After a therapeutic, apparently adequate, ERCP it is possible to observe a persistent jaundice. This represents a complex challenge and possible alternative explanations have to be considered. The approach is always based on the specific clinical situation whereas evidence in the literature is poor and only few case reports exist. Ultrasonography and lab exams can detect previously unsuspected liver disease and guide further decisions, but often ERCP haso be repeated, to rule out incomplete clearance of the common bile duct or insufficient drainage of positioned stents. Medical therapy can be based on the empirical use of steroids.
|Translated title of the contribution||What can be done in the case of a persisting jaundice after ERCP?|
|Number of pages||3|
|Journal||Giornale Italiano di Endoscopia Digestiva|
|Publication status||Published - Feb 2010|
ASJC Scopus subject areas
- Radiology Nuclear Medicine and imaging