What to do when endoscopic retrograde cholangio-pancreatography fails? Personal experience.
G Chir
; 29(3): 106-9, 2008 Mar.
Article
em En
| MEDLINE
| ID: mdl-18366891
ABSTRACT
BACKGROUND:
Endoscopic retrograde cholangio pancreatography failure is a rare and some dramatic reality too for the management of bilio-pancreatic tract disorders and in these cases it needs to utilize others operative technique. PATIENTS ANDMETHODS:
Over a 6-year period, a total of 757 ERCPs were performed. In seventeen of these ERCPs the standard endoscopic technique failed and we employed alternative techniques such as interventional radiology or surgical management or double endoscopic approach.RESULTS:
In all 17 failed ERCPs the alternative procedures allowed us to success in bilio-pancreatic disease.CONCLUSION:
ERCP is an operator-dependent procedure. Even in expert hands failure occurs in 3% to 10% of cases. ERCP failure doesn't be considerated a dramatic situation in the management of the bilio-pancreatic disease for a multidisciplinary team (endoscopist, surgeon and interventional radiologist) whose cooperation allows to success.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Pancreatopatias
/
Doenças Biliares
/
Colangiopancreatografia Retrógrada Endoscópica
/
Esfinterotomia Endoscópica
Limite:
Aged
/
Aged80
/
Female
/
Humans
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Male
/
Middle aged
Idioma:
En
Ano de publicação:
2008
Tipo de documento:
Article