Nationwide, population-based data from 11,074 ERCP procedures from the Swedish Registry for Gallstone Surgery and ERCP

Laparoscopic common bile duct exploration and antegrade biliary stenting: Leaving behind the Kehr tube

“…Treatment of CL-CBDS by single-stage laparoscopic surgery has shown similar results in different studies when compared to laparoscopic cholecystectomy combined with ERCP, with two main advantages over the latter option: it has a better cost-benefit ratio (7-9) and avoids the morbidity and mortality associated to ERCP (10). It should also be taken into account that the success rate of ERCP is approximately 70 % on the first attempt (11), and although it increases in subsequent attempts, most patients will eventually be operated.…”

Endoscopic and Conservative Management of Chronic Pancreatitis and Its Complications

“…Cannulation of the papilla of Vater is successful in a vast majority of ERCP attempts [128], but in some cases an alternative access has to be established. Several case reports have described EUS drainage of the MPD in benign conditions [129] and unresectable pancreatic cancer [130] as a salvage access route in patients with strong indication for ductal drainage because of recurrent pancreatitis.…”

A new accurate model for predicting mortality up to 12 months after ERCP

“…A post-ERCP complication may cause mortality. The 30-day mortality rate after ERCP has been reported to be 2.2%-5.9% (3,(6)(7)(8)(9)(10). It has been reported that half of the deaths are directly related to ERCP procedures (3).…”

“…It has been reported that half of the deaths are directly related to ERCP procedures (3). Due to the considerable risk of complications, retrospective and prospective studies have evaluated risk factors for post-ERCP complications, and morbidity and mortality were found to be related to a patient's age and comorbidity as well as the number of ERCP procedures performed in a hospital and the type of intervention (3,(6)(7)(8)(9)(10).…”