{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T06:01:14Z","timestamp":1778133674394,"version":"3.51.4"},"reference-count":0,"publisher":"Georg Thieme Verlag KG","issue":"02","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Endoscopy"],"published-print":{"date-parts":[[2020,2]]},"abstract":"<jats:title>Main Recommendations<\/jats:title><jats:p>\n          Prophylaxis\n        <\/jats:p><jats:p>\n          1\u00a0ESGE recommends routine rectal administration of 100\u200amg of diclofenac or indomethacin immediately before endoscopic retrograde cholangiopancreatography (ERCP) in all patients without contraindications to nonsteroidal anti-inflammatory drug administration.<\/jats:p><jats:p>Strong recommendation, moderate quality evidence.<\/jats:p><jats:p>\n          2\u00a0ESGE recommends prophylactic pancreatic stenting in selected patients at high risk for post-ERCP pancreatitis (inadvertent guidewire insertion\/opacification of the pancreatic duct, double-guidewire cannulation).<\/jats:p><jats:p>Strong recommendation, moderate quality evidence.<\/jats:p><jats:p>\n          3\u00a0ESGE suggests against routine endoscopic biliary sphincterotomy before the insertion of a single plastic stent or an uncovered\/partially covered self-expandable metal stent for relief of biliary obstruction.<\/jats:p><jats:p>Weak recommendation, moderate quality evidence.<\/jats:p><jats:p>\n          4\u00a0ESGE recommends against the routine use of antibiotic prophylaxis before ERCP.<\/jats:p><jats:p>Strong recommendation, moderate quality evidence.<\/jats:p><jats:p>\n          5\u00a0ESGE suggests antibiotic prophylaxis before ERCP in the case of anticipated incomplete biliary drainage, for severely immunocompromised patients, and when performing cholangioscopy.<\/jats:p><jats:p>Weak recommendation, moderate quality evidence.<\/jats:p><jats:p>\n          6\u00a0ESGE suggests tests of coagulation are not routinely required prior to ERCP for patients who are not on anticoagulants and not jaundiced.<\/jats:p><jats:p>Weak recommendation, low quality evidence.<\/jats:p><jats:p>\n          Treatment\n        <\/jats:p><jats:p>\n          7\u00a0ESGE suggests against salvage pancreatic stenting in patients with post-ERCP pancreatitis.<\/jats:p><jats:p>Weak recommendation, low quality evidence.<\/jats:p><jats:p>\n          8\u00a0ESGE suggests temporary placement of a biliary fully covered self-expandable metal stent for post-sphincterotomy bleeding refractory to standard hemostatic modalities.<\/jats:p><jats:p>Weak recommendation, low quality evidence.<\/jats:p><jats:p>\n          9\u00a0ESGE suggests to evaluate patients with post-ERCP cholangitis by abdominal ultrasonography or computed tomography (CT) scan and, in the absence of improvement with conservative therapy, to consider repeat ERCP. A bile sample should be collected for microbiological examination during repeat ERCP.<\/jats:p><jats:p>Weak recommendation, low quality evidence.<\/jats:p>","DOI":"10.1055\/a-1075-4080","type":"journal-article","created":{"date-parts":[[2019,12,21]],"date-time":"2019-12-21T01:29:05Z","timestamp":1576891745000},"page":"127-149","source":"Crossref","is-referenced-by-count":743,"title":["ERCP-related adverse events: European Society of Gastrointestinal Endoscopy (ESGE) Guideline"],"prefix":"10.1055","volume":"52","author":[{"given":"Jean-Marc","family":"Dumonceau","sequence":"additional","affiliation":[{"name":"Gastroenterology Service, H\u00f4pital Civil Marie Curie, Charleroi, Belgium"}]},{"given":"Christine","family":"Kapral","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology, Ordensklinikum Barmherzige Schwestern, Linz, Austria"}]},{"given":"Lars","family":"Aabakken","sequence":"additional","affiliation":[{"name":"GI Endoscopy Unit, OUS, Rikshospitalet University Hospital, Oslo, Norway"}]},{"given":"Ioannis S.","family":"Papanikolaou","sequence":"additional","affiliation":[{"name":"Hepatogastroenterology Unit, Second Department of Internal Medicine \u2013 Propaedeutic, Research Institute and Diabetes Center, Medical School, National and Kapodistrian University, Attikon University General Hospital, Athens, Greece"}]},{"given":"Andrea","family":"Tringali","sequence":"additional","affiliation":[{"name":"Digestive Endoscopy Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy"},{"name":"Centre for Endoscopic Research, Therapeutics and Training (CERTT), Universit\u00e0 Cattolica del Sacro Cuore, Rome, Italy"}]},{"given":"Geoffroy","family":"Vanbiervliet","sequence":"additional","affiliation":[{"name":"Centre Hospitalier Universitaire de Nice, Pole D.A.R.E, Endoscopie Digestive, Nice, France"}]},{"given":"Torsten","family":"Beyna","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine and Gastroenterology, Evangelisches Krankenhaus D\u00fcsseldorf, Dusseldorf, Germany"}]},{"given":"Mario","family":"Dinis-Ribeiro","sequence":"additional","affiliation":[{"name":"Gastroenterology Department, Portuguese Oncology Institute of Porto, Portugal"},{"name":"Center for Research in Health Technologies and Information Systems (CINTESIS), Faculty of Medicine, Porto, Portugal"}]},{"given":"Istvan","family":"Hritz","sequence":"additional","affiliation":[{"name":"Semmelweis University, 1st Department of Surgery, Center for Therapeutic Endoscopy, Budapest, Hungary"}]},{"given":"Alberto","family":"Mariani","sequence":"additional","affiliation":[{"name":"Division of Pancreato-Biliary Endoscopy and Endosonography, Pancreas Translational & Clinical Research Center, San Raffaele Scientific Institute IRCCS, Vita Salute San Raffaele University, Milan, Italy"}]},{"given":"Gregorios","family":"Paspatis","sequence":"additional","affiliation":[{"name":"Gastroenterology Department, Benizelion General Hospital, Heraklion, Crete, Greece"}]},{"given":"Franco","family":"Radaelli","sequence":"additional","affiliation":[{"name":"Gastroenterology Department, Valduce Hospital, Como, Italy,"}]},{"given":"Sundeep","family":"Lakhtakia","sequence":"additional","affiliation":[{"name":"Asian Institute of Gastroenterology, Hyderabad, India"}]},{"given":"Andrew M.","family":"Veitch","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, New Cross Hospital, Wolverhampton, UK"}]},{"given":"Jeanin E.","family":"van Hooft","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology, Amsterdam University Medical Centers, University of Amsterdam, The Netherlands"}]}],"member":"194","published-online":{"date-parts":[[2019,12,20]]},"container-title":["Endoscopy"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-1075-4080.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,1,28]],"date-time":"2020-01-28T23:33:10Z","timestamp":1580254390000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-1075-4080"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,12,20]]},"references-count":0,"journal-issue":{"issue":"02","published-online":{"date-parts":[[2020,1,28]]},"published-print":{"date-parts":[[2020,2]]}},"URL":"https:\/\/doi.org\/10.1055\/a-1075-4080","relation":{},"ISSN":["0013-726X","1438-8812"],"issn-type":[{"value":"0013-726X","type":"print"},{"value":"1438-8812","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,12,20]]}}}