Endoscopic Retrograde Cholangiopancreatography-Related Complications and Their Management Strategies: A "Scoping" Literature Review

Kemmian D Johnson; Abhilash Perisetti; Benjamin Tharian; Ragesh Thandassery; Priya Jamidar; Hemant Goyal; Sumant Inamdar

doi:10.1007/s10620-019-05970-3

Endoscopic Retrograde Cholangiopancreatography-Related Complications and Their Management Strategies: A "Scoping" Literature Review

Dig Dis Sci. 2020 Feb;65(2):361-375. doi: 10.1007/s10620-019-05970-3. Epub 2019 Dec 2.

Authors

Kemmian D Johnson¹, Abhilash Perisetti², Benjamin Tharian², Ragesh Thandassery^{3

4}, Priya Jamidar⁵, Hemant Goyal⁶, Sumant Inamdar²

Affiliations

¹ Department of Internal Medicine, Louisiana State University Health Sciences Center, 1542 Tulane Ave Suite 436, New Orleans, LA, 70112, USA.
² Department of Gastroenterology and Hepatology, University of Arkansas for Medical Sciences, 4301 W Markham St, Little Rock, AR, 72205, USA.
³ University of Arkansas for Medical Sciences, 4301 W Markham St, Little Rock, AR, 72205, USA.
⁴ VISN-16 MD Lead for Advanced Liver Disease, CAVHS, Little Rock, USA.
⁵ Yale University School of Medicine, 333 Cedar Street-1080 LMP, P.O. Box 208019, New Haven, CT, 06520, USA.
⁶ Department of Internal Medicine, The Wright Center for Graduate Medical Education, 111 North Washington Avenue, Scranton, PA, 18503, USA. [email protected].

PMID: 31792671
DOI: 10.1007/s10620-019-05970-3

Abstract

Endoscopic retrograde cholangiopancreatography (ERCP) is a well-known procedure with both diagnostic and therapeutic utilities in managing pancreaticobiliary conditions. With the advancements of endoscopic techniques, ERCP has become a relatively safe and effective procedure. However, as ERCP is increasingly being utilized for different advanced techniques, newer complications have been noticed. Post-ERCP complications are known, and mostly include pancreatitis, infection, hemorrhage, and perforation. The risks of these complications vary depending on several factors, such as patient selection, endoscopist's skills, and the difficulties involved during the procedure. This review discusses post-ERCP complications and management strategies with new and evolving concepts.

Keywords: ERCP; Endoscopic retrograde cholangiopancreatography; Post-ERCP complications; Post-ERCP pancreatitis.

Publication types

Review

MeSH terms

Anti-Bacterial Agents / therapeutic use
Anti-Inflammatory Agents, Non-Steroidal / therapeutic use
Cholangiopancreatography, Endoscopic Retrograde / adverse effects
Cholangiopancreatography, Endoscopic Retrograde / methods*
Cholangitis / epidemiology
Cholangitis / prevention & control*
Cholangitis / therapy
Cholecystitis / epidemiology
Cholecystitis / prevention & control*
Cholecystitis / therapy
Disinfection
Duodenoscopes / microbiology
Equipment Contamination / prevention & control
Humans
Infections / epidemiology
Infections / therapy
Intestinal Perforation / epidemiology
Intestinal Perforation / etiology
Intestinal Perforation / prevention & control*
Intestinal Perforation / therapy
Pancreatic Ducts
Pancreatitis / epidemiology
Pancreatitis / prevention & control*
Pancreatitis / therapy
Patient Selection
Postoperative Complications / epidemiology
Postoperative Complications / etiology
Postoperative Complications / prevention & control*
Postoperative Complications / therapy
Postoperative Hemorrhage / epidemiology
Postoperative Hemorrhage / prevention & control*
Postoperative Hemorrhage / therapy
Risk Factors
Stents

Substances

Anti-Bacterial Agents
Anti-Inflammatory Agents, Non-Steroidal