Complications of endoscopic retrograde cholangiopancreatography (ERCP) and their risk factors
Determination of the type and frequency of complications developing after diagnostic and therapeutic endoscopic retrograde cholangiopancreatography (ERCP) as well as the risk factors predisposing to them. The retrospective study, including 734 ERCP performed in 550 patients, with 404 (55%) ES (endos...
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| Veröffentlicht in: | Advances in medical sciences 2011-06, Vol.56 (1), p.6-12 |
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| creator | Kostrzewska, M Baniukiewicz, A Wroblewski, E Laszewicz, W Swidnicka–Siergiejko, A Piotrowska–Staworko, G Dlugosz, JW Dabrowski, A |
| description | Determination of the type and frequency of complications developing after diagnostic and therapeutic endoscopic retrograde cholangiopancreatography (ERCP) as well as the risk factors predisposing to them.
The retrospective study, including 734 ERCP performed in 550 patients, with 404 (55%) ES (endoscopic sphincterotomy) during a 4-year period.
Among 734 ERCP procedures, 76.4% (561) had both diagnostic and therapeutic purpose, 15.2% (112) were only diagnostic. Complications developed after 26 procedures (3.5%): acute pancreatitis (AP) in 8 patients (1.09%), cholangitis in 7 (0.95%) and delayed bleeding in 11 (1.5%) patients. After 49 (6.7%) ES immediate bleeding was observed. The risk factors for AP were: unintentional pancreatic duct contrasting, mechanical lithotripsy, the use of the “pre-cut” technique and bile duct dilatation. Cholangitis was more common in cases with difficult cannulation at older age and with lower baseline bilirubin level. The risk factors for delayed bleeding were: location of the ampulla of Vater in the diverticulum and the use of the “pre-cut” technique. Immediate bleeding was more frequent after revision of bile ducts with Dormia's basket or with balloon, after introduction of contrast medium to the pancreatic duct or in ductal cholelithiasis.
ERCP performed in the endoscopy unit of a specialist hospital department is a relatively safe procedure, with a low burden of complications as compared to the benefits it provides to appropriately qualified patients. |
| doi_str_mv | 10.2478/v10039-011-0012-4 |
| format | Article |
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The retrospective study, including 734 ERCP performed in 550 patients, with 404 (55%) ES (endoscopic sphincterotomy) during a 4-year period.
Among 734 ERCP procedures, 76.4% (561) had both diagnostic and therapeutic purpose, 15.2% (112) were only diagnostic. Complications developed after 26 procedures (3.5%): acute pancreatitis (AP) in 8 patients (1.09%), cholangitis in 7 (0.95%) and delayed bleeding in 11 (1.5%) patients. After 49 (6.7%) ES immediate bleeding was observed. The risk factors for AP were: unintentional pancreatic duct contrasting, mechanical lithotripsy, the use of the “pre-cut” technique and bile duct dilatation. Cholangitis was more common in cases with difficult cannulation at older age and with lower baseline bilirubin level. The risk factors for delayed bleeding were: location of the ampulla of Vater in the diverticulum and the use of the “pre-cut” technique. Immediate bleeding was more frequent after revision of bile ducts with Dormia's basket or with balloon, after introduction of contrast medium to the pancreatic duct or in ductal cholelithiasis.
ERCP performed in the endoscopy unit of a specialist hospital department is a relatively safe procedure, with a low burden of complications as compared to the benefits it provides to appropriately qualified patients.</description><identifier>ISSN: 1896-1126</identifier><identifier>EISSN: 1898-4002</identifier><identifier>DOI: 10.2478/v10039-011-0012-4</identifier><identifier>PMID: 21606043</identifier><language>eng</language><publisher>Netherlands: Elsevier Urban & Partner Sp. z o.o</publisher><subject>acute pancreatitis ; Adult ; Aged ; Aged, 80 and over ; bleeding ; Cholangiopancreatography, Endoscopic Retrograde - adverse effects ; cholangitis ; Duodenoscopes - adverse effects ; ERCP ; Female ; Humans ; hyperamylasemia ; Intraoperative Complications - epidemiology ; Male ; Middle Aged ; Poland - epidemiology ; Postoperative Complications - epidemiology ; Retrospective Studies ; Risk Factors ; sphincterotomy ; Young Adult</subject><ispartof>Advances in medical sciences, 2011-06, Vol.56 (1), p.6-12</ispartof><rights>2011 Medical University of Bialystok</rights><rights>Copyright Versita 2011</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c380t-8eb4ec887a03403da96dee1804d1e5a2a6da8d07a042242015a8b3bf4b0080ee3</citedby><cites>FETCH-LOGICAL-c380t-8eb4ec887a03403da96dee1804d1e5a2a6da8d07a042242015a8b3bf4b0080ee3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/1321121209?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>315,781,785,27929,27930,64390,64392,64394,72474</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21606043$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kostrzewska, M</creatorcontrib><creatorcontrib>Baniukiewicz, A</creatorcontrib><creatorcontrib>Wroblewski, E</creatorcontrib><creatorcontrib>Laszewicz, W</creatorcontrib><creatorcontrib>Swidnicka–Siergiejko, A</creatorcontrib><creatorcontrib>Piotrowska–Staworko, G</creatorcontrib><creatorcontrib>Dlugosz, JW</creatorcontrib><creatorcontrib>Dabrowski, A</creatorcontrib><title>Complications of endoscopic retrograde cholangiopancreatography (ERCP) and their risk factors</title><title>Advances in medical sciences</title><addtitle>Adv Med Sci</addtitle><description>Determination of the type and frequency of complications developing after diagnostic and therapeutic endoscopic retrograde cholangiopancreatography (ERCP) as well as the risk factors predisposing to them.
The retrospective study, including 734 ERCP performed in 550 patients, with 404 (55%) ES (endoscopic sphincterotomy) during a 4-year period.
Among 734 ERCP procedures, 76.4% (561) had both diagnostic and therapeutic purpose, 15.2% (112) were only diagnostic. Complications developed after 26 procedures (3.5%): acute pancreatitis (AP) in 8 patients (1.09%), cholangitis in 7 (0.95%) and delayed bleeding in 11 (1.5%) patients. After 49 (6.7%) ES immediate bleeding was observed. The risk factors for AP were: unintentional pancreatic duct contrasting, mechanical lithotripsy, the use of the “pre-cut” technique and bile duct dilatation. Cholangitis was more common in cases with difficult cannulation at older age and with lower baseline bilirubin level. The risk factors for delayed bleeding were: location of the ampulla of Vater in the diverticulum and the use of the “pre-cut” technique. Immediate bleeding was more frequent after revision of bile ducts with Dormia's basket or with balloon, after introduction of contrast medium to the pancreatic duct or in ductal cholelithiasis.
ERCP performed in the endoscopy unit of a specialist hospital department is a relatively safe procedure, with a low burden of complications as compared to the benefits it provides to appropriately qualified patients.</description><subject>acute pancreatitis</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>bleeding</subject><subject>Cholangiopancreatography, Endoscopic Retrograde - adverse effects</subject><subject>cholangitis</subject><subject>Duodenoscopes - adverse effects</subject><subject>ERCP</subject><subject>Female</subject><subject>Humans</subject><subject>hyperamylasemia</subject><subject>Intraoperative Complications - epidemiology</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Poland - epidemiology</subject><subject>Postoperative Complications - epidemiology</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>sphincterotomy</subject><subject>Young Adult</subject><issn>1896-1126</issn><issn>1898-4002</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kE1LAzEQhoMoVqs_wIsEPKiH1Uk23aZ4klI_QFBEjxKyyWwbbTdrsi3035va6sGDpxlmnnkZHkKOGFxw0ZeXCwaQDzJgLANgPBNbZI_JgcwEAN_-7ouMMV50yH6M7wAFLwB2SYezAgoQ-R55G_pZM3VGt87XkfqKYm19NL5xhgZsgx8HbZGaiZ_qeux8o2sTULereTNZ0rPR8_DpnOra0naCLtDg4gettGl9iAdkp9LTiIeb2iWvN6OX4V328Hh7P7x-yEwuoc0klgKNlH0NuYDc6kFhEZkEYRn2NNeF1dJCWgvOBQfW07LMy0qUABIQ8y45Xec2wX_OMbZq5qLBaXoZ_Twq2V-ZAt5L5Mkf8t3PQ52eUyznyRXjMEgUW1Mm-BgDVqoJbqbDUjFQK_VqrV4l9WqlXol0c7xJnpcztL8XP64TcLUGMJlYOAwqGoe1QesCmlZZ7_6J_wIlvZHA</recordid><startdate>20110601</startdate><enddate>20110601</enddate><creator>Kostrzewska, M</creator><creator>Baniukiewicz, A</creator><creator>Wroblewski, E</creator><creator>Laszewicz, W</creator><creator>Swidnicka–Siergiejko, A</creator><creator>Piotrowska–Staworko, G</creator><creator>Dlugosz, JW</creator><creator>Dabrowski, A</creator><general>Elsevier Urban & Partner Sp. z o.o</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>BYOGL</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20110601</creationdate><title>Complications of endoscopic retrograde cholangiopancreatography (ERCP) and their risk factors</title><author>Kostrzewska, M ; Baniukiewicz, A ; Wroblewski, E ; Laszewicz, W ; Swidnicka–Siergiejko, A ; Piotrowska–Staworko, G ; Dlugosz, JW ; Dabrowski, A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c380t-8eb4ec887a03403da96dee1804d1e5a2a6da8d07a042242015a8b3bf4b0080ee3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>acute pancreatitis</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>bleeding</topic><topic>Cholangiopancreatography, Endoscopic Retrograde - adverse effects</topic><topic>cholangitis</topic><topic>Duodenoscopes - adverse effects</topic><topic>ERCP</topic><topic>Female</topic><topic>Humans</topic><topic>hyperamylasemia</topic><topic>Intraoperative Complications - epidemiology</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Poland - epidemiology</topic><topic>Postoperative Complications - epidemiology</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>sphincterotomy</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kostrzewska, M</creatorcontrib><creatorcontrib>Baniukiewicz, A</creatorcontrib><creatorcontrib>Wroblewski, E</creatorcontrib><creatorcontrib>Laszewicz, W</creatorcontrib><creatorcontrib>Swidnicka–Siergiejko, A</creatorcontrib><creatorcontrib>Piotrowska–Staworko, G</creatorcontrib><creatorcontrib>Dlugosz, JW</creatorcontrib><creatorcontrib>Dabrowski, A</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest East Europe, Central Europe Database</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Advances in medical sciences</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kostrzewska, M</au><au>Baniukiewicz, A</au><au>Wroblewski, E</au><au>Laszewicz, W</au><au>Swidnicka–Siergiejko, A</au><au>Piotrowska–Staworko, G</au><au>Dlugosz, JW</au><au>Dabrowski, A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Complications of endoscopic retrograde cholangiopancreatography (ERCP) and their risk factors</atitle><jtitle>Advances in medical sciences</jtitle><addtitle>Adv Med Sci</addtitle><date>2011-06-01</date><risdate>2011</risdate><volume>56</volume><issue>1</issue><spage>6</spage><epage>12</epage><pages>6-12</pages><issn>1896-1126</issn><eissn>1898-4002</eissn><abstract>Determination of the type and frequency of complications developing after diagnostic and therapeutic endoscopic retrograde cholangiopancreatography (ERCP) as well as the risk factors predisposing to them.
The retrospective study, including 734 ERCP performed in 550 patients, with 404 (55%) ES (endoscopic sphincterotomy) during a 4-year period.
Among 734 ERCP procedures, 76.4% (561) had both diagnostic and therapeutic purpose, 15.2% (112) were only diagnostic. Complications developed after 26 procedures (3.5%): acute pancreatitis (AP) in 8 patients (1.09%), cholangitis in 7 (0.95%) and delayed bleeding in 11 (1.5%) patients. After 49 (6.7%) ES immediate bleeding was observed. The risk factors for AP were: unintentional pancreatic duct contrasting, mechanical lithotripsy, the use of the “pre-cut” technique and bile duct dilatation. Cholangitis was more common in cases with difficult cannulation at older age and with lower baseline bilirubin level. The risk factors for delayed bleeding were: location of the ampulla of Vater in the diverticulum and the use of the “pre-cut” technique. Immediate bleeding was more frequent after revision of bile ducts with Dormia's basket or with balloon, after introduction of contrast medium to the pancreatic duct or in ductal cholelithiasis.
ERCP performed in the endoscopy unit of a specialist hospital department is a relatively safe procedure, with a low burden of complications as compared to the benefits it provides to appropriately qualified patients.</abstract><cop>Netherlands</cop><pub>Elsevier Urban & Partner Sp. z o.o</pub><pmid>21606043</pmid><doi>10.2478/v10039-011-0012-4</doi><tpages>7</tpages></addata></record> |
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| issn | 1896-1126 1898-4002 |
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| subjects | acute pancreatitis Adult Aged Aged, 80 and over bleeding Cholangiopancreatography, Endoscopic Retrograde - adverse effects cholangitis Duodenoscopes - adverse effects ERCP Female Humans hyperamylasemia Intraoperative Complications - epidemiology Male Middle Aged Poland - epidemiology Postoperative Complications - epidemiology Retrospective Studies Risk Factors sphincterotomy Young Adult |
| title | Complications of endoscopic retrograde cholangiopancreatography (ERCP) and their risk factors |
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