What to do when endoscopic retrograde cholangio-pancreatography fails? Personal experience.
BACKGROUND
Endoscopic retrograde cholangio pancreatography failure is a rare and some dramatic reality too for the management of bilio-pancreatic tract disorders and in these cases it needs to utilize others operative technique.


METHODS
Over a 6-year period, a total of 757 ERCPs were performed. In seventeen of these ERCPs the standard endoscopic technique failed and we employed alternative techniques such as interventional radiology or surgical management or double endoscopic approach.


RESULTS
In all 17 failed ERCPs the alternative procedures allowed us to success in bilio-pancreatic disease.


CONCLUSIONS
ERCP is an operator-dependent procedure. Even in expert hands failure occurs in 3% to 10% of cases. ERCP failure doesn't be considerated a dramatic situation in the management of the bilio-pancreatic disease for a multidisciplinary team (endoscopist, surgeon and interventional radiologist) whose cooperation allows to success.
Pisello
F
F
University of Palermo, Section of General and Thoracic Surgery.
Geraci
G
G
Facella
T
T
Li Volsi
F
F
Modica
G
G
Sciumè
C
C
D000368:Aged; D000369:Aged, 80 and over; D001660:Biliary Tract Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D002758:Cholangiography; D002760:Cholangiopancreatography, Endoscopic Retrograde; D004384:Duodenoscopy; D005260:Female; D005773:Gastroscopy; D006801:Humans; D008297:Male; D008875:Middle Aged; D010182:Pancreatic Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D015642:Radiology, Interventional; D016717:Sphincterotomy, Endoscopic