Management of post-ERCP complications

被引：6

作者：

Desilets, David J. ^{[1
]}

机构：

[1] Univ Massachusetts, Sch Med, Baystate Med Ctr, Div Gastroenterol,Dept Med, Springfield, MA 01103 USA

来源：

MINERVA CHIRURGICA | 2017年 / 72卷 / 02期

关键词：

Cholangiopancreatography; endoscopic retrograde; Complications; Gastroenterology; ENDOSCOPIC SPHINCTEROTOMY; PROSPECTIVE MULTICENTER; PANCREATIC STENT; RISK-FACTORS; PERFORATION; PREVENT;

D O I：

10.23736/S0026-4733.16.07274-6

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Endoscopic retrograde cholangiopancreatography (ERCP) has the highest risk of complication of any endoscopic procedure routinely performed by gastroenterologists or surgeons. Adverse events are inevitable when performing ERCP, and one must learn to manage these appropriately when they occur. One avenue for a successful outcome after a complication of ERCP is to follow the "5R model" of management: recognize, react, reach out, repent, and revisit. Several case studies are used as examples of intervention after complication, especially after retroperitoneal perforation. The literature is briefly reviewed in some areas, and I draw upon my own experience extensively in others. If there is a sixth R in the model it would be to "rejoice" when a patient is successfully managed and is finally sent home in good health.

引用

页码：157 / 168

页数：12

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