Assessment of the ERCP Results
ERCP was performed in 104 LLDs in a median of 21 days (min-max: 5-104 days) following LDH for one to eight sessions. Among these 104 LLDs, six LLDs underwent PTBD ± stenting due to unsuccessful ERCP or persistent biliary leak despite ERCP. Due to persistent bile duct stricture or bile leaks, two of these six LLDs underwent PTBD catheter assisted HJ thereafter. Six of twelve LLDs who underwent HJ had a history of failed ERCP attempts. One ERCP session resulted in duodenal perforation, management report of this LLD is previously published.8 Five LLDs with biliary complications had mild-to-moderate pancreatitis following ERCP, all of which recovered with fluid resuscitation and medical treatment. No other complications were observed all along median of 1119 days (min-max: 15-3536) of follow-up after ERCP.