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High Rate of Post-ERCP Pancreatitis in Patients Undergoing Endoscopic Treatment of Benign Biliary Stricture

Romano-Munive, Adriana F. MD*; Valdovinos-Andraca, Francisco MD; Elizondo-Rivera, Javier MD; Ramírez-Luna, Miguel A. MD; Herrera-Gómez, Salvador MD; Téllez-Ávila, Félix I. MSc, MD

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques: April 2014 - Volume 24 - Issue 2 - p 164–167
doi: 10.1097/SLE.0b013e31828f6b3b
Original Articles

Introduction and Aim: Endoscopic treatment is the best option for patients with postsurgical stricture of main biliary duct. There is scarce information about the incidence of post-endoscopic retrograde cholangiopancreatography (ERCP) complications in this condition. The aim was to evaluate the incidence of complications and the associated risk factors in patients undergoing ERCP for postcholecystectomy biliary stricture.

Materials and Methods: Prospective analysis of patients with postsurgical stenosis of main biliary duct was carried out. Rate of post-ERCP complications was determined and the associated risk factors were analyzed.

Results: A total of 25 patients were included. The success rate of endoscopic treatment was 92% (n=23). Two patients had recurrence of stricture with median follow-up of 23 months (range, 0.3 to 65.4 mo). Five patients (20%) developed acute pancreatitis after ERCP. No risk factors were detected in multivariate analysis.

Conclusion: Incidence of post-ERCP pancreatitis is high in patients with biliary stricture associated with surgical procedures.

Departments of *Gastroenterology

Endoscopy, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico

The authors declare no conflicts of interest.

Reprints: Félix I. Téllez-Ávila, MSc, MD, Department of Endoscopy, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Vasco de Quiroga #15. Col. Sección XVI. Del. Tlalpan. C.P. 14000, Mexico City, Mexico (e-mail:

Received June 12, 2012

Accepted November 27, 2012

© 2014 by Lippincott Williams & Wilkins