DOI: http://dx.doi.org/10.18203/2349-3933.ijam20163170

Indications and complications of endoscopic retrograde cholangiopancreatography procedures in a tertiary care centre

Parvesh Kumar Jain, Vinay B. N.

Abstract


Background: ERCP is commonly performed for the management of choledocholithiasis, diagnosis and management of biliary and pancreatic neoplasms, and postoperative management of biliary perioperative complications. The aim of this study was to review the indications and complications of endoscopic retrograde cholangiopancreatography (ERCP) procedures in a tertiary care centre.

Methods: From April 2012 to March 2016, consecutive patients undergoing ERCP procedure in medical and surgical gastroenterology department were included in the study. Patients with any previous papillary intervention like papillotomy, sphincterotomy or stent placement were excluded from the study. Patients’ demographic characters, ERCP indications and post-ERCP complications were reviewed.

Results: Four hundred and ninety patients were included in the study. Among them male patients were 240 and females were 250. Mean age was 44.6 years and the age range was 18 to 82 years. Most common indication for ERCP was choledocholithiasis (N = 377, 76.93%). and malignant obstructive jaundice (N = 57, 11.63%). Post ERCP complications developed in 29 patients (5.91%). Pancreatitis was the most common post-ERCP complication.

Conclusions: ERCP is a safe procedure. ERCP complications in our center are similar to those reported from other centres.


Keywords


Choledocholithiasis, ERCP, Pancreatitis, Sphincterotomy

Full Text:

PDF

References


McCune WS, Shorb PE, Moscovitz H. Endoscopic cannulation of the ampulla of Vater: a preliminary report. Ann Surg. 1968;167:752-6.

Feldman M, Friedman LS, Brandt LJ, editors. Sleisenger and Fordtran’s Gastrointestinal and Liver Disease. 9th ed. Philadelphia: Elseiver;2010:861.

Baron TH, Petersen BT, Mergener K. Quality indicators for endoscopic retrograde cholangiopancreatography. Gastrointest Endosc. 2006;101:892-97.

Greenberger NJ, Blumberg RS, Burakoff R, editors. Current Diagnosis and Treatment Gastroenterology, Hepatology and Endoscopy. 1st ed. Newyork : McGraw-Hill;2009:377.

Cotton PB, Garrow DA, Gallagher J. Risk factors for complications after ERCP: a multivariate analysis of 11,497 procedures over 12 years. Gastrointest Endosc. 2009;70:80-8.

Barther M, Lesavre N, Desjeux A. Complications of endoscopic sphincterotomy: results from a single tertiary referral center. Endoscopy. 2002;34:191-7.

Andriulli A, Loperfido S, Napolitano G. Incidence rates of post-ERCP complications: a systemic study of prospective studies. Am J Gastroenterol. 2007;102:1781-88.

Freeman ML. Adverse outcomes of endoscopic retrograde cholangiopancreatography: avoidance and management. Gastrointest Endosc Clin N Am. 2003;13:775-98.

Freeman ML, Nelson DB, Sherman S. Complications of endoscopic biliary sphincterotomy. N Engl J Med. 1996;335:909-18.

Masci E, Tori G, Mariani A. Complications of diagnostic and therapeutic ERCP: a prospective multicentre study. Am J Gastroenterol. 2001;96:417-23.

Loperfido S, Angelini G, Benedetti G. Major early complications from diagnostic and therapeutic ERCP: a prospective multicentre study. Gastrointest Endosc. 1998;48:1-10.

Huibregtse K. Complications of endoscopic sphincterotomy and their prevention. N Engl J Med. 1996;335:961-2.

Cotton PB, Lehman G, Vennes JA. Endoscopic sphincterotomy complications and their management: an attempt at consensus. Gastrointest Endosc. 1991;37:383-93.

Freeman ML. Adverse outcomes of ERCP. Gastrointest Endosc. 2002;56(6):273-82.

Vandervoort J, Soetikno RM, Tham TC, Wong RC, Ferrari AP Jr, Montes H et al. Risk factors for complications after performance of ERCP. Gastrointest Endosc. 2002;56(5):652-6.