ROLE OF ERCP;

IN ACUTE BILIARY PANCREATITIS: A LOCAL EXPERIENCE

Abstract

Objective: To determine the efficacy of ERCP in acute severe biliary pancreatitis in
relation to rate of complications and hospital stay. Patients and Methods: 30 patents were
included in the study, divided into ERCP group & Non ERCP group. The study was conducted at
Surgical Unit-I, Holy Family Hospital Rawalpindi from July 2009 to April 2011. ERCP Group
comprised of 11 patients and non ERCP Group 19 patients. All patients having severe acute
biliary pancreatitis raised alkaline phosphatase and common bile duct diameter >8mm were
included in the study. Results: In ERCP Group, there were 3 males and 4 females with mean age
42.77 ± 14 years. In non ERCP group there were 17 males and 2 females with mean age 46.76 ±
13 years. ERCP was done within 3 day in 8 patients and within 7 day in 5 patients in ERCP group.
The rate of complications in both groups was insignificant (P= .92). The length of hospital stay
also does not differ significantly between two groups (P=.874). Conclusions: In our set up there
was no significant difference in outcome in ERCP and non-ERCP group of severe acute
pancreatitis. However, in ERCP group intervention was mostly performed after 72hrs.