May 1, 1991

Endoscopic sphincterotomy complications and their management: an attempt at consensus

Gastrointestinal Endoscopy
P B CottonN Nickl

Abstract

Despite its relative safety (in comparison with surgery), and undoubted role in many clinical circumstances, biliary sphincterotomy is the most dangerous procedure routinely performed by endoscopists. Complications occur in about 10% of patients; 2 to 3% have a prolonged hospital stay, with a risk of dying. This document is an attempt to provide guidelines for prevention and management of complications, based on a workshop of selected experts, and a comprehensive review of the literature. We emphasize particularly the importance of specialist training, disinfection, drainage, and collaboration with surgical colleagues.

Mentioned in this Paper

Sphincterotomy, Transhepatic
Intestinal Perforation
Pancreatitis
Duodenum
Hemorrhage
Endoscopic Retrograde Cholangiopancreatography
Complications of Diabetes Mellitus
Communicable Diseases

About this Paper

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