Endoscopic retrograde ciiolangiopancreatograpfiy experience: Prospective study Endoskopi̇k retrograd kolanji̇opankreatografi̇ deneyi̇mi̇: Prospekti̇f çalişma


Koçkar M. C., ŞENOL A., Cüre E., Baştürk A., Aydin B.

Nobel Medicus, vol.5, no.1, pp.10-13, 2009 (SCI-Expanded) identifier

  • Publication Type: Article / Article
  • Volume: 5 Issue: 1
  • Publication Date: 2009
  • Journal Name: Nobel Medicus
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.10-13
  • Keywords: Biliaiy tract disease, Biliary tract, Choledochus, Endoscopic retrograde cholangiopancreatography, ERCP, Pencreatic disease
  • Kütahya Health Sciences University Affiliated: No

Abstract

Objective: Endoscopic Retrograde Cholangio Pancreatography (ERCP) is a method that helps to show pancreas, gall bladder and intra and extra hepatic bile ducts. Recently ERCP is used for the treatment of pancreaticobilier system pathologies rather than diagnosis. • Material and Method: With extra hepatic cholestasis, 118 patients who hospitalized to the Gastroenterology Clinic of Stileyman Demirel University Medical Faculty were included in to the study. Forty-eight (40.7%) of patients were men and 70 (59.3%) of them were women. • Results: Totally 123 FRCP procedures were performed; seventy-one choledochal stone, 20 malign stenosis, 8 benign stenosis, 9 Oddi fibrosis, 7 postoperative biliary fistulas, 1 choledochoduodenal fistula, 1 ectopic opening anomaly, 1 Fasciola hepatica were found. There was more than one pathology in some patients; totally 93 patients were having choledochal stone. Diverticulum was detected in 22 patients. Mild complications were seen in six patients. ERCP was unsuccessful in 17 patients. • Conclusion: Serious complications may be seen such as perforation, sepsis and even mortality during the ERCP procedure. More experienced endoscopist and team, careful follow-up during ERCP procedure and in service may increase the success of procedure as well as decrease the complications to the minimal.