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Catheter-based Endovascular Angioplasty for Fibrosing Mediastinitis-associated Pulmonary Vein Stenosis
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Management of post-ERCP complications.

David J Desilets1

  • 1Division of Gastroenterology, Department of Medicine, Baystate Medical Center, University of Massachusetts Medical School, Springfield, MA, USA - David.Desilets@baystatehealth.org.

Minerva Chirurgica
|December 17, 2016
PubMed
Summary

Managing complications from endoscopic retrograde cholangiopancreatography (ERCP) is crucial. The 5R model (recognize, react, reach out, repent, revisit) offers a framework for successful patient outcomes after ERCP adverse events.

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Area of Science:

  • Gastroenterology
  • Surgical Endoscopy

Background:

  • Endoscopic retrograde cholangiopancreatography (ERCP) carries the highest complication risk among routine endoscopic procedures.
  • Adverse events during ERCP are common and necessitate effective management strategies.

Observation:

  • The "5R model" (recognize, react, reach out, repent, revisit) provides a structured approach to managing ERCP complications.
  • Case studies illustrate interventions for complications, particularly retroperitoneal perforation.

Findings:

  • The 5R model guides clinicians through the necessary steps for managing ERCP-related adverse events.
  • Successful patient management and recovery are emphasized, with a "rejoice" R suggested for positive outcomes.

Implications:

  • Implementing the 5R model can improve patient outcomes and reduce morbidity after ERCP.
  • This framework supports healthcare professionals in navigating and mitigating the risks associated with ERCP procedures.