ERCP Bootcamp for the Endoscopy Team (Live and Virtual) | December 2023-Adverse events of ERCP: how to avoid and manage

Video Transcription

Video Summary

Dr. Chris Thompson from the Brigham gave a talk on managing adverse events of ERCP. He emphasized the importance of having appropriate indications for the procedure, as there is a potential for complications. He mentioned that patients who need ERCP least are the most likely to develop complications. Some common adverse events include pancreatitis, bleeding, cholangitis, perforation, and contrast reactions. Prevention measures include judicious use of ERCP, wire-guided cannulation, prophylactic stenting, rectal endomycin, and aggressive hydration. Dr. Thompson discussed various studies that support these preventive measures. He also highlighted the importance of appropriate management of complications when they do occur. For example, in cases of bleeding, he mentioned the use of hemostatic agents and fully covered metal stents. In cases of cholangitis, proper drainage and stent selection are important. In cases of perforation, endoscopic closure techniques such as suturing or clips can be effective. He stressed the importance of a multidisciplinary approach and close follow-up with patients and their families. Dr. Thompson concluded his talk by emphasizing the need for early identification and proactive management of adverse events, as well as good communication with patients and families.

Asset Subtitle

Christopher Thompson, MD, MHES, MSc, FASGE

Keywords

ERCP

complications

prevention measures

management

bleeding

cholangitis

perforation