ASGE Masterclass: Endoscopic Retrograde Cholangiopancreatography (ERCP) Virtual | January 2022-12

12_ERCP Adverse Events Faulx

Pdf Summary

This document provides an overview of the risks and complications associated with ERCP (Endoscopic Retrograde Cholangiopancreatography) procedures, as well as strategies for their prevention and management. The risks discussed include indication-related and consent-related risks, technical and technological limitations, patient-related factors, and complications/adverse events. The document highlights the importance of thoughtful patient selection, proper preparation, and early recognition of complications.<br /><br />Post-ERCP pancreatitis is the most common complication and various risk factors are discussed, including patient factors (such as suspected Sphincter of Oddi Dysfunction), technical factors (such as difficult cannulation), and preventive measures (such as administering rectal indomethacin). The document emphasizes the importance of knowing how to manage complications expertly, as well as monitoring and follow-up for post-ERCP pancreatitis.<br /><br />Other complications discussed include ERCP perforation, post-sphincterotomy hemorrhage, ERCP-related infection, and X-ray exposure. The document provides guidance on recognizing and treating these complications, as well as preventive measures to reduce their incidence.<br /><br />The document also mentions relevant guidelines and seminal references for further reading on ERCP risks and management. Overall, the document aims to provide a comprehensive understanding of the risks associated with ERCP procedures and strategies for their prevention and management.

Keywords

ERCP

Endoscopic Retrograde Cholangiopancreatography

risks

complications

prevention

management

post-ERCP pancreatitis

patient selection

complication management

guidelines