Endoscopic sphincterotomy complications and their management: an attempt at consensus

P. B. Cotton, G. Lehman, J. Vennes, J. E. Geenen, R. C.G. Russell, W. C. Meyers, C. Liguory, N. Nickl

Research output: Contribution to journalArticle

2065 Scopus citations


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 commplications, 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.

Original languageEnglish (US)
Pages (from-to)383-393
Number of pages11
JournalGastrointestinal endoscopy
Issue number3
StatePublished - Jan 1 1991


ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Gastroenterology

Cite this

Cotton, P. B., Lehman, G., Vennes, J., Geenen, J. E., Russell, R. C. G., Meyers, W. C., Liguory, C., & Nickl, N. (1991). Endoscopic sphincterotomy complications and their management: an attempt at consensus. Gastrointestinal endoscopy, 37(3), 383-393. https://doi.org/10.1016/S0016-5107(91)70740-2