How Do I Approach Pain After ERCP?

  • Robert M. BrickleyEmail author
  • Kevin Vincent Leonard


Although 20% of patients report significant pain following endoscopic retrograde cholangiopancreatography (ERCP), the post-procedural complication rate is cited at only 5–10%. The most common significant complications presenting to the acute care setting include post-ERCP pancreatitis, cholangitis, cholecystitis, hemorrhage, and perforation. These complications are rare but can be associated with significant morbidity and mortality. Vigilance is crucial in addressing this unique patient population. The evaluation for these complications in patients who presents with pain following ERCP requires clinical gestalt, laboratory studies, imaging tests, and sometimes specialty consultation.


Endoscopic retrograde cholangiopancreatography ERCP Pain Complications Adverse events Post-ERCP pancreatitis Pancreatitis Cholangitis 


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© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.UPMC Department of Emergency MedicinePittsburghUSA

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