Hemorrhagic complications following endoscopic retrograde cholangiopancreatography

Hassan M. Ghoz, Barham K. Abu Dayyeh

Research output: Contribution to journalReview articlepeer-review


Endoscopic retrograde cholangiopancreatography (ERCP) is a fundamental therapeutic tool in pancreaticobiliary diseases. One of the serious complications following ERCP is hemorrhage with an incidence rate of approximately 1%-2%. Post-ERCP bleeding is primarily attributed to endoscopic sphincterotomy, which is an essential step to allow therapeutic maneuvers during ERCP. Less commonly, nonsphincterotomy-related bleeding has been reported. Several risk factors have been identified for post-ERCP bleeding, and preventive and therapeutic measures have been described. A better understanding of these complications is required by endoscopists to more efficiently prevent and manage them. In this article, we review the literature on post-ERCP bleeding and summarize its risk factors, grading and classification, and guidelines for prevention and management.

Original languageEnglish (US)
Pages (from-to)175-182
Number of pages8
JournalTechniques in Gastrointestinal Endoscopy
Issue number4
StatePublished - Oct 1 2014


  • Bleeding
  • Management
  • Prevention
  • Risk factors
  • Sphincterotomy

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Gastroenterology


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