Journals / Mustafa Kemal Üniversitesi Tıp Dergisi / 2021 / Cilt: 12 - Sayı: 42

Single-endoscopist Experience: ERCP Results, Complications, and Related factors

Tek Endoskopist Deneyimi; ERCP Sonuçları, Komplikasyonlar ve İlgili Faktörler

Pages
10–17
DOI
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In our study, the rate of post ercp pancreatitis was seen 7% , post ercp bleeding was observed as 1.2% , the rate of post ercp cholangitis was 0.9% , the post ercp perforation rate was 0.5% .When we compared the complications between successful and unsuccessful groups, there was a statistically significant difference in perforation and cholangitis (p

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Objective & Hypothesis:ABSTRACT Background / Aims: This study aimed to report our single-endoscopist endoscopic retrograde cholangiopancreatography (ERCP) experience, including ERCP success rate, complication rates and factors affecting them.
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Key Findings & Data:Materials and Methods: Retrospective data were collected from 573 patients who underwent ERCP from 2018 to 2020 at our clinic.
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Conclusion & Impact:In our study, the rate of post ercp pancreatitis was seen 7% , post ercp bleeding was observed as 1.2% , the rate of post ercp cholangitis was 0.9% , the post ercp perforation rate was 0.5% .When we compared the complications between successful and unsuccessful groups, there was a statistically significant difference in perforation and cholangitis (p
🔬Design:Research Article
📍Scope:2018 Verileri
⚙️Variables:ercp · jaundice · complications

Abstract

ABSTRACT Background / Aims: This study aimed to report our single-endoscopist endoscopic retrograde cholangiopancreatography (ERCP) experience, including ERCP success rate, complication rates and factors affecting them. Materials and Methods: Retrospective data were collected from 573 patients who underwent ERCP from 2018 to 2020 at our clinic. Patients aged under 18 years, patients who had previously undergone ERCP at another center, patients using rectal non-steroidal anti-inflammatory drugs, patients with sedation-related complications , and patients using pancreatoxic medication were not included. Results: The average age of the 573 patients included in the study was calculated as 58.6 (min. 18 - max. 104) years. In the examination of the success of cannulation, target duct was intubated in 93.9% (538/573) of the patients. In our study, the rate of post ercp pancreatitis was seen 7% , post ercp bleeding was observed as 1.2% , the rate of post ercp cholangitis was 0.9% , the post ercp perforation rate was 0.5% .When we compared the complications between successful and unsuccessful groups, there was a statistically significant difference in perforation and cholangitis (p

Özet

Amaç: Bu çalışmada, tek endoskopist endoskopik retrograd kolanjiyopankreatografi (ERCP) deneyimimizi, ERCP başarı oranı, komplikasyon oranları ve bunları etkileyen faktörler dahil olmak üzere bildirmeyi amaçlanmıştır. Gereç ve Yöntem: Kahramanmaraş şehir hastanesiz gastroenteroloji kliniğine 2018-2020 yılları arasında ERCP uygulanan 723 hastadan geriye dönük veriler toplandı. 18 yaşın altındaki hastalar, daha önce başka bir merkezde ERCP uygulanan hastalar, rektal steroid olmayan antiinflamatuvar ilaçlar kullanan hastalar, sedasyona bağlı komplikasyonları olan hastalar ve pankreatoksik ilaç kullanan hastalar dahil edilmemiştir. Bulgular: Çalışmaya dahil edilen 573 hastanın yaş ortalaması 58,6 (min. 18 - maks. 104) yıl olarak hesaplandı. Kanülasyonun başarısı incelendiğinde hastaların% 93.9'una (538/573) hedef kanala ulaşıldığı izlendi. Çalışmamızda ercp sonrası pankreatit oranı% 7, ercp sonrası kanama% 1.2, ercp sonrası kolanjit oranı% 0.9, ercp sonrası perforasyon oranı% 0.5 olduğu görüldü. İşlemde başarılı-başarısız gruplar karşılaştırıldığında başarısız grupta perforasyon ve kolanjitte istatistiksel olarak anlamlı fark mevcuttu (sırasıyla p

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Cite This Article

KARAOĞULLARINDAN, Ü. (2021). Single-endoscopist Experience: ERCP Results, Complications, and Related factors. Mustafa Kemal Üniversitesi Tıp Dergisi, Cilt: 12 - Sayı: 42, 10–17. https://ajindex.com/articles/340862

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References (9)

  1. ASGE Standards of Practice Committee; Chandrasekhara V, Khashab MA, Muthusamy VR, Acosta RD, Agrawal D, Bruining DH et al. Adverse events associated with ERCP. Gastrointest Endosc. 2017; 85(1):32-47. https://doi.org/10.1016/j.gie.2016.06.051 ASGE Standards of Practice Committee; Early DS, Ben-Menachem T, Decker GA, Evans JA, Fanelli RD, Fisher DA et al. Appropriate use of GI endoscopy. Gastrointest Endosc. 2012; 75(6):1127-31. https://doi.org/10.1016/j.gie.2012.01.011 ASGE Standards of Practice Committee; Chathadi KV, Chandrasekhara V, Acosta RD, Decker GA, Early DS, Eloubeidi MA et al. The role of ERCP in benign diseases of the biliary tract. Gastrointest Endosc. 2015; 81(4):795-803. https://doi.org/10.1016/j.gie.2014.11.019
  2. Freeman ML, Nelson DB, Sherman S, Haber GB, Dorsher PJ, Moore JP et al. Complications of endoscopic biliary sphincterotomy. N Engl J Med. 1996; 335(13):909-18. https://doi.org/10.1056/NEJM199609263351301
  3. Andriulli A, Loperfido S, Napolitano G, Niro G, Valvano MR, Spirito F et al. Incidence rates of post-ERCP complications: a systematic survey of prospective studies. Am J Gastroenterol. 2007; 102(8):1781-8. https://doi.org/10.1111/j.1572-0241.2007.01279.x
  4. Williams EJ, Taylor S, Fairclough P, Hamlyn A, Logan RF, Martin D et al. Risk factors for complication following ERCP; results of a large-scale, prospective multicenter study. Endoscopy. 2007; 39(9):793-801. https://doi.org/10.1055/s-2007-966723
  5. Wang P, Li ZS, Liu F, Ren X, Lu N-H, Fan Z-N et al. Risk factors for ERCP-related complications: a prospective multicenter study. Am J Gastroenterol. 2009; 104(1):31-40. https://doi.org/10.1038/ajg.2008.5
  6. Sharma VK, Nguyen CC, Crowell MD, Lieberman DA, Garmo P, Fleischer DE. A national study of cardiopulmonary unplanned events after GI endoscopy. Gastrointest Endosc 2007; 66(1):27-34. https://doi.org/10.1016/j.gie.2006.12.040
  7. Patel D, Chopra S, Berman MD. Serious systemic toxicity resulting from use of tetracaine for pharyngeal anesthesia in upper endoscopic procedures. Dig Dis Sci 1989; 34(6):882-4. https://doi.org/10.1007/BF01540273
  8. Cotton PB, Lehman G, Vennes J, Geenen JE, Russell RC, Meyers WC et al. Endoscopic sphincterotomy complications and their management: an attempt at consensus. Gastrointest Endosc. 1991; 37:383-93. https://doi.org/10.1016/S0016-5107(91)70740-2 Talukdar R. Complications of ERCP. Best Pract Res Clin Gastroenterol. 2016;30:793-805. https://doi.org/10.1016/j.bpg.2016.10.007
  9. Cheng CL, Sherman S, Watkins JL, Barnett J, F