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Complications Of Endoscopic Retrograde Cholangiography In The Post-MRCP Era: A Tertiary Center Experience.

Tze-Zen Ong, Jen-Lock Khor, Dede-Sutedja Selamat, K. Yeoh, Khek-Yu Ho
Published 2005 · Medicine

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AIM To evaluate our experience in endoscopic retrograde cholangio-pancreatography (ERCP) in terms of fulfilling the ASGE guidelines in indications, positive findings, and complications in the post-magnetic resonance cholangiopancreatography (MRCP) era. METHODS Between November 2001 and February 2003, consecutive ERCP cases were prospectively evaluated with regard to the indications, findings, cannulation techniques, devices used during the procedure, sedation given, duration of procedure, and complications. These data were entered in a database for subsequent processing and analysis. RESULTS Of 336 cases, 21.4% were diagnostic and 78.6% therapeutic ERCP. The indications for ERCP fulfilled the ASGE guidelines in 323 cases (96.1%). Suspected bile duct stone was the most frequent indication (26.8%), and this was followed by cholangitis (24.4%), dilated common bile duct (14.9%), and cholestatic jaundice (13.4%). Cannulation success rate was 94%. Biliary sphincterotomy was performed in 175 (52.1%) patients. Repeated ERCP was performed on 31.5% of the patients. Overall, the complication rate was 9.8% with 0.3% being procedure-related mortality. The complications were pancreatitis (5.4%), bleeding (0.8%), cholangitis (2.4%) and others (1.5%). No significant difference was observed between the complication rate and the type of ERCP performed. CONCLUSION Our study showed that post-ERCP complication rate was comparable with the other large prospective studies and there was no difference in the complication between the diagnostic and therapeutic ERCP.
This paper references
Endoscopic retrograde cholangiopancreatography in a general surgery practice.
D. Scheeres (1990)
Endoscopic treatment of biliary tract diseases.
L. Safrany (1978)
10.1148/RADIOLOGY.157.3.4059544
Post-ERCP pancreatitis: association with urographic visualization during ERCP.
M. Roszler (1985)
10.1016/0016-5085(91)90735-4
Complications of endoscopic sphincterotomy. A prospective series with emphasis on the increased risk associated with sphincter of Oddi dysfunction and nondilated bile ducts.
S. Sherman (1991)
10.1056/NEJM199609263351301
Complications of endoscopic biliary sphincterotomy.
M. Freeman (1996)
A prospective study of the safety of endoscopic therapy for choledocholithiasis in an outpatient population.
A. Elfant (1996)
10.1055/s-2007-1013011
Complications of fiberoptic gastrointestinal endoscopy--five years' experience in a central hospital.
O. Reiertsen (1987)
10.1055/S-2007-1008946
Management of clinically relevant bleeding following endoscopic sphincterotomy.
J. Boujaoudé (1994)
10.1016/S0002-9270(00)02387-X
Complications of diagnostic and therapeutic ERCP: a prospective multicenter study.
E. Masci (2001)
10.1016/S0140-6736(89)90602-8
ENDOSCOPIC SPHINCTEROTOMY IN 1000 CONSECUTIVE PATIENTS
D. Vaira (1989)
10.1016/S0016-5107(98)70121-X
Major early complications from diagnostic and therapeutic ERCP: a prospective multicenter study.
S. Loperfido (1998)
10.1136/gut.35.2.284
Towards safer endoscopic retrograde cholangiopancreatography (ERCP)
P. Cotton (1994)
10.1097/00006676-199105000-00013
ERCP‐ and Endoscopic Sphincterotomy‐Induced Pancreatitis
S. Sherman (1991)
10.1016/S0016-5107(02)70112-0
Risk factors for complications after performance of ERCP.
J. Vandervoort (2002)
10.1002/BJS.1800720325
Successes, failures, early complications and their management following endoscopic sphincterotomy: Results in 394 consecutive patients from a single centre
T. Leese (1985)
10.1097/00000658-196805000-00013
Endoscopic cannulation of the ampulla of Vater: a preliminary report. By William S. McCune, Paul E. Shorb, and Herbert Moscovitz, 1968.
W. S. Mccune (1988)



This paper is referenced by
The role of laparoscopic intraoperative ultrasonography in patients with suspected choledocholithiasis
K. Atstupens (2020)
dvanced Cytologic Techniques for the Detection of Malignant Pancreatobiliary trictures
A. Luna (2006)
10.2478/v10039-011-0012-4
Complications of endoscopic retrograde cholangiopancreatography (ERCP) and their risk factors.
M. Kostrzewska (2011)
10.1016/j.jviscsurg.2019.05.007
Acute cholangitis: Diagnosis and management.
A. Sokal (2019)
10.1055/S-2006-944960
Iatrogenic duodenal perforations caused by endoscopic biliary stenting and stent migration: an update.
R. Saranga Bharathi (2006)
Guidelines for acute cholangitis and acute cholecystitis TG 13 current terminology , etiology , and epidemiology of acute cholangitis and cholecystitis
Yasutoshi Kimura (2013)
10.1016/J.GIEC.2006.11.002
Minimizing complications in endoscopic retrograde cholangiopancreatography and sphincterotomy.
Jeremy S Rochester (2007)
10.1016/J.JCHIRV.2019.02.009
Angiocholites : diagnostic et prise en charge
A. Sokal (2019)
10.1007/s12262-012-0593-6
Management of Common Bile Duct Stones in the Laparoscopic Era
A. Sharma (2012)
10.1007/s00268-015-3076-7
Impact of Preoperative ERCP on Laparoscopic Cholecystectomy: A Case-Controlled Study with Propensity Score Matching
K. Ahn (2015)
10.1016/J.AAN.2006.06.006
Anesthesia for Sites Outside the Operating Room
A. Landrum (2006)
10.28982/josam.673577
Risk factors for bacteremia following endoscopic retrograde cholangiopancreatography
A. Tümtürk (2020)
10.1007/s00261-016-1039-6
Comparative performance of non-contrast MRI with HASTE vs. contrast-enhanced MRI/3D-MRCP for possible choledocholithiasis in hospitalized patients
S. Kang (2016)
10.1053/J.GASTRO.2006.08.021
Advanced cytologic techniques for the detection of malignant pancreatobiliary strictures.
L. E. Moreno Luna (2006)
10.1111/j.1443-1661.2012.01344.x
Comparison of carbon dioxide and air insufflation use by non‐expert endoscopists during endoscopic retrograde cholangiopancreatography
Takashi Muraki (2013)
10.1111/j.1572-0241.2007.01279.x
Incidence Rates of Post-ERCP Complications: A Systematic Survey of Prospective Studies
A. Andriulli (2007)
10.1007/s00261-019-01975-8
Diagnostic performance of magnetic resonance cholangiopancreatography (MRCP) versus endoscopic retrograde cholangiopancreatography (ERCP) in the pediatric population: a clinical effectiveness study
J. Dillman (2019)
CT imaging after Endoscopic Retrograde Cholangiopancreatography: looking for complications
N. García (2012)
10.1007/978-88-470-2844-9_3
Magnetic Resonance Cholangiopancreatography in Biliary Lithiasis
Riccardo Manfredi (2013)
10.1007/s00330-011-2121-7
Percutaneous transhepatic biliary drainage (PTBD) with or without stenting—complications, re-stent rate and a new risk stratification score
C. Tapping (2011)
10.1111/ans.13665
Predicting post‐endoscopic retrograde cholangiopancreatography pancreatitis using the 4‐h serum lipase level
Alexander Papachristos (2018)
10.1016/j.suc.2010.10.005
Biliary, pancreatic, and hepatic imaging for the general surgeon.
S. Reitz (2011)
10.6092/1590-8577/3223
Using the 4-hour Post-ERCP amylase level to predict post-ERCP pancreatitis.
V. R. Sutton (2011)
10.23950/1812-2892-JCMK-00379
Modern technologies of treatment of choledocholithiasis
D. Serikbaiuly (2017)
10.4236/OJGAS.2016.610032
The Accuracy of Transabdominal Ultrasound in Detection of the Common Bile Duct Stone as Compared to Endoscopic Retrograde Cholangiopancreatography (with Literature Review)
T. A. Alkarboly (2016)
10.1016/j.gie.2008.10.039
Risk factors for complications after ERCP: a multivariate analysis of 11,497 procedures over 12 years.
P. Cotton (2009)
10.3748/wjg.v20.i37.13382
Diagnosis and management of choledocholithiasis in the golden age of imaging, endoscopy and laparoscopy.
R. Costi (2014)
10.5580/329
ERCP in a district general hospital in England:a review of 1550 procedures over nine years
J. Penston (2008)
10.1007/BF02961976
ERCP: une étude unicentrique de 1020 cas
S. Wakelin (2008)
10.24871/102200941-45
Post-Endoscopic Retrograde Cholangiopancreatography Complications at Dr. Cipto Mangunkusumo General Hospital
Rolan Sitompul (2009)
10.1016/j.pan.2016.03.017
Obstructive jaundice in autoimmune pancreatitis can be safely treated with corticosteroids alone without biliary stenting.
Y. Bi (2016)
10.1089/LAP.2006.0199
Efficacy and safety of early laparoscopic common bile duct exploration as primary procedure in acute cholangitis caused by common bile duct stones.
C. Gholipour (2007)
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