Minimizing complications in pancreaticobiliary endoscopy.
Endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic ultrasound are invaluable tools in the diagnostic and therapeutic evaluation and management of a variety of pancreatobiliary disorders. Along with a significant refinement in the equipment and techniques used has come a recent trend toward aggressive therapeutic interventions. Because of the technical nature of these procedures and the characteristics of the patients, post-procedural complications may occur, ranging from minor (requiring brief hospitalization) to severe (causing permanent disability or death). This review summarizes these complications and outlines strategies to minimize them.
Barkay
Olga
O
Division of Gastroenterology/Hepatology, Clarian/Indiana University Digestive Diseases Center, 550 North University Boulevard, Suite 4100, Indianapolis, IN 46202, USA.
Khashab
Mouen
M
Al-Haddad
Mohammad
M
Fogel
Evan L
EL
D001660:Biliary Tract Diseases / Q000175:diagnosis* / Q000628:therapy*; D002760:Cholangiopancreatography, Endoscopic Retrograde / Q000009:adverse effects* / Q000379:methods*; D002986:Clinical Trials as Topic; D019160:Endosonography / Q000379:methods; D019317:Evidence-Based Medicine; D006801:Humans; D015201:Meta-Analysis as Topic; D010182:Pancreatic Diseases / Q000175:diagnosis* / Q000628:therapy*; D011183:Postoperative Complications / Q000517:prevention & control*; D016032:Randomized Controlled Trials as Topic; D018570:Risk Assessment; D012307:Risk Factors; D016717:Sphincterotomy, Endoscopic / Q000009:adverse effects / Q000379:methods; D016896:Treatment Outcome