Research advances on complications and multidisciplinary treatments of choledocholithiasis after endoscopic retrograde cholangiopancreatography
Choledocholithiasis is a common gastrointestinal disease.Stone incarceration causes secondary cholangitis with biliary obstruction,abdominal pain,chills,high fever,jaundice,hypotension and some nervous system symptoms.It may endanger the life of patients in severe cases.ERCP has gradually become a preferred treatment for choledocholithiasis.As compared with traditional surgery,ERCP offers the advantages of greater mini-invasiveness and significantly shorter hospitalization stay.However,ERCP remains an invasive endoscopic intervention with such common complications as postoperative acute pancreatitis,biliary tract infection,hemorrhage and perforation.Early detection and timely treatment of ERCP-related complications are controversial among endoscopists and vital for patient benefits.This review focused upon common complications,incidence,related risk factors and multidisciplinary preventive and therapeutic measures of choledocholithiasis after ERCP.