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Dergiler / Meandros Medical And Dental Journal / 2026 / Volume: 23 Issue: 1

Is Outpatient ERCP Safe for Choledocholithiasis?

İsmail Taşkıran(ADNAN MENDERES UNIVERSITY)
Bülent Ödemiş(UNIVERSITY OF HEALTH SCIENCES, INSTITUTE OF HEALTH SCIENCES)
Hakan Yıldız(YENI YUZYIL UNIVERSITY)
Erkan Parlak(HACETTEPE UNIVERSITY)
Sayfa
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Yayın Tarihi
2022-03-30
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⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

The 4th hour amylase level below 150 U/L after ERCP showed that patients can be safely sent home and that the amylase value above 3-fold at the 4th hour can be considered the limit value for admission to the hospital for pancreatitis.

📌 3 Maddede Bu Makale

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Amaç & Hipotez:Objective: This study aimed to compare the complications of outpatient and inpatient endoscopic retrograde cholangiopancreatography (ERCP) procedures in patients with bile duct stones and to investigate whether it is a safe approach to perform outpatient ERCP or not.
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Temel Bulgular & Veri:Materials and Methods: This prospective study consisted of 203 patients who had undergone ERCP for the first time with a diagnosis of choledocholithiasis between January 2013-July 2013.
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Sonuç & Katkı:The 4th hour amylase level below 150 U/L after ERCP showed that patients can be safely sent home and that the amylase value above 3-fold at the 4th hour can be considered the limit value for admission to the hospital for pancreatitis.
🔬Tür:Research Article
📍Kapsam:2013 Verileri
⚙️Değişkenler:Amylase · outpatient ERCP · choledocholithiasis

Abstract

Objective: This study aimed to compare the complications of outpatient and inpatient endoscopic retrograde cholangiopancreatography (ERCP) procedures in patients with bile duct stones and to investigate whether it is a safe approach to perform outpatient ERCP or not. Materials and Methods: This prospective study consisted of 203 patients who had undergone ERCP for the first time with a diagnosis of choledocholithiasis between January 2013-July 2013. Results: Of the patients included in the study, 102 had undergone outpatient and 101 had undergone inpatient ERCP. Complications following ERCP occurred in 9.8% of the outpatient group (pancreatitis in 5.9%, hemorrhage in 1.9%, cholangitis in 1%, perforation in 1%), while they occurred in the 11.9% of the inpatient group (pancreatitis in 6.9%, bleeding in 1%, cholangitis in 2%, perforation in 2%) (p=0.230, p=0.386, p=0.386, p=0.333, respectively; total complication comparison p=0.618). An amylase level below 150 U/L at the 4th hour after ERCP had a negative predictive value of 99.4% for pancreatitis to be negative. When the 4th hour amylase value of 300 U/L was taken as a limit, it had a positive predictive value of 52.1% in terms of pancreatitis positive. Additionally, the outpatient procedure was more cost-effective when the two groups were compared in terms of the cost [873.6±272.2 Turkish lira (TL) vs 1389.7±612.6 TL, p=0.001]. Conclusion: Our study demonstrated that outpatient ERCP was safe and costeffective in selected cases with bile duct stones. The 4th hour amylase level below 150 U/L after ERCP showed that patients can be safely sent home and that the amylase value above 3-fold at the 4th hour can be considered the limit value for admission to the hospital for pancreatitis.

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Bu Makaleye Atıf Yap

Taşkıran, İ., Ödemiş, B., Yıldız, H., Parlak, E. (2022). Is Outpatient ERCP Safe for Choledocholithiasis?. Meandros Medical And Dental Journal, Volume: 23 Issue: 1. https://doi.org/10.4274/meandros.galenos.2021.70370

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