Sphincterotomy during endoscopic biliary drainage in cholangitis with sepsis-induced coagulopathy increases bleeding without clinical benefits

Key Points

• The aim is to evaluate the effects of sphincterotomy during endoscopic biliary drainage in patients with cholangitis and sepsis-induced coagulopathy.
• Assessment of bleeding risk associated with endoscopic sphincterotomy (EST).
• Comparison of clinical outcomes between patients undergoing endoscopic biliary drainage (EBD) with and without EST.
• Evaluation of post-ERCP pancreatitis (PEP) incidence.
• EST significantly increases the risk of bleeding.
• No reduction in the incidence of post-ERCP pancreatitis was observed.
• Clinical outcomes were not improved when EST was performed.