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    Endoscopic retrograd cholongiopancreatography results in diagnosis and therapy
    (1999) Hilmioglu F.; Yildirim B.; Karincaoglu M.; Aladag M.; Taskin V.; Kantarceken B.
    The use of diagnostic and therapeutic endoscopy for pancreaticobiliary disease has increased in recent years. Choledocholithiasis and malignant strictures are most common diagnosis on endoscopic retrograde cholangiopancreatography (ERCP). We reviewed our recent experience to assess the spectrum of procedures performed and their results. Medical records and radiographic examinations of 338 consecutive patients undergoing therapeutic ERCP were studied. The most common diagnoses were choledocholithiasis and malignant strictures. Successful cannulation was 91.7% and successful treatment was 90%.
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    Endoscopic treatment of biliary fistulas: Results of 20 patients
    (1999) Hilmioglu F.; Yildirim B.; Karincaoglu M.; Aladag M.; Kantarceken B.; Dogan I.
    Biliary fistula is an infrequent but serious complication which usually occurs following biliary tract surgery. In this study treatment consisted of standard sphincterotomy and if necessary, stone extraction with or without endoprosthesis placement. The aim of all treatments was to facilitate bile flow into the duodenum. The biliary tract and site of leakage were visualized during endoscopic retrograde cholangiopancreatography (ERCP) in all patients (100%) and 16 of 20 patients were treated endoscopically (80%). Bile leakage can be diagnosed safely and effectively by ERCP and subsequent endoscopic management is successful in most cases.
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    Evaluation of choledochal stones
    (1999) Karincaoglu M.; Aladag M.; Yildirim B.; Hilmioglu F.
    We present a four year review of patients with suspected gallstones, in whom endoscopic retrogade cholangiopancreatography (ERCP) was performed prior to cholecystectomy. ERCP was performed on 84 patients with a provisional diagnosis of gallstones but stones were found in only 53 of these patients. The most sensitive diagnostic screening method was found to be alkaline phosphatase while the most specific was screening of intrahepatic bile duct dilation with ultrasound.