Online citations, reference lists, and bibliographies.
← Back to Search

Complications Of Endoscopic Sphincterotomy: Results From A Single Tertiary Referral Center.

M. Barthet, N. Lesavre, A. Desjeux, M. Gasmi, P. Berthézène, S. Berdah, X. Viviand, J. Grimaud
Published 2002 · Medicine

Cite This
Download PDF
Analyze on Scholarcy
BACKGROUND AND STUDY AIMS Complications of endoscopic sphincterotomy (ES) have been assessed in recent multicenter studies. The aim of this series was to report and identify risk factors for complications of ES at a single tertiary referral center. PATIENTS AND METHODS Between 1996 and 2000, 1159 consecutive endoscopic retrograde cholangiopancreatographies (ERCP) procedures were performed and their related complications were assessed. A total of 658 patients (57 %) underwent ES. All the clinical, radiological and biological data were carefully recorded within the 30 days following the procedure. Multivariate analysis was performed using a stepwise logistic model. RESULTS The morbidity rate for ES was 7.7 %, being moderate to severe in 5 %. Morbidity included acute pancreatitis (3.5 %), perforations (1.8 %), sepsis (1.2 %) and bleeding (1.2 %). The 30-day mortality was 0.9 %. In the 1159 ERCP procedures, 231 patients underwent precut papillotomy (20 %) followed by sphincterotomy in 174 cases. Using logistic regression analysis, the risk factors for ES were precut papillotomy (relative risk, RR 2.76), confidence interval, (CI 1.39 - 5.49) and the presence of sphincter of Oddi dysfunction (RR, 7.72, CI 3.2 - 18.4). CONCLUSIONS In this single-center series, we found a complication rate of ES in about 7 %, comparable to that in multicenter series. Precut papillotomy and sphincter of Oddi dysfunction were the main independent risk factors for ES.

This paper is referenced by
Endoscopic Retrograde Cholangiopancreatography-Analysis of 543 Procedures at the Kreiskrankenhaus Schongau [ Schongau Hospital ] 2006-2011 and Comparison with Literature
Kerstin Schierghofer (2015)
Surgical management of ERCP-related complications
A. Fathi (2011)
Échoendoscopie thérapeutique et affections biliopancréatiques
Mathieu Barthet (2009)
Dysfonction du sphincter d’Oddi: attention danger...
M. Barthet (2008)
Original article Complications of ERCP (endoscopic retrograde cholangio pancreaticogrphy) in Gastroenterology department of BSMMU
Alam Mr (2015)
Eine prospektive Analyse der bakteriellen Kolonisation und Risikofaktoren einer Sludgeformation bei biliären Endoprothesen
Julia Fremd (2018)
Indications and complications of endoscopic retrograde cholangiopancreatography procedures in a tertiary care centre
P. Jain (2016)
ERCP—Preparation, positioning, and instrumentation
J. Baillie (2003)
Predictors of complications after endoscopic retrograde cholangiopancreatography: a prognostic model for early discharge
S. Jeurnink (2011)
Endoscopic retrograde cholangiopancreatography associated pancreatitis: A 15-year review.
Kevin E. Woods (2010)
The Incidence of Complications in Single-stage Endoscopic Stone Removal for Patients with Common Bile Duct Stones: A Propensity Score Analysis
H. Saito (2018)
Patterns of Bleeding after Endoscopic Sphincterotomy, the Subsequent Risk of Bleeding, and the Role of Epinephrine Injection
C. Wilcox (2004)
Feasibility of endoscopic retrograde cholangiopancreatography‐related procedures in hemodialysis patients
Y. Hori (2014)
Complications of endoscopic retrograde cholangiopancreatography: A study in a small ERCP unit
J. Lizcano (2004)
Risk factors for delayed hemorrhage after endoscopic sphincterotomy.
J. Yan (2020)
CHAPTER 16 – EUS in Bile Duct, Gallbladder, and Ampullary Lesions
B. Napoléon (2011)
Dysfonction du sphincter d'Oddi
M. Barthet (2005)
Pure versus mixed electrosurgical current for endoscopic biliary sphincterotomy: a meta-analysis of adverse outcomes.
D. Verma (2007)
Common Bile Duct Stones
Bernd Kronenberger (2020)
Post-Sphincterotomy Bleeding: Who, What, When, and How
L. E. Ferreira (2007)
Medical treatment for sphincter of oddi dysfunction: can it replace endoscopic sphincterotomy?
V. Vitton (2012)
Endoscopic Ultrasonography on Gallbladder and Biliary Tract
K. Goumas (2006)
Unusual duodenal perforation following endoscopic retrograde cholangiopancreatography
M. Kobborg (2011)
Is endoscopic sphincterotomy avoidable in patients with sphincter of Oddi dysfunction?
V. Vitton (2008)
Adverse events of ERCP at San José Hospital of Bogotá (Colombia).
A. Peñaloza-Ramírez (2009)
ERCP among Cirrhotics: What are the differences?
Mohamed H Emara (2020)
Diclofenac Reduces the Incidence of AcutePancreatitis After Endoscopic Retrograde Cholangiopancreatography
R. Madanick (2005)
Evaluation of endoscopic retrograde cholangiopancreatography procedures performed in general hospitals in France.
R. Vitte (2007)
Ultrasound-guided drainage of walled-off pancreatic necrosis. Case report.
B. Popa (2015)
The role of surgery in the treatment of endoscopic complications.
P. Dixon (2016)
Pancreatitis Potentially Associated Drugs as a Risk Factor for Post–Endoscopic Retrograde Cholangiopancreatography Pancreatitis: A Prospective Cohort Study
D. Sigounas (2013)
High Rate of Post-ERCP Pancreatitis in Patients Undergoing Endoscopic Treatment of Benign Biliary Stricture
Adriana Fabiola Romano-Munive (2014)
See more
Semantic Scholar Logo Some data provided by SemanticScholar