Bahadır ÖNDEŞ, Osman Gökhan GÖKDERE, Burhan Hakan KANAT
Laparoscopic Endoscopic Surgical Science - 2025;32(4):231-233
Introduction: Endoscopic retrograde cholangiopancreatography (ERCP) is a common therapeutic procedure for biliary and pancreatic diseases. However, severe complications such as duodenal perforation and necrotizing pancreatitis may require urgent surgical intervention. This study aimed to present our institutional approach to the management of ERCP-related complications, including both surgical and conservative strategies. Materials and Methods: In our clinic, seventeen patients who were hospitalized and followed due to ERCP-related complications between January 2022 and December 2024 were evaluated retrospectively. Data on patient demographics, type of complication, management approach, hospital stay, and outcomes were analyzed descriptively. Results: Seven patients underwent surgical intervention due to major complications such as duodenal perforation and necrotizing pancreatitis, while ten patients were managed conservatively due to pancreatitis, cholangitis, or bleeding. Early surgical intervention in appropriately selected patients was effective in controlling contamination and preventing sepsis. Conservatively managed patients responded well to supportive care, with no mortality. One patient who had undergone surgery died due to complications. Conclusions: Management of ERCP-related complications should be individualized based on the type and severity of the complication. Early surgery is lifesaving in selected cases, while conservative treatment is sufficient for stable patients. A multidisciplinary approach is essential for optimizing outcomes.
