Endoscopic retrograde cholangiopancreatography in Benghazi our experience with 443 cases
DOI:
https://doi.org/10.18203/2349-2902.isj20163556Keywords:
ERCP, Post-ERCP complicationsAbstract
Background: Endoscopic retrograde cholangiopancreatography ERCP is a procedure that combines upper gastrointestinal endoscopy and X- rays. It first came into use about 30 years ago and has been applied to the diagnosis and management of a variety of hepatobiliary and pancreatic disorders. These disorders are common lin Benghazi and the procedure is frequently performed in this region. It started in Benghazi in early 1980s and become more sophisticated in 2011. The objective of this study was to assess the safety and efficacy of ERCP in Benghazi and to evaluate its morbidity and mortality in compare to that present in the literature.
Methods: A retrospective study of the medical records of 443 patients underwent ERCP in the two main hospitals in Benghazi (Benghazi medical center and Alhawari general hospital).
Results: The total numbers of cases were 443 patients and the procedures were done 512 times (it is repeated in some cases), the morbidity and mortality rates were compared with other studies.
Conclusions: Currently, our experience with ERCP in Benghazi is within acceptable range and the morbidity and mortality rates are almost with the average present in the literature.References
Elmunzer BJ, Scheiman JM, Lehman GA, Chak A, Mosier P, Higgins PDR, et al. A randomized trial of rectal indomethacin to prevent post-ERCP pancreatitis . N Engl J Med. 2012;366:1414-22.
Hamilton I, Bradley P, Lintott DJ, McMahon MJ, Axon ATR. Endoscopic retrograde cholangiopancreatography in the investigation and management of patients after acute pancreatitis. BJGE. 2005;504-6.
Mortensen J, Kruse A. Endoscopic management of postoperative bile leaks. BJGE. 2005;1339-41.
Norton SA, Alderson D. Prospective comparison of endoscopic ultrasonography and endoscopic retrograde cholangiopancreatography in the detection of bile duct stones. BJGE. 2005;1366-9.
Adler DG, Lieb JG, Cohen J. Quality indicators for ERCP. American J Gastroenterol. 2015;110:91-101.
Colton JB, Curran CC. Quality indicators, including complications, of ERCP in a community setting: a prospective study. Gastrointest Endosc. 2009;70:457-67.
Cotton PB. Affiliation: digestive disease center, medical University of South Carolina, Charleston, 29425, USA. Evaluating ERCP is important but difficult. Gut. 2002;51(2):287-9.
Testoni PA, Mariani A, Giussani A. Risk factors for post-ERCP pancreatitis in high- and low-volume centers and among expert and non-expert operators: a prospective multicenter study. American J Gastroenterol. 2010;105:1753-61.
Cotton PB, Garrow DA, Gallagher J, Romagnuolo J. Risk factors for complications after ERCP: a multivariate analysis of 11,497 procedures over 12 years. Gastrointest Endosc. 2009;70:80-8.
Barthet M, Lesavre N, Desjeux A. Complications of endoscopic sphincterotomy: results from a single tertiary referral center. Endoscopy. 2002;34:991-7.
Trevino J, Wilcox CM, Phadnis M. Relationship between severity of pancreatitis and complexity of ERCP. American J Gastroenterol. 2010;105:1753-61.
Glomsaker T, Hoff G, Kvaløy JT. Patterns and predictive factors of complications after endoscopic retrograde cholangiopancreatography. BJGE. 2012;373-80.
Musella M, Barbalace G, Capparelli G. Magnetic resonance imaging in evaluation of the common bile duct. BJBE. 2003;16-9.
Jenkins JT, Glass G, Ballantyne S, Fullarton GM. Effect of MRCP introduction on ERCP practice: are there implications for service and training? Gut. 2006;55(9):1365-6.
Moon JH, Cho YD, Cha SW. The detection of bile duct stones in suspected biliary pancreatitis: comparison of MRCP, ERCP, and Intraductal US detection of bile duct stones in biliary pancreatitis. American J Gastroenterol. 2005;100:1051-7.
Nagar AB. Affiliation: VA Connecticut Healthcare System, Yale University, Building 4, 950 Campbell Ave, West Haven, CT 06516, USA. F Gorelick. Prevention of post-ERCP pancreatitis: a little antacid might go a long way. Gut. 2008;57(11):1492-3.
Sotoudehmanesh R, Khatibian M, Kolahdoozan S. Indomethacin may reduce the incidence and severity of acute pancreatitis after ERCP. American J Gastroenterol. 2007;102:978-83.
Wang P, Shen Li Z, Liu F. Risk factors for ERCP-related complications: prospective multicenter study risk factors for ERCP-related complications. American J Gastroenterol. 2009;104:31-40.
Freeman ML, Nelson DB, Sherman S. Complications of endoscopic biliary sphincterotomy. N Engl J Med. 1996;335:909-18.
Loperfido S, Angelini G, Benedetti G. Major early complications from diagnostic and therapeutic ERCP: a prospective multicenter study. Gastrointest Endosc. 1998;48:1-10.
Masci E, Toti G, Mariani A. Complications of diagnostic and therapeutic ERCP: a prospective multicenter study. Am J Gastroenterol. 2001;23-28.
Howard TJ, Tan T, Lehman GA. Classification and management of perforations complicating endoscopic sphincterotomy. Surgery. 1999;126:658-63.
Andriulli A, Loperfido S, Napolitano G. Incidence rates of post-ERCP complications: a systematic survey of prospective studies. Am J Gastroenterol. 2007;102:1781-8.
