Abstract
Background: The majority of perforations at ERCP were formerly attributed to biliary sphincterotomy caused by extending the incision into the retroperitoneal space, most often classified as mild by consensus criteria (Cotton 1991). With increased use of therapeutic ERCP for broadened indications in more complex patients, the spectrum of perforation has changed, as has the potential for endoscopic intervention. Patients and Methods: 32 perforations at ERCP were identified from a prospectively entered database of 7322 cases.
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