Post-ERCP complications, risk factors and management of complications

• Published in: Laparoscopic endoscopic surgical science 2021, Vol.28 (2), p.93
• Main Author: arslan, ufuk
• Format: Article
• Language: English
• Subjects: Anticoagulants; Bile ducts; Biomarkers; Cholangitis; Endoscopy; Gallbladder diseases; Medical diagnosis; Mortality; Pancreatitis; Risk factors
• ISSN: 2587-0610; 2587-0610
• DOI: 10.14744/less.2021.58966

[LANGUAGE= "English"] INTRODUCTION: Endoscopic retrograde cholangiopancreatography (ERCP) is an interventional procedure used for the diagnosis and treatment of hepatopancreaticobiliary system diseases. The aim of this study is to evaluate post-ERCP complications, risk factors, and management of complications of ERCP procedures performed in the endoscopy unit of our hospital.METHODS: The study retrospectively reviewed 765 patients’ data of ERCP performed by the same endoscopist for the diagnosis and treatment of hepatopancreaticobiliary diseases at a single center between April 2019 and February 2021. Interventional procedures were reviewed in terms of ERCP indications, procedure-related complications, risk factors for complications, and management of the complications.RESULTS: A total of 765 procedures were carried out. The successful cannulation rate was 91.9%. The most common indicators for the ERCP procedure were choledocholithiasis (43.6%), high levels of cholestasis biomarkers/ intra-extrahepatic bile duct dilatation (19%) ve removal of bile duct stents (12.5%). The most common risk factors were; female gender (60.9%) and younger age (42.3%) for post-ERCP pancreatitis, pre-cut (10.9%) and anticoagulant therapy (7.5%) for bleeding, papillary abnormalities (22.4%) for perforation, and older age (42.8%) for cholangitis. The most common complications were hyperamylasemia and pancreatitis (17.2%), bleeding (2%), cholangitis (1.83), and perforation (0.65%). Mortality occurred in 0.26% of patients due to post-ERCP cholangitis.DISCUSSION AND CONCLUSION: Understanding the risk factors and early diagnosis and treatment of complications are the ways to reduce morbidity and mortality in the management of post-ERCP complications.[LANGUAGE= "Turkish"] GİRİŞ ve AMAÇ: Endoskopik retrograd kolanjio pankreatografi (ERCP), hepatopankreatikobiliyer sistem hastalıklarının tanı ve tedavisinde kullanılan girişimsel bir yöntemdir. Bu çalışmanın amacı hastanemiz endoskopi ünitesinde uygulanan ERCP işlemleri sonrası görülen komplikasyonlar, risk faktörleri ve komplikasyon yönetiminin değerlendirilmesidir.YÖNTEM ve GEREÇLER: Nisan 2019- Şubat 2021 tarihleri arasında tek merkezde hepatopankreatikobiliyer sistem hastalıklarında tanı ve tedavi amacıyla aynı endoskopist tarafından uygulanan 765 hastanın ERCP verileri retrospektif incelendi. İşlemler; ERCP endikasyonları, işleme bağlı komplikasyonlar, komplikasyonlar için risk faktörleri ve komplikasyonların yönetimi açısından değe