الفهرس | Only 14 pages are availabe for public view |
Abstract Aim of the work The aim of this work is to assess the different techniques of ERCP in management of patients with obstructive jaundice and to collect the diverse recent development in the uses of ERCP in a simple systematic way. It is hoped to be an aid for the endoscopit dealing with these cases, guiding him as how to approach the individual problems bases on the up date knowledge. Conclusions ERCP is an invasive technology that carries the risk of significant and fatal complications. The most common complications include pancreatitis, bleeding, perforation and infection with mortality being rare but not impossible. Predictors of these complications had not been well understood; the following may be the risk factors: suspected sphincter of Oddi dysfunction, cirrhosis, difficult bile duct cannulation, the use of precut sphincterotomy and the use of combined percutaneous and endoscopic techniques. The decision to perform ERCP must be considered carefully because the risk of pancreatitis in this setting may be 20%. |