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

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2065 Scopus citations

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 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
Volume37
Issue number3
DOIs
StatePublished - Jan 1 1991

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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