n South African Gastroenterology Review - Reducing the risk of ERCP, does anything help? : review




Endoscopic retrograde cholangio-pancreaticography (ERCP) remains one of the most challenging procedures in therapeutic endoscopy. Selective biliary or pancreatic cannulation can be problematic though failure rates of less 5 % of cases, should be expected in experienced hands. Multiple attempts at accessing the biliary ductal system leads to prolonged papillary manipulation resulting in oedema and in repeated attempts at cannulation or contrast injection of the pancreatic system. A variety of factors play a role in the risk of developing pancreatitis and a variety of strategies have been assessed to try and reduce these risks. Should a complication occur the endoscopist needs to recognise and manage it effectively.


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