Therapeutic endoscopic retrograde cholangiopancreatography: Factors influencing complication risk
Küçük Resim Yok
Tarih
1999
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
The contributory factors in the development of complications following therapeutic endoscopic retrograde cholangiopancreatography (ERCP) are unclear. In the present study, we investigated whether factors such as the presence of Billroth II gastrectomy, the use of a needle knife for endoscopic papillotomy, the biliary-pancreatic pathology diagnosed with ERCP and the learning curve of the endoscopist have determining roles in complications seen following this procedure. Between May 1993 and August 1998, there were 278 patients in whom therapeutic ERCP was performed in our endoscopy unit. Of these cases, there were 18 in whom complications with therapeutic ERCP were reported. Complications were most frequently seen in patients with a diagnosis of papillary stenosis (14.2%), pancreatic cancer (11.1%), papillary tumor (7.7%), choledocholithiasis (7.5%), and cholangiocellular carcinoma (2.5%) (p = 0.640). The complication rates in patients with Billroth II gastrectomy and patients without Billroth II gastrectomy were found to be 9.1% and 6.4% respectively (p = 0.791). There was no statistically significant difference in rates of complications after the use of conventional or needle knife sphincterotomes (6.7% versus 6.1% respectively, p = 0.937). As the experience of the endoscopist increased during the study period, there was slight but a statistically insignificant decrease in the rate of complications in association with therapeutic ERCP (p = 0.082). No procedure related death was observed. In conclusion, all patients in whom sphincterotomy and pancreatic canal injection are performed require a skilled endoscopist and close follow-up.
Açıklama
Anahtar Kelimeler
Complication, EST, Risk, Therapeutic ERCP
Kaynak
Turkish Journal of Gastroenterology
WoS Q Değeri
Scopus Q Değeri
Q3
Cilt
10
Sayı
4
