Abstract

intravenous injection through a large-diameter vein or through the intravenous tubing will minimize the hazards from this complication. Analysis of the 5 fatal cases stresses the importance of prompt surgical drainage when ductal obstruction is demonstrated. Because of this and because ERCP is a stressful procedure, it should be performed on only those patients who are acceptable surgical candidates. ERCP has proven to be an exciting new diagnostic procedure in the evaluation of a variety of pancreatic and biliary tract diseases. In properly selected patients, it is capable of providing unique diagnostic information with reasonable risk to the patient. Serious complications following ERCP can be minimized by careful attention to detail, as well as by an appreciation of the hazards associated with ductal obstruction.

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