Complications of Endoscopic Retrograde Cholangiopancreatography (ERCP): A study of 10,000 cases
作者： T.G. Lee , R.M. Katon , M.K. Bilbao , C.T. Dotter
DOI: 10.1016/S0016-5085(76)80139-4
关键词:
摘要: Of 402 United States owners of side-viewing duodenoscopes surveyed, 222 (55%) responded,reporting 10,435 endoscopic retrograde cholangiopancreatograms. Procedure failure occurred in 30%, complications 3%, and death 0.2%. Complications included pancreatitis, cholangitis, pancreatic sepsis, instrumental injury to the gastrointestinal tract, drug reactions. Pancreatitis was associated with injection into duct, sepsis an obstructed duct or pseudocyst, abnormal gastroduodenal anatomy. Experienced workers had a 15% incidence complications, whereas inexperience gave 4 times failures (62%) twice (7%). The causes their prevention are discussed.
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