Espinal-Gómez E, Gómez-Cruz Á, Palomino-Ayala S, Fonseca-López HM, Arroniz-Jauregui C, Álvarez-López F

Language: Spanish
References: 5
Page: 118-121
PDF size: 977.33 Kb.

ABSTRACT

Endoscopic retrograde cholangiopancreatography is a key procedure in the management of biliopancreatic diseases, as it can be both diagnostic and therapeutic element. This is a complex technique and has a steep learning curve, and its most frequent complications are pancreatitis, hemorrhage, cholangitis and perforation. Prevalence of complications ranks from 5.4 to 23% and global mortality from 0.1% to 1%, which can be increased if duodenal perforation is present (8-23%) due to sepsis and multi organic failure. We present the case of two patients who presented complications handled with conservative treatment.

REFERENCES

1. Wang P, Li ZS, Liu F, et al. Risk Factors for ERCPRelated complications: a prospective multicenter study. Am J Gastroenterol. 2009 Jan;104(1):31-40..

2. Keith Bodger et al. Cause mortality after first ERCP in England: clinically guided analysis of hospital episode statistic with linkage to registry of death. Gastrointest Endosc 2011 Oct;74(4):825-33.

3. Machado NO. Management of Duodenal Perforation Post-Endoscopic Retrograde Cholangiopancreatography. When and Whom to Operate and What Factors Determine The Outcome? A Review Article. JOP. 2012 Jan 10;13(1):18-25.

4. ASGE Standards of Practice Committee, Anderson MA, Fisher L, Jain R, et al. Complications of ERCP. Gastrointest Endosc. 2012 Mar;75(3):467-73.

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