Therapeutic endoscopic retrograde cholangiopancreatography: Factors influencing complication risk

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dc.authorscopusid6603883869
dc.authorscopusid6603865122
dc.contributor.authorTaskin V.
dc.contributor.authorHilmioglu F.
dc.date.accessioned2024-08-04T20:01:02Z
dc.date.available2024-08-04T20:01:02Z
dc.date.issued1999
dc.departmentİnönü Üniversitesien_US
dc.description.abstractThe 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.en_US
dc.identifier.endpage356en_US
dc.identifier.issn1300-4948
dc.identifier.issue4en_US
dc.identifier.scopus2-s2.0-0033381425en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage353en_US
dc.identifier.urihttps://hdl.handle.net/11616/91215
dc.identifier.volume10en_US
dc.indekslendigikaynakScopusen_US
dc.language.isotren_US
dc.relation.ispartofTurkish Journal of Gastroenterologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectComplicationen_US
dc.subjectESTen_US
dc.subjectRisken_US
dc.subjectTherapeutic ERCPen_US
dc.titleTherapeutic endoscopic retrograde cholangiopancreatography: Factors influencing complication risken_US
dc.title.alternativeTerapotik endoskopik retrograd kolanjiopankreatografi: Komplikasyon gelisimini etkileyen faktorleren_US
dc.typeArticleen_US

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