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Endoscopic sphincterotomy complications and their management: an attempt at consensus.

Publication ,  Journal Article
Cotton, PB; Lehman, G; Vennes, J; Geenen, JE; Russell, RC; Meyers, WC; Liguory, C; Nickl, N
Published in: Gastrointest Endosc
1991

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 complications, 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.

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Published In

Gastrointest Endosc

DOI

ISSN

0016-5107

Publication Date

1991

Volume

37

Issue

3

Start / End Page

383 / 393

Location

United States

Related Subject Headings

  • Sphincterotomy, Transduodenal
  • Risk Factors
  • Pancreatitis
  • Intestinal Perforation
  • Infections
  • Humans
  • Hemorrhage
  • Gastroenterology & Hepatology
  • Duodenum
  • Cholangiopancreatography, Endoscopic Retrograde
 

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Cotton, P. B., Lehman, G., Vennes, J., Geenen, J. E., Russell, R. C., Meyers, W. C., … Nickl, N. (1991). Endoscopic sphincterotomy complications and their management: an attempt at consensus. Gastrointest Endosc, 37(3), 383–393. https://doi.org/10.1016/s0016-5107(91)70740-2
Cotton, P. B., G. Lehman, J. Vennes, J. E. Geenen, R. C. Russell, W. C. Meyers, C. Liguory, and N. Nickl. “Endoscopic sphincterotomy complications and their management: an attempt at consensus.Gastrointest Endosc 37, no. 3 (1991): 383–93. https://doi.org/10.1016/s0016-5107(91)70740-2.
Cotton PB, Lehman G, Vennes J, Geenen JE, Russell RC, Meyers WC, et al. Endoscopic sphincterotomy complications and their management: an attempt at consensus. Gastrointest Endosc. 1991;37(3):383–93.
Cotton, P. B., et al. “Endoscopic sphincterotomy complications and their management: an attempt at consensus.Gastrointest Endosc, vol. 37, no. 3, 1991, pp. 383–93. Pubmed, doi:10.1016/s0016-5107(91)70740-2.
Cotton PB, Lehman G, Vennes J, Geenen JE, Russell RC, Meyers WC, Liguory C, Nickl N. Endoscopic sphincterotomy complications and their management: an attempt at consensus. Gastrointest Endosc. 1991;37(3):383–393.
Journal cover image

Published In

Gastrointest Endosc

DOI

ISSN

0016-5107

Publication Date

1991

Volume

37

Issue

3

Start / End Page

383 / 393

Location

United States

Related Subject Headings

  • Sphincterotomy, Transduodenal
  • Risk Factors
  • Pancreatitis
  • Intestinal Perforation
  • Infections
  • Humans
  • Hemorrhage
  • Gastroenterology & Hepatology
  • Duodenum
  • Cholangiopancreatography, Endoscopic Retrograde