title: Complications of ERCP.
abstract: Endoscopic retrograde cholangiopancreatography (ERCP) is performed commonly for therapy. Its role in pancreaticobiliary diagnostic imaging has significantly decreased over time. Despite advances in our knowledge of the risk factors, complications, (especially post-ERCP pancreatitis), remain a significant problem. This review highlights the risk factors as related to the patient, procedure and the endoscopist, and the possible means to prevent complications. The best way to avoid any complication is "to avoid any procedure where the indication is not strong" and especially to refrain from doing diagnostic ERCP when alternate noninvasive imaging such as magnetic resonance cholangiopancreatography is available.
authors.affiliation: St. Luke's Medical Center and University of Wisconsin School of Medicine and Public Health, Milwaukee, USA.
authors.forename: Nalini M
authors.initials: NM
authors.lastname: Guda
authors.forename: Duvvuru Nageshwar
authors.initials: DN
authors.lastname: Reddy
authors.forename: Ajay
authors.initials: A
authors.lastname: Kumar
mesh_terms: D002760:Cholangiopancreatography, Endoscopic Retrograde / Q000009:adverse effects*; D002761:Cholangitis / Q000209:etiology; D002764:Cholecystitis / Q000209:etiology; D000075202:Contraindications; D006470:Hemorrhage; D006801:Humans; D007416:Intestinal Perforation / Q000209:etiology; D010195:Pancreatitis / Q000209:etiology* / Q000517:prevention & control / Q000628:therapy; D012307:Risk Factors
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