AI Article Synopsis

  • ERCP is a procedure used to diagnose and treat issues in the bile and pancreatic ducts, but it carries risks such as pancreatitis, bleeding, and perforation.
  • Patient selection is crucial, and those undergoing the procedure should be carefully chosen based on specific indications.
  • To minimize risks, additional measures like using pancreatic stents and medications such as rectal indomethacin are recommended for patients at higher risk of complications.

Article Abstract

Endoscopic retrograde cholangiopancreatography (ERCP) is a therapeutic procedure with the potential for a variety of adverse events, including acute pancreatitis, perforation, bleeding, and cardiopulmonary complications, which are well-established risk factors. It has become standard that patients undergoing ERCP are carefully selected based on appropriate indications. Once an ERCP is undertaken, preprocedure and intraprocedure risks should be assessed and appropriate risk-reducing modalities, such as prophylactic pancreatic stent placement and rectal indomethacin, should be used if patient or procedural factors suggest an increased risk of post-ERCP pancreatitis.

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Source
http://dx.doi.org/10.1016/j.giec.2012.12.007DOI Listing

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