What is often the result of an unsuccessful ERCP procedure?

The result of an unsuccessful Endoscopic Retrograde Cholangiopancreatography (ERCP) procedure typically leads to considering percutaneous transhepatic cholangiography (PTC) as an alternative. PTC is a minimally invasive procedure that can be used to access the bile ducts when ERCP fails, particularly in cases of obstruction or when there are challenges in accessing the biliary tree. This option allows for biliary drainage and potential therapeutic intervention without immediately resorting to more invasive surgical options.

Choosing PTC is often a logical next step as it provides access to the biliary system for both diagnosis and therapeutic measures, like drainage and stenting, which may be necessary after ERCP fails. This approach helps manage complications and bypasses the limitations encountered in the ERCP procedure.

Stopping all further procedures does not address the underlying issue or relieve the patient’s condition. Performing surgery immediately would be considered more invasive and not always necessary following an unsuccessful ERCP. Referring the patient to oncology is unrelated unless there’s a specific concern for malignancy that necessitated the ERCP; however, such referral would not be a direct consequence of the unsuccessful procedure itself. Therefore, considering PTC is the most practical and immediate next step in managing a case where ER