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KMID : 0359020130460030251
Korean Journal of Gastrointestinal Endoscopy
2013 Volume.46 No. 3 p.251 ~ p.259
Unusual Complications Related to Endoscopic Retrograde Cholangiopancreatography and Its Endoscopic Treatment
Kwon Chang-Il

Song Sang-Hee
Hahm Ki-Baik
Ko Kwang-Hyun
Abstract
Endoscopic retrograde cholangiopancreatography (ERCP)-induced complications, once occurred, can lead to significant morbidity. Commonly 5% to 10% of patients experience procedure related complications such as post-ERCP pancreatitis, biliary hemorrhage, and cholangitis, in descending order. However, complications such as perforation, pneumothorax, air embolism, splenic injury, and basket impaction are rare but are associated with high mortality if occurred. Such unexpected unusual complications might extend the length of hospitalization, require urgent surgical intervention, and put the patient in miserable condition leading to permanent disability or mortality. Although these ERCP-induced complications can be minimized by a skilled operator using advanced techniques and devices, the occurrence of unusual complications are hard to expect and induce very difficult management condition. In this review, we will focus on the uncommon complications related to ERCP. This review is also aimed at suggesting optimal endoscopic treatment strategies for several complications based on our institutional experiences.
KEYWORD
Cholangiopancreatography, endoscopic retrograde, Complication, Endoscopy
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학술진흥재단(KCI) KoreaMed 대한의학회 회원