Can you die from ERCP?

Can you die from ERCP?

The risk of severe complications after ERCP is less than 1%; however, autopsy pathologists see a select group of patients having fatality. Thirty-five autopsies were performed after ERCP over a 13-year period. Fourteen of these 35 patients died of ERCP complications.

How do you prevent post-ERCP pancreatitis?

Selection of patients, good technique, and good aftercare remain the primary prevention of post-ERCP pancreatitis. Currently, rectal NSAIDs are the only pharmacological agents that have been shown to reduce the incidence of post-ERCP pancreatitis in especially in high-risk patients and is gaining wider acceptance.

What are the facts about post ERCP pancreatitis?

Background: Data regarding the incidence and severity of post-ERCP pancreatitis (PEP) are primarily from nonrandomized studies. Objective: To determine the incidence, severity, and mortality of PEP from a systematic review of the placebo or no-stent arms of randomized, controlled trials (RCTs).

What was the mortality rate for ERCP patients?

Intervention: ERCP. Main outcome measurements: Incidence, severity, and mortality of PEP. Results: There were 108 RCTs with 13,296 patients in the placebo or no-stent arms. Overall, the PEP incidence was 9.7% and the mortality rate was 0.7%.

How is mortality calculated for patients with pancreatitis?

Estimates mortality of patients with pancreatitis, based on initial and 48-hour lab values. Calculated on admission, and at 48 hours, to estimate mortality from pancreatitis. John H. C. Ranson, MD, (d. 1995) was a surgeon and director of the division of general surgery at the NYU.

When to use radiologic imaging for post ERCP?

Post-ERCP pain with marked elevation of serum amylase and/or lipase; especially when the values are greater than 1,000 IU/L, it is strongly suggestive of pancreatitis. In cases of diagnostic doubt, especially when severe pancreatitis is predicted, radiologic imaging should confirm the diagnosis.

Can you die from ERCP? The risk of severe complications after ERCP is less than 1%; however, autopsy pathologists see a select group of patients having fatality. Thirty-five autopsies were performed after ERCP over a 13-year period. Fourteen of these 35 patients died of ERCP complications. How do you prevent post-ERCP pancreatitis? Selection of patients,…