Title Endoscopic retrograde cholangiopancreatography associated perforations: 10-year experience of a large volume center
Authors Dieninytė, Eglė ; Pliuskutė, Kamilė ; Jarašūnas, Juozas ; Stanaitis, Juozas ; Poškus, Tomas
DOI 10.4253/wjge.v18.i4.118361
Full Text Download
Is Part of World journal of gastrointestinal endoscopy.. Pleasanton, CA : Baishideng Publishing Group Inc.. 2026, vol. 18, iss. 4, art. no. 118361, p. 1-9.. ISSN 1948-5190
Keywords [eng] endoscopic retrograde cholangiopancreatography ; complications ; perforations ; management ; outcomes
Abstract [eng] BACKGROUND Endoscopic retrograde cholangiopancreatography (ERCP) is a crucial treatment modality for biliary and pancreatic obstruction carrying significant technical challenges and high complication rate. Although rare, complication of perforation can lead to significant morbidity and mortality if not promptly recognized and managed appropriately. AIM To investigate the incidence, patterns of diagnosis and management and outcomes of ERCP associated perforations. METHODS This study is a post-hoc analysis of a prospectively collected database of ERCP procedures carried out in a referral center in Lithuania between 2010 and 2019. RESULTS In the period between 2010 and 2019 years 5462 ERCP procedures were performed. 2665 ERCP procedures were carried out with an intention of biliary stent placement resulting in 20 perforations (0.75%). The average age of patients with ERCP associated perforations was 73.2 ± 11.9 years, 7 of them being male (35%). The complication was diagnosed intra-procedurally in 6 patients (30%) and perforations most often occurred in biliary tract (n = 8, 40%). Half of the patients with diagnosed ERCP associated perforation underwent surgical interventions (n = 10, 50%). Median duration of hospitalization for patients with ERCP associated perforations was 16.5 days and a quarter of the patients died (n = 5, 25%). CONCLUSION ERCP associated perforation is a rare but potentially fatal procedural complication, necessitating prompt diagnosis, thorough workup and a multidisciplinary management plan.
Published Pleasanton, CA : Baishideng Publishing Group Inc
Type Journal article
Language English
Publication date 2026
CC license CC license description