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107600

ERCP among Cirrhotics: What are the differences?

Article

Last updated: 22 Jan 2023

Subjects

-

Tags

Gastroenetrology

Abstract

The endoscopic retrograde cholangio-pancreatography (ERCP) is considered a main therapeutic intervention in the management of biliary and pancreatic disorders. In the average risk populations it is associated with adverse events. The most common adverse event is post-ERCP pancreatitis. Patients with liver cirrhosis are increasingly seen in ERCP theaters with different indications for the ERCP. Because cirrhotic patients are prone to complications it is expected that they develop more adverse events when operated with ERCP. Bleeding diathesis is the most serious because of the underlying coagulopathy and thrombocytopenia that are commonly encountered among them in particular with advanced Child class. In this mini review we discussed how different is the ERCP among cirrhotics regarding the expected benefits and the reported risks and we showed our experience in dealing with this subgroup of patients.  The art of managing cirrhotic patients with ERCP is a team work and not a one man show.

DOI

10.21608/aeji.2020.35918.1096

Keywords

ERCP, Cirrhosis, Bleeding

Authors

First Name

Mohamed

Last Name

Emara

MiddleName

H

Affiliation

Department of Hepatology, Gastroenterology and Infectious Diseases, Faculty of Medicine, Kafrelsheikh University, Kafrelsheikh, Egypt.

Email

emara_20007@yahoo.com

City

Zagazig

Orcid

0000-0002-1504-7851

First Name

Hassan

Last Name

Elbatee

MiddleName

E

Affiliation

Department of Hepatology, Gastroenterology and Infectious Diseases, Faculty of Medicine, Kafrelsheikh University, Kafrelsheikh, Egypt.

Email

hassanelbatae_68@yahoo.com

City

-

Orcid

-

First Name

Mohamed

Last Name

Radwan

MiddleName

I

Affiliation

Department of Tropical Medicine, Faculty of Medicine, Zagazig University, Zagazig, Egypt.

Email

drmmagdy@gmail.com

City

-

Orcid

-

First Name

Ibrahim

Last Name

Amer

MiddleName

F

Affiliation

Department of Hepatology, Gastroenterology and Infectious Diseases, Faculty of Medicine, Kafrelsheikh University, Kafrelsheikh, Egypt.

Email

hema.amer30@gmail.com

City

-

Orcid

-

First Name

Mariam

Last Name

Zaghloul

MiddleName

S

Affiliation

Department of Hepatology, Gastroenterology and Infectious Diseases, Faculty of Medicine, Kafrelsheikh University, Kafrelsheikh, Egypt.

Email

mariam_zaghloul@med.kfs.edu.eg

City

kafrelsheikh

Orcid

-

First Name

Mohamed

Last Name

Ahmed

MiddleName

H

Affiliation

Department of Hepatology, Gastroenterology and Infectious Diseases, Faculty of Medicine, Kafrelsheikh University, Kafrelsheikh, Egypt.

Email

dr.mm63@yahoo.com

City

kafrelsheikh

Orcid

0000-0003-1761-3527

First Name

Aya

Last Name

Mahrous

MiddleName

M

Affiliation

Department of Hepatology, Gastroenterology and Infectious Diseases, Faculty of Medicine, Kafrelsheikh University, Kafrelsheikh, Egypt.

Email

yoye_85@hotmail.com

City

-

Orcid

-

First Name

Soha

Last Name

Elhawari

MiddleName

A

Affiliation

Department of Tropical Medicine, Faculty of Medicine, Zagazig University, Zagazig, Egypt.

Email

sohaelhawary@yahoo.com

City

-

Orcid

-

First Name

Eslam

Last Name

Elshenawy

MiddleName

M

Affiliation

Department of Hepatology, Gastroenterology and Infectious Diseases, Faculty of Medicine, Kafrelsheikh University, Kafrelsheikh, Egypt.

Email

eslam.elshennawy18@gmail.com

City

-

Orcid

-

Volume

10

Article Issue

3

Related Issue

16766

Issue Date

2020-09-01

Receive Date

2020-07-15

Publish Date

2020-09-01

Page Start

241

Page End

248

Print ISSN

2090-7613

Online ISSN

2090-7184

Link

https://aeji.journals.ekb.eg/article_107600.html

Detail API

https://aeji.journals.ekb.eg/service?article_code=107600

Order

2

Type

Review article and meta analysis

Type Code

620

Publication Type

Journal

Publication Title

Afro-Egyptian Journal of Infectious and Endemic Diseases

Publication Link

https://aeji.journals.ekb.eg/

MainTitle

-

Details

Type

Article

Created At

22 Jan 2023