Diseases of the pancreas and biliary tree are common in the United States. An estimated 6 per 100,000 people are afflicted with common bile duct stones, representing only a small fraction of those with gallstones. There are approximately 57,400 newly diagnosed cases of malignancy of the pancreas, gallbladder, or extrahepatic biliary tract each year, and the prognosis is usually poor. Pancreatit...

Pancreatitis, hemorrhage and perforation are the most frequent complications associated with endoscopic retrograde cholangiopancreatography (ERCP). We report a rare case of accessory pancreatic duct-portal vein fistula, which occurred during ERCP in a patient with chronic pancreatitis. To our knowledge, this is the first report of accessory pancreatic duct-portal vein fistula created during ERC...

Cholecystocolic fistula is a rare cause of diarrhoea, and the diagnosis may be significantly delayed. Air in the biliary tree on imaging should raise suspicion, and barium enema or endoscopic retrograde cholangiopancreatography will be diagnostic. Cholestyramine should provide effective symptomatic relief until definitive treatment is arranged. We report on two patients with cholecystocolic fis...

We present a rare complication of cardiac arrest from asystole in the setting of prolonged endoscopic retrograde cholangiopancreatography(ERCP) procedure. Cardiopulmonary complications of ERCP are rare but can be fatal. Therefore it is essential to closely monitor the patient during ERCP. Immediate access to resuscitation equipment facilitating prompt intervention in the unlikely event of fatal...

BACKGROUND Cefuroxime very rarely causes drug-induced liver injury. We present a case of a patient with paradoxical worsening of jaundice caused by cefuroxime-induced cholestasis following therapeutic endoscopic retrograde cholangiopancreatography for a distal common bile duct stone. CASE PRESENTATION A 51-year-old, previously healthy Sri Lankan man presented to our hospital with obstructive ...

Endoscopic retrograde cholangiopancreatography (ERCP) is a therapeutic procedure used to treat problems associated with biliary and pancreatic diseases. The benefits of ERCP over surgical treatment are well documented; however, complications including infection, pancreatitis, hemorrhage, and perforation can occur even in expert hands. Several factors, such as patient selection, skill of the ope...

JB Most endoscopists who are asked this question would immediately think of anatomic problems that limit or prevent access to the main duodenal papilla for cannulation, such as prior upper gastrointestinal surgery (eg, Billroth II gastrectomy, Roux-en-Y biliary diversion, or gastric bypass procedures) or gastric outlet obstruction (Figure 1). However, the difficulty of an endoscopic retrograde ...

Endoscopic retrograde cholangiopancreatography (ERCP) is an essential modality for the diagnosis and therapy of pancreatobiliary disease. However, complications of ERCP-related procedures are also common. Post-ERCP pancreatitis (PEP), the most common and potentially serious complication of ERCP-related procedures, occurs in 1 9% of all procedures (1-16). Moreover, the PEP rate increases to 10 4...

BACKGROUND With an increased use of magnetic resonance imaging, the indications for endoscopic retrograde cholangiopancreatography (ERCP) have changed. Consequently, the patterns and factors predictive of complications after ERCP performed during current routine clinical practice are not well known. METHODS A prospective multicentre cohort study was undertaken in 11 Norwegian hospitals. Compl...

BACKGROUND ERCP has a complication rate ranging between 4% and 16% such as post-ERCP pancreatitis, hemorrhage, cholangitis and perforation. Perforation rate was reported as 0.08% to 1% and mortality rate up to 1.5%. Besides, injury related death rate is 16% to 18%. In this study we aimed to present a retrospective review of our experience with post ERCP-related perforations, reveal the type of ...