Abstract
Endoscopic retrograde cholangio-pancreatography has become one of the most useful diagnostic and therapeutic tooles for biliary-pancreatic diseases and is considered as the gold standard approach in this aspect.
However, ERCP carries some risks and complications, fortunately, major and serious complications are extreemly rare. In this work, 500 cases undergoing ERCP were randomly selected to study these complications the study reveals that most of these complications are mild, and of low incidence.
Complications encountered during ERCP included complications of sphincterotomy in the form of bleeding, pancreatic duct injury and retroduedenal perforation in about 8% of cases, complications of stone extraction as bleeding, failed lithotrepsy, or basket impaction was encountered in 6.9% of cases.
Post ERCP complications encountered were pancreatitis in 3%, hyperamylasemia in 3%, cholangitis in 3.6% and stent complications as migration, slipping, malfunction or early closing in 3.2% of cases.
Fortunately, mortality during the procedure was zero percent, within 48 hours after ERCP 0.4% and 30 days mortality was 0.8% of cases.