Therapeutic ERCP: the analysis of intra- and postoperative complications and long-term outcome

Aim. To study complications and outcome of therapeutic endoscopic retrograde pancreatocholangiography (ERCP) in patients with benign and malignant pathology of pancreatobiliary system. Material and Methods. During 15-year period, 20534 therapeutic ERCP were performed: sphincterotomy or/and ballo...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	P.V. Ogorodnyk, V.I. Kolomiytsev, A.G. Deynychenko, B.F. Lischuk
Formato:	article
Lenguaje:	EN UK
Publicado:	Danylo Halytsky Lviv National Medical University 2016
Materias:	therapeutic ercp, complications, outcome Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/c356834f12f2470088195216eb831af5
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:c356834f12f2470088195216eb831af5
record_format	dspace
spelling	oai:doaj.org-article:c356834f12f2470088195216eb831af52021-11-10T19:50:05ZTherapeutic ERCP: the analysis of intra- and postoperative complications and long-term outcome1029-42442415-3303https://doaj.org/article/c356834f12f2470088195216eb831af52016-12-01T00:00:00Zhttps://amljournal.com/index.php/journal/article/view/176https://doaj.org/toc/1029-4244https://doaj.org/toc/2415-3303Aim. To study complications and outcome of therapeutic endoscopic retrograde pancreatocholangiography (ERCP) in patients with benign and malignant pathology of pancreatobiliary system. Material and Methods. During 15-year period, 20534 therapeutic ERCP were performed: sphincterotomy or/and balloon dilation of Vater's papilla (20534) with stone extraction (12680), lithotripsy (4384), endobiliary stenting (939), endoscopic papillectomy (41). Results and Discussion. 856 (4.17%) patients had complications after therapeutic ERCP: hemorrhage from place of sphincterotomy or ampullectomy - 441 (2.15%) patients, acute pancreatitis - 377 (1.84%), basket impaction - 37 (0.18%), perforation - 24 (0.12%), while 23 (0.11%) patients had several types of complications. Because of complications, 50 (0.24%) patients underwent surgery; total ERCP-related mortality was 0.058%. After ERCP, long-time follow-up revealed recurrent choledocholithiasis in 1127 (6.60% from patients with cholelithiasis), ascended cholangitis - 79 (0.38%), benign recurrent stenosis of Vater's papilla or of distal part of common bile duct - 109 (0.53%), benign stricture of bile ducts - 12 (0.06%). Causes, diagnostics, prevention, and management of these complications are discussed. Conclusions. The main causes of complication of ERCP were found to be the following: incomplete investigation of patient or incorrect evaluation of his physiologic peculiarities, changes of Vater's papilla region or unwarranted unwary performing of endoscopic procedure. The application of minimally invasive treatment and medication had positive impact on most patients with ERCP adverse events.P.V. OgorodnykV.I. KolomiytsevA.G. DeynychenkoB.F. LischukDanylo Halytsky Lviv National Medical Universityarticletherapeutic ercp, complications, outcomeMedicine (General)R5-920ENUKActa Medica Leopoliensia, Vol 22, Iss 4, Pp 44-51 (2016)
institution	DOAJ
collection	DOAJ
language	EN UK
topic	therapeutic ercp, complications, outcome Medicine (General) R5-920
spellingShingle	therapeutic ercp, complications, outcome Medicine (General) R5-920 P.V. Ogorodnyk V.I. Kolomiytsev A.G. Deynychenko B.F. Lischuk Therapeutic ERCP: the analysis of intra- and postoperative complications and long-term outcome
description	Aim. To study complications and outcome of therapeutic endoscopic retrograde pancreatocholangiography (ERCP) in patients with benign and malignant pathology of pancreatobiliary system. Material and Methods. During 15-year period, 20534 therapeutic ERCP were performed: sphincterotomy or/and balloon dilation of Vater's papilla (20534) with stone extraction (12680), lithotripsy (4384), endobiliary stenting (939), endoscopic papillectomy (41). Results and Discussion. 856 (4.17%) patients had complications after therapeutic ERCP: hemorrhage from place of sphincterotomy or ampullectomy - 441 (2.15%) patients, acute pancreatitis - 377 (1.84%), basket impaction - 37 (0.18%), perforation - 24 (0.12%), while 23 (0.11%) patients had several types of complications. Because of complications, 50 (0.24%) patients underwent surgery; total ERCP-related mortality was 0.058%. After ERCP, long-time follow-up revealed recurrent choledocholithiasis in 1127 (6.60% from patients with cholelithiasis), ascended cholangitis - 79 (0.38%), benign recurrent stenosis of Vater's papilla or of distal part of common bile duct - 109 (0.53%), benign stricture of bile ducts - 12 (0.06%). Causes, diagnostics, prevention, and management of these complications are discussed. Conclusions. The main causes of complication of ERCP were found to be the following: incomplete investigation of patient or incorrect evaluation of his physiologic peculiarities, changes of Vater's papilla region or unwarranted unwary performing of endoscopic procedure. The application of minimally invasive treatment and medication had positive impact on most patients with ERCP adverse events.
format	article
author	P.V. Ogorodnyk V.I. Kolomiytsev A.G. Deynychenko B.F. Lischuk
author_facet	P.V. Ogorodnyk V.I. Kolomiytsev A.G. Deynychenko B.F. Lischuk
author_sort	P.V. Ogorodnyk
title	Therapeutic ERCP: the analysis of intra- and postoperative complications and long-term outcome
title_short	Therapeutic ERCP: the analysis of intra- and postoperative complications and long-term outcome
title_full	Therapeutic ERCP: the analysis of intra- and postoperative complications and long-term outcome
title_fullStr	Therapeutic ERCP: the analysis of intra- and postoperative complications and long-term outcome
title_full_unstemmed	Therapeutic ERCP: the analysis of intra- and postoperative complications and long-term outcome
title_sort	therapeutic ercp: the analysis of intra- and postoperative complications and long-term outcome
publisher	Danylo Halytsky Lviv National Medical University
publishDate	2016
url	https://doaj.org/article/c356834f12f2470088195216eb831af5
work_keys_str_mv	AT pvogorodnyk therapeuticercptheanalysisofintraandpostoperativecomplicationsandlongtermoutcome AT vikolomiytsev therapeuticercptheanalysisofintraandpostoperativecomplicationsandlongtermoutcome AT agdeynychenko therapeuticercptheanalysisofintraandpostoperativecomplicationsandlongtermoutcome AT bflischuk therapeuticercptheanalysisofintraandpostoperativecomplicationsandlongtermoutcome
_version_	1718439718639632384

Therapeutic ERCP: the analysis of intra- and postoperative complications and long-term outcome

Ejemplares similares