Table 3 Success and Adverse Event Score in Endoscopic Retrograde Cholangiopancreatography (SASE), regrading of the ASGE complexity grades for ERCP

Billroth II

neg.

neg.

n.s.

n.s.

n.s.

neg.

Emergency case (outside normal hours)

n.s.

n.s.

n.s.

n.s.

n.s.

neg.

Child < 3 years

n.a.

n.a.

n.a.

n.a.

n.a.

neg.

Previous failed/incomplete procedure

neg.

neg.

pos.

n.s.

n.s.

neg.

SASE 1/1

Biliary stent removal /exchange

1

1

1

1

1

1

1

1

SASE 1/2

Treat benign biliary strictures hilum and above

1

1

1

1

2

2

2

3

Biliary stone extraction > 10 mm

1

1

1

2

2

2

2

3

Extract internally migrated pancreatic stent

1

1

1

2

2

2

2

4

Intraductal imaging, biopsy

1

1

1

2

2

2

2

3

Manage acute or recurrent pancreatitis

1

1

1

2

2

2

2

3

Remove of internally migrated biliary stents

1

1

1

2

2

2

2

3

Treat biliary leaks

1

1

1

2

2

2

2

2

SASE 1/3

Biliary stone extraction < 10 mm

1

1

1

3

2

3

3

2

Manage suspected sphincter Oddi dysfunction

1

1

1

2

3

3

3

3

Treat extrahepatic benign/malignant strictures

1

1

1

2

3

3

3

2

SASE 2 /2

Deep cannulation of duct of interest, main papilla sampling

2

1

2

2

2

2

2

1

Aspiration of bile

2

2

2

2

2

2

2

1

Intraductal image guided therapy (e.g. PDT; electrohydraulic lithotripsy)

2

1

2

2

2

2

2

4

Intrahepatic stones

2

1

2

2

2

2

2

4

Minor papilla cannulation in p. divisum, & therapy

2

2

2

2

3

2

2

3

Remove pancreatic stones mobile and < 5 mm

2

1

2

2

2

2

2

3

Treat hilar tumors

2

1

2

2

2

2

2

3

Treat pancreatic strictures

2

1

2

1

3

2

2

3

SASE 2/3

Ampullectomy

2

1

2

3

3

3

3

4

Pancreatic stones impacted and/or > 5 mm

3

1

2

2

3

3

3

4

SASE 3/2

ERCP after Whipple or Roux - en - Y

3

2

3

2

2

2

2

4

SASE 3/3

Place prophylactic pancreatic stents

3

2

3

3

3

3

3

2