg. 1990;7:161–74.

    Google Scholar 

  • Kullman E, Borch K, Lindstrom E, Ansehn S, Ilse I, Anderberg B. Bacteremia following diagnostic and therapeutic E.R.C.P. Gastrointest Endosc. 1992;38:444–9.

    Article  PubMed  CAS  Google Scholar 

  • Lo AY, Washington M, Fischer MG. Splenic trauma following endoscopic retrograde ­cholangiopancreatography. Surg Endosc. 1994;8:692–3.

    Article  PubMed  CAS  Google Scholar 

  • Low DE, Mioflikier AB, Kennedy JK, Stiver HG. Infectious complications of endoscopic retrograde cholangiopancreatography. Arch Intern Med. 1980;140:1076–7.

    Article  PubMed  CAS  Google Scholar 

  • Pasricha P. Prevention of ERCP-induced pancreatitis: success at last. Gastroenterology. 1997;112:1415–7.

    Article  PubMed  CAS  Google Scholar 

  • Skude G, Wehlin L, Maruyama T, Ariyama J. Hyperamylasemia after duodenoscopy and retrograde cholangiopancreatography. Gut. 1976;17:127–32.

    Article  PubMed  CAS  Google Scholar 

  • Tarnasky PR, Cunningham JT, Hawes RH, et al. Transpapillary stenting of proximal biliary strictures: does biliary sphincterotomy reduce the risk of postprocedure pancreatitis? Gastrointest Endosc. 1997;45:46–51.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Surgery, University Hospitals Case Medical Center, Cleveland, OH, USA

    Melissa S. Phillips M.D.

  2. Department of General Surgery, Case Western Reserve Medical Center, University Hospitals of Cleveland, Cleveland, OH, USA

    Jeffrey M. Marks M.D., F.A.C.S. (Director)

Authors
  1. Melissa S. Phillips M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Jeffrey M. Marks M.D., F.A.C.S.
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Jeffrey M. Marks M.D., F.A.C.S. .

Editor information

Editors and Affiliations

  1. Medical Center, Department of Surgery, University of California, Irvine, Orange, 92868, California, USA

    Ninh T. Nguyen

  2. Clinics, Department of Surgery, University of Iowa Hospitals and, Iowa City, 52242, Iowa, USA

    Carol E.H. Scott-Conner

Rights and permissions

Reprints and permissions

Copyright information

© 2012 Springer Science+Business Media, LLC

About this chapter

Cite this chapter

Phillips, M.S., Marks, J.M. (2012). 30. Complications of Endoscopic Retrograde Cholangiopancreatography. In: Nguyen, N., Scott-Conner, C. (eds) The SAGES Manual. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-2347-8_30

Download citation

  • DOI: https://doi.org/10.1007/978-1-4614-2347-8_30

  • Published:

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-2346-1

  • Online ISBN: 978-1-4614-2347-8

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation