Podsumowanie

Endoskopowa cholangiopankreatografia wsteczna jest procedurą, która może być obciążona poważnymi powikłaniami. Do najczęstszych z nich zalicza się: ostre zapalenie trzustki, krwawienie i perforację. Czynniki ryzyka ich wystąpienia można podzielić na zależne od pacjenta, związane z zabiegiem i zależne od operatora. Świadomość czynników ryzyka przed zabiegiem, zrozumienie własnych ograniczeń i skierowanie pacjenta do odpowiedniego ośrodka, a także wczesne rozpoznanie i właściwe leczenie powikłań umożliwiają uzyskanie korzystnych wyników. Najlepszą strategią profilaktyczną pozostaje wykonywanie ECPW zgodnie ze ściśle udokumentowanymi wskazaniami, poprzedzone przeprowadzeniem mniej inwazyjnych procedur, w tym cholangiografii metodą rezonansu magnetycznego lub ultrasonografii endoskopowej.

ABSTRACT

Complications of endoscopic retrograde cholangiopancreatography

Endoscopic retrograde cholangiopancreatography (ERC) is one of the most challenging procedures in gastroenterology and it is associated with the highest risk of complications. The most common complications of ERC include acute pancreatitis, infectious complications, perforation and bleeding. They can be severe and often pose a threat to the patient’s health and life. However, in most cases, understanding the risk factors and methods of preventing them allows reducing their incidence. This review summarizes the possible complications of ERC, their prevention and management if they occur.

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