Surgical and Non-Surgical Management of Endoscopic Retrograde Cholangiopancreatography Complications

Abstract

Aim: Endoscopic retrograde cholangiopancreatography (ERCP), as a major tool for diagnosing and treatment of pancreatobiliary diseases has many potential complications with a relatively high rate of mortality and morbidity which could be managed surgically and conservatively. In this study we evaluated post-ERCP complications and their management. Material and Method: In this prospective single center study, 708 diagnostic and therapeutic ERCPs carried on 630 patients (41.7% male with mean age of 59.73 +/- 17.78 years) in Imam Reza hospital, Tabriz, Iran between April 2011 and September 2012 were studied. Patients' demographic, clinical and laboratory findings as well as ERCP complications, clinical presentation, management, and outcomes were recorded. Results: ERCP was successful in 87% and 6.8% had complications including pancreatitis in 4.58%, duodenal perforation in 0.84%, basket trapping in 0.42%, bleeding and cholangitis each in 0.14%. Twenty-five percent of complications needed surgical intervention. Complicated patients with previous history of cholecystecomy and successful ERCP were mainly managed conservatively. Discussion: ERCP complications are low and few need surgical treatment. Prompt identification and treatment of the complications would prepare better outcome and reduce undesirable morbidity and mortalities.