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>Journals >Revista Médica MD >Year 2013, Issue 2


Espinal-Gómez E, Gómez-Cruz Á, Palomino-Ayala S, Fonseca-López HM, Arroniz-Jauregui C, Álvarez-López F
Complications following endoscopic retrograde cholangiopancreatography, report of two cases handled with conservative management
Rev Med MD 2013; 4.5 (2)

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

[Full text - PDF]

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.


Key words: cholangiopancreatography, cholangitis, perforation, hemorrhage.


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.






>Journals >Revista Médica MD >Year 2013, Issue 2
 

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