Research advances in hemorrhage after endoscopic retrograde cholangiopancreatography
10.3969/j.issn.1001-5256.2023.10.032
- VernacularTitle:内镜逆行胰胆管造影术后出血的研究进展
- Author:
Ling FAN
1
;
Yan FU
1
;
Yi LIU
1
;
Hua HUANG
1
;
Jing NI
1
;
Juan TANG
1
Author Information
1. Department of Gastroenterology, The Second Affiliated Hospital of Kunming Medical University, Kunming 650101, China
- Publication Type:Review
- Keywords:
Cholangiopancreatography, Endoscopic Retrograde;
Postoperative Hemorrhage;
Therapeutics;
Risk Factors
- From:
Journal of Clinical Hepatology
2023;39(10):2497-2505
- CountryChina
- Language:Chinese
-
Abstract:
Although hemorrhage after endoscopic retrograde cholangiopancreatography (ERCP) is mostly mild and self-limited, sometimes blood transfusion and endoscopic hemostasis are still needed. However, rebleeding may occur after conventional endoscopic hemostasis and thus requires interventional vascular embolization or surgical intervention, which might significantly increase the risk of death associated with post-ERCP bleeding. This article discusses the risk factors for post-ERCP bleeding, including disease-specific factors, patient-related factors, and operation-related factors, and elaborates on different measures for the prevention and treatment of post-ERCP bleeding, so as to provide a reference for identifying the high-risk population for bleeding and developing precise surgical strategies in clinical practice.