OUTCOME OF ERCP (ENDOSCOPIC RETROGRADE CHOLANGIO-PANCREATOGRAPHY) IN MILITARY HOSPITAL RAWALPINDI.

  • Adnan Qadir Military Hospital Rawalpindi.
  • Maryum Khalid Military Hospital Rawalpindi.
  • Irfan Younis NSMC, UOG, Gujrat.
  • Amjad Salamat Military Hospital Rawalpindi.
Keywords: CBC, Complications, ERCP, Findings, Indications, Pancreatitis

Abstract

To describe the indications, endoscopic findings and complications of Endoscopic retrograde cholangiopancreatography (ERCP) in a tertiary care hospital. Study Design: Retrospective analysis of data collected from all patients underwent ERCP in the year 2015. Setting: Gastroenterology department, Military Hospital Rawalpindi. Period: From 1st January 2015 to 31ST December 2015. Materials and Methods: The main outcomes were technical success, safety and complications. Results: Total 469 patients underwent ERCP in
military hospital Rawalpindi in year 2015. Common bile duct (CBD) cannulation was achieved in 437 (93.1%) patients. CBD stones were found in 182 (38%) and CBD stricture in 79 (16.8%). Sphincteroplasty was needed for extraction of large stones in 13 (2.7%) cases. CBD stricture with co-existing stones above was seen in 25 cases (5.3%). Large stones not amenable to endoscopic extraction were seen in 24 cases (5.1%). Total 25 cases of ampullary growth (5.3%) and 15 cases (3.1%) of CBD leak post cholecystectomy were noted. 6 cases (1.27%) were identified as choledochal cyst with CBD Stones. PD stones with dilated PD identified in 5 cases (1.06%) and post-cholecystectomy CBD clipped in 3 cases (0.63%). 3 cases of displaced PD stent ended up in successful retrieval. 21 cases developed acute pancreatitis (4.4%) out of which 3 were found to have severe pancreatitis having fluid collections. 3 cases (0.6%)had retroperitoneal perforation (2 were managed conservatively and 1 through surgery). 4 cases (0.8%)had significant post procedure bleed requiring re-scope with adrenal injection at bleeding site, and hemostasis achieved. Conclusions: ERCP in Combined Military Hospital Rawalpindi hospital was associated with a high degree of technical success and a low risk of complications. 

Author Biographies

Adnan Qadir, Military Hospital Rawalpindi.

MBBS, FCPS Gastroenterology

Assistant Professor

Department of Gastroenterology

 

Maryum Khalid, Military Hospital Rawalpindi.

MBBS, FCPS Gastroenterology

Department of Gastroenterology

 

Irfan Younis, NSMC, UOG, Gujrat.

MBBS, MD Gastroenterology

Assistant Professor

Department of Gastroenterology

 

Amjad Salamat, Military Hospital Rawalpindi.

MBBS, FCPS Gastroenterology

Professor & HOD

Department of Gastroenterology,

 

Published
2019-07-10