The Icteric Patient - Related Resources

Cochrane reviews

Patients undergoing endoscopic retrograde cholangiopancreatography (ERCP) procedures under propofol sedation may become sedated faster, tolerate the procedure better and recover faster than those receiving sedation with midazolam and meperidine. There seems to be no difference between the groups regarding mortality, hypoxaemia, hypotension or rate of completion of procedureSedative Techniques for Endoscopic Retrograde Cholangiopancreatography (Ercp).
Tamoxifen has no effect on survival in patients with hepatocellular carcinoma Tamoxifen for Hepatocellular Carcinoma.
Sphincterectomy may be beneficial in patients with elevated sphincter of Oddi pressure (> 40 mmHg), but not in patients with normal basal pressure Sphincterectomy for Biliary Sphincter of Oddi Dysfunction.
Pre-operative biliary drainage may not have beneficial effect on mortality and complications in patients with obstructive jaundice needing surgery. In some specific lesion site it may cause more complications Preoperative Biliary Drainage for Obstructive Jaundice.

No treatments seem to be effective for hepatocellular carcinoma. Tamoxifen, interferon immunotherapy and embolisation warrant further study .
ERCP is equal to magnetic resonance cholangiopancreatography or endoscopic ultrasound in detection of common bile duct stones or malignant pancreaticobiliary obstruction Endoscopic Retrograde Cholangiopancreatography in Biliary Obstruction.

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