Open AccessJournal Article
Complications of Endoscopic Retrograde Cholangiopancreatography: How to Avoid and Manage Them
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TLDR
The current knowledge regarding ERCP complications and solutions for improved outcomes is outlined.About:
This article is published in Gastroenterología y Hepatología.The article was published on 2013-08-01 and is currently open access. It has received 99 citations till now. The article focuses on the topics: Endoscopic retrograde cholangiopancreatography & Pancreatitis.read more
Citations
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Journal ArticleDOI
Multicenter evaluation of the clinical utility of laparoscopy-assisted ERCP in patients with Roux-en-Y gastric bypass.
Ali Abbas,Andrew T. Strong,David L. Diehl,Brian C. Brauer,Iris H. Lee,Rebecca Burbridge,Jaroslav Zivny,Jennifer T. Higa,Marcelo Falcão,Ihab I. El Hajj,Paul R. Tarnasky,Brintha K. Enestvedt,Alexander R. Ende,Adarsh M. Thaker,Rishi Pawa,Priya A. Jamidar,Kartik Sampath,Eduardo Guimarães Hourneaux de Moura,Richard S. Kwon,Alejandro L. Suarez,Murad Aburajab,Andrew Y. Wang,Mohammad Shakhatreh,Vivek Kaul,Lorna Kang,Thomas E. Kowalski,Rahul Pannala,Jeffrey L. Tokar,A. Aziz Aadam,Demetrios Tzimas,Mihir S. Wagh,Peter V. Draganov,Bruce D. Greenwald,Lance Uradomo,Alyson A. McGhan,Shahrad Hakimian,Andrew S. Ross,Stuart Sherman,Benjamin L. Bick,Chris E. Forsmark,Dennis Yang,Anand Gupte,Shailendra S. Chauhan,Steven J. Hughes,Karen Saks,Gennadiy Bakis,Adam W. Templeton,Michael D. Saunders,Alireza Sedarat,John A. Evans,Thiruvengadam Muniraj,Timothy B. Gardner,Almino Ramos,Marco Aurelio Santo,Andrew Nett,Gregory A. Cote,B. Joseph Elmunzer,Kulwinder S. Dua,Michael J. Nosler,Daniel S. Strand,Paul Yeaton,Shivangi Kothari,Asad Ullah,Pushpak Taunk,Patrick G. Brady,Haim Pinkas,Ashley L. Faulx,Haroon Shahid,Jordan Holmes,Davinderbir Pannu,Srinadh Komanduri,Juan Carlos Bucobo,Harry Dhaliwal,Alaa Rostom,Brent W. Acker +74 more
TL;DR: A large multicenter study indicates that LA-ERCP in patients with RYGB is feasible with a high procedure success rate comparable with that of standard ERCP in Patients with normal anatomy.
Journal ArticleDOI
A systematic review of the management and outcome of ERCP related duodenal perforations using a standardized classification system
Roberto Cirocchi,Michael D. Kelly,Ewen A. Griffiths,Renata Tabola,Massimo Sartelli,Luigi Carlini,Stefania Ghersi,Salomone Di Saverio +7 more
TL;DR: It was showed that in patients with Stapfer type I lesions, early surgical treatment gives better results, however the opposite seems true in Stapf III and IV lesions.
Journal ArticleDOI
Hepatobiliary complications of alveolar echinococcosis: A long-term follow-up study.
Tilmann Graeter,Franziska Ehing,Suemeyra Oeztuerk,Richard Andrew Mason,Mark Martin Haenle,Wolfgang Kratzer,Thomas Seufferlein,Beate Gruener +7 more
TL;DR: Hepatobiliary complications occur in about 10% of patients and a significant increase in hepatic transaminase concentrations facilitates the diagnosis, and interventional methods represent viable management options.
Iconographies supplémentaires de l'article : Endoscopic treatment of sphincterotomy-associated distal common bile duct strictures by using sequential insertion of multiple plastic stents
Abstract: BACKGROUND
A rare, late complication of endoscopic biliary sphincterotomy is the occurrence of short strictures extending from the papillary orifice to the distal parts of the extraduodenal common bile duct.
METHODS
We evaluated the efficacy of the sequential insertion of multiple stents in the treatment of endoscopic biliary sphincterotomy associated common bile duct strictures. The design of the study is a prospective, single-arm observational study at a university-affiliated teaching hospital of 20 patients with distal common bile duct strictures because of choledocholithiasis-related endoscopic biliary sphincterotomy. Endoscopic treatment consisted of the sequential insertion of an increasing number of plastic stents with ever-larger diameters in 3-month follow-up intervals until stricture resolution. The primary outcome of the study was the rate of resolution of the stricture. The parameters measured were the duration of placement of stents, the maximum diameter, the total number of stents, and the total number of endoscopic sessions required for dilation of the strictures.
RESULTS
After a median of 9.0 months of stent placement (range 3-22 months) and a median of 20F maximum stent diameter (range 10F-30F), 18 patients (90%) remained stent-free for a median of 14.5 months (range 6-38 months). Two patients (10%) had stricture recurrences at 10 and 24 months. Multivariate regression analysis demonstrated that the time elapsed after endoscopic biliary sphincterotomy was significantly associated with the stent-placement time (however, significance was removed by correction for multiple testing) and the number of ERCPs required for dilation. The initial common bile duct size was significantly associated with the total stent number and diameter needed for stricture resolution (however, significance was removed by correction for multiple testing). Limitations are the low case number and the single-arm, noncontrolled study design.
CONCLUSIONS
Sequential insertion of an increasing number of biliary stents affords effective treatment of the distal biliary strictures that develop as a late complication of endoscopic biliary sphincterotomy.
Journal ArticleDOI
The "Scope" of Post-ERCP Pancreatitis.
TL;DR: The underlying mechanisms at play for the development of PEP are addressed, identifying patient and procedural risk factors and meaningful use of risk‐stratification information are identified, and current interventions aimed at reducing the risk of this complication are details.
References
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Journal ArticleDOI
Endoscopic sphincterotomy complications and their management: an attempt at consensus
Peter B. Cotton,Glen A. Lehman,J. Vennes,J.E. Geenen,R.C.G. Russell,William C. Meyers,C. Liguory,N. Nickl +7 more
TL;DR: This document is an attempt to provide guidelines for prevention and management of complications, based on a workshop of selected experts, and a comprehensive review of the literature, that emphasize the importance of specialist training, disinfection, drainage, and collaboration with surgical colleagues.
Journal ArticleDOI
Complications of Endoscopic Biliary Sphincterotomy
Martin L. Freeman,Douglas B. Nelson,Stuart Sherman,Haber Gb,Herman Me,P. J. Dorsher,J. P. Moore,Fennerty Mb,Michael E. Ryan,Michael J Shaw,Lande Jd,A. M. Pheley +11 more
TL;DR: The rate of complications after endoscopic biliary sphincterotomy can vary widely in different circumstances and is primarily related to the indication for the procedure and to endoscopic technique, rather than to the age or general medical condition of the patients.
Journal ArticleDOI
A step-up approach or open necrosectomy for necrotizing pancreatitis
Hjalmar C. van Santvoort,Marc G. Besselink,Olaf J. Bakker,H. Sijbrand Hofker,Marja A. Boermeester,Cornelis H. C. Dejong,Harry van Goor,A. F. Schaapherder,Casper H.J. van Eijck,Thomas L. Bollen,Bert van Ramshorst,Vincent B. Nieuwenhuijs,Robin Timmer,Johan S. Laméris,Philip M Kruyt,Eric R. Manusama,Erwin van der Harst,George P. van der Schelling,Tom M. Karsten,Eric J. Hesselink,Cornelis J. H. M. van Laarhoven,Camiel Rosman,Koop Bosscha,Ralph J. de Wit,Alexander P. Houdijk,Maarten S. van Leeuwen,Erik Buskens,Hein G. Gooszen,Hein G. Gooszen,Abstr Act +29 more
TL;DR: A minimally invasive step-up approach, as compared with open necrosectomy, reduced the rate of the composite end point of major complications or death among patients with necrotizing pancreatitis and infected necrotic tissue.
Journal ArticleDOI
Risk factors for post-ERCP pancreatitis: A prospective, multicenter study
Martin L. Freeman,James A. DiSario,Douglas B. Nelson,M. Brian Fennerty,John G. Lee,David J. Bjorkman,Carol Overby,Johannes Aas,Michael E. Ryan,G. S. Bochna,Michael J Shaw,Harry Snady,Robert V. Erickson,J. P. Moore,Joseph P. Roel +14 more
TL;DR: Combinations of patient characteristics including female gender, normal serum bilirubin, recurrent abdominal pain, and previous post-ERCP pancreatitis placed patients at increasingly higher risk of pancreatitis, regardless of whether ERCP was diagnostic, manometric, or therapeutic.
Journal ArticleDOI
Major early complications from diagnostic and therapeutic ERCP: a prospective multicenter study
Silvano Loperfido,Giampaolo Angelini,Giorgio Benedetti,F. Chilovi,Franco Costan,Franco De Berardinis,Massimo De Bernardin,Andrea Ederle,Paolo Fina,Agostino Fratton +9 more
TL;DR: In this paper, the authors performed a multicenter prospective study on complications of diagnostic and therapeutic endoscopic retrograde cholangiopancreatography (ERCP) at nine centers in the Triveneto region of Italy over a 2-year period.
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