Views: 0 Author: Site Editor Publish Time: 2025-05-12 Origin: Site
ERCP with intestinal (biliary or pancreatic) stent placement is generally safe but does carry some risks and potential complications, especially since it’s a technically complex procedure. Below are the most common and serious risks:
Pancreatitis (3–15% incidence)
Inflammation of the pancreas is the most frequent complication.
Can range from mild to severe, occasionally requiring hospitalization.
Infection (Cholangitis or Abscess)
Bacterial infection of the bile ducts or pancreas, especially if drainage is incomplete.
Requires antibiotics and sometimes further drainage.
Bleeding
May occur from sphincterotomy (if done) or from trauma during the procedure.
Usually mild but can require endoscopic or surgical intervention.
Perforation
A tear in the esophagus, stomach, duodenum, or bile/pancreatic duct.
Rare but serious; may require surgery.
Stent-related issues
Migration: Stent moves from its intended position.
Blockage or occlusion: Buildup of sludge or tumor tissue may re-block the duct.
Stent fracture: Mostly with plastic stents over long durations.
Allergic reaction to contrast dye or medications.
Aspiration during sedation (inhaling stomach contents into the lungs).
Anesthesia-related complications, particularly in elderly or medically fragile patients.
Prior pancreatitis
Difficult cannulation
Sphincter of Oddi dysfunction
Use of certain types of stents (e.g., uncovered SEMS in benign disease)
Poor overall health status or co-existing conditions
Use of prophylactic antibiotics for infection prevention.
Use of rectal NSAIDs (e.g., indomethacin) to lower pancreatitis risk.
Careful technique by experienced endoscopists.
Close post-procedure monitoring for early detection of complications.
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