Original Research Article
Year: 2019 | Month: June | Volume: 6 | Issue: 6 | Pages: 37-41
Procedural Outcomes Analysis of Endoscopic Retrograde Cholangiopancreatography Procedures at Tertiary Centre Hospital in South India
Dr Rishabh Prakash Jain1, Dr Parul Jain2, Dr Ravichandra NS3, Dr Vineet Chaudary3, Dr Ajit Kumar4
1Lecturer in Gastroenterology Department, Deenanath Mangeshkar Hospital, Pune 411004 (Ex Senior Resident, Nizam’s Institute of Health Sciences, Hyderabad 500082)
2Junior Resident, MGM Medical College, Navi Mumbai
3Senior Resident, 4Ex Head of Department,
Department of Gastroenterology, Nizam’s Institute of Health Sciences, Hyderabad
Corresponding Author: Dr Rishabh Prakash Jain
ABSTRACT
Background and aims: Endoscopic retrograde cholangiopancreatography (ERCP) is used in the treatment of benign and malignant pancreatic and biliary diseases. The study was to determine indications, success rates and complications of ERCP procedures in a tertiary care centre in South India.
Methods: Retrospective data from patients undergoing ERCP procedures were analysed from August 2015 to July 2016. The demographic data, indications, the findings, the outcome in terms of technical success, cannulation rate, therapeutic procedures and complications were all collected and analyzed.
Results: Total 261 procedures were done during study period. Mean age 52 years (range17-89). Male: female 1.34:1. Most common indication was choledocholithiasis, malignant strictures, in pancreatic procedures most common was chronic pancreatitis. All procedures were done under conscious sedation. Successful cannulation in desired duct was 90.2%.Technical success was achieved in 85%. Most failed procedures were of grade 3 in difficulty. Overall complication occurred in 8% patients including pancreatitis, cholangitis, perforation, bleeding. One death (0.3%) was reported.
Conclusion: Ours is a high volume referral centre for ERCP procedures with more than 200 procedures in one year. Malignancy is common indication for ERCP procedure. Its indications and complications in our centre are similar to those reported from other centres.
Key words: ERCP, outcome, complication.
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