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18264

Effect of Indirect Biliary Cannulation on Endoscopic Retrograde Cholangiopancreatography Outcome

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Last updated: 24 Dec 2024

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Abstract

Background and aim: - Variable techniques could be used to raise the success rate and reduce complications of endoscopic retrograde cholangiopancreatography (ERCP). Patients and methods: - From 73 patients subjected to ERCP in our endoscopy unit, during the period between January 2016 to December 2017, 47 patients were managed with standard free direct cannulation maneuver (group- I), 21 patients managed with indirect maneuvers (DGT and\or TPS as group-II) and ERCP was failed in 5 cases; in 3 of them temporary pancreatic stent was placed but with no value. Results: - From 73 patients, standard free direct cannulation was done in 47 patients with success rate 64.4%, the remaining 26 patients managed with indirect maneuvers with successful cannulation of CBD in 21 cases with success rate 80.7% and total success rate of 94.4%.
Procedure duration was longer in patients of indirect maneuvers than patients of standard free direct cannulation maneuver, with high significant difference (P value of 0.0036). The post-ERCP complications were noticed in 21 patients with complications rate of 28.8 %. Complications were significantly higher in patients of indirect maneuvers than patients of standard direct maneuver (47.6% vs. 23.4%). Post-ERCP pancreatitis recorded in 7 patients (9.6%) with significant higher rate in patients of indirect maneuvers than patients of direct maneuver (23.8% vs. 4.3%). Conclusion: - Indirect biliary cannulation (DGT and/or TPS) solved the problem of failed cannulation but had a higher rate of complications and took longer time.

DOI

10.21608/ejhm.2018.18264

Keywords

ERCP, endoscopic retrograde cholangiopancreatography, Indirect ERCP maneuvers. We aimed to

Authors

First Name

Mohamed Abdelrasheed

Last Name

Allam

MiddleName

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Affiliation

Tropical Medicine Departments, Internal Medicine Departments, General surgery department, Al-Azhar University

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First Name

Mahmoud Abdelrasheed

Last Name

Allam

MiddleName

-

Affiliation

Tropical Medicine Departments, Internal Medicine Departments, General surgery department, Al-Azhar University

Email

-

City

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Orcid

-

First Name

Emad

Last Name

Ads

MiddleName

-

Affiliation

Tropical Medicine Departments, Internal Medicine Departments, General surgery department, Al-Azhar University

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Volume

73

Article Issue

8

Related Issue

3731

Issue Date

2018-10-01

Receive Date

2018-11-02

Publish Date

2018-10-01

Page Start

7,258

Page End

7,261

Print ISSN

1687-2002

Online ISSN

2090-7125

Article File

EJHM_Volume 73_Issue 8_Pages 7258-7261.pdf

PDF . 378.4kB

Link

https://ejhm.journals.ekb.eg/article_18264.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=18264

Order

9

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Effect of Indirect Biliary Cannulation on Endoscopic Retrograde Cholangiopancreatography Outcome

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Article

Created At

22 Jan 2023