Experience on endoscopic retrograde cholangiopancreatography at tertiary referral center in Thailand: risks and complications
Pungpapong, S.; Kongkam, P.; Rerknimitr, R.; Kullavanijaya, P.
Journal of the Medical Association of Thailand 88(2): 238-246
2005
ISSN/ISBN: 0125-2208 PMID: 15962677 Document Number: 2276
Background. Several complications from ERCP have been described, including pancreatitis, hemorrhage, perforation, and cholangitis. The actual incidences and risk factors in Thailand have never been analyzedMaterial and Method. The authors retrospectively reviewed the outcome of ERCP at Chulalongkorn University Hospital between September 2000 and December 2002. Potential risk factors were statistically assessedResults: The incidence of post-ERCP pancreatitis, hemorrhage, perforation and cholangitis was 3.6%, 2.1%, 1.2% and 6%, respectively. Risk factors of pancreatitis were the suspected diagnosis of sphincter of Oddi dysfunction and pancreatic interventions, especially through minor papilla. Prophylactic pancreatic duct stent prior to precut sphincterotomy may reduce the incidence of pancreatitis. Hemorrhage was associated with duodenal diverticulum. The incidence of cholangitis was higher in biliary duct dilation and cholangiocarcinoma, especially hilar involvement.Conclusion: Incidence of these complications was comparable to international series with similar risk factors. Cholangitis developed more frequently probably due to a higher incidence of cholangiocarcinoma.
Document emailed within 1 workday
