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.

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