Management of Post Endoscopic Retrograde Cholangiopancreatography (ERCP) Complications
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- Category: Vol. 87, December 2019
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Management of Post Endoscopic Retrograde Cholangiopancreatography (ERCP) Complications, AYMAN H. IBRAHIM, MOHAMMAD M. SALEM and MUHAMMAD A. MOBASHER ATIYA
Abstract
Background: Endoscopic retrograde cholangiopancrea-tography (ERCP) is considered as a diagnostic and therapeutic procedure used to treat problems associated with biliary and pancreatic diseases. The benefits of ERCP over surgical treatment are well documented; however, there is complications including infection, pancreatitis, hemorrhage, and perforation can occur even in expert hands. Several factors may affect, such as patient selection, skills of the operator, and the how complex the procedure was. This work studies ERCP compli-cation rates, predictive factors for incidence and management plans to improve outcomes.
Aim of Study: To spot complications that happened post-ERCP and how to manage it.
Patients and Methods: In a prospective, 2-years study from September 2017 to September 2019 of 50 patients underwent ERCP and notice if complications happened and the risk factors for that complication.
Results: 20% had post-ERCP complications, with pancre-atitis (8%), perforation (8%) and infection (cholangitis and cholecystitis) (4%). Perforation was considered the most serious complication of ERCP. It demands early diagnosis and good management. Surgical intervention the urgent solu-tion to manage post-ERCP perforation (3 of the 4 perforated patients underwent surgical intervention.
Conclusion: ERCP is a safe and widely used all over the world. To overcome its complications it demands good prep-aration for patients, increase our experience, short procedure especially in risky patients, and close observation post-ERCP patients aiming at early diagnosis of complications and early management if happened.