Endoscopic retrograde cholangiopancreaticography-related complications – Experience from tertiary care teaching centre over half a decade
Introduction: Endoscopic retrograde cholangiopancreaticography (ERCP) is an essential therapeutic procedure with a significant risk of complications. Data regarding the complications and predictors of adverse outcomes such as mortality are scarce, especially from India and Asia. We aimed to look at...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2022-01-01
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| Series: | Journal of Minimal Access Surgery |
| Subjects: | |
| Online Access: | http://www.journalofmas.com/article.asp?issn=0972-9941;year=2022;volume=18;issue=4;spage=526;epage=532;aulast=Dahale |
| _version_ | 1798021638142296064 |
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| author | Amol Sonyabapu Dahale Manish Gupta Pritul Saxena Ajay Kumar Ujjwal Sonika Manish Kumar Siddharth Srivastava Sanjeev Sachdeva Barjesh Chander Sharma Amarender Singh Puri Ashok Dalal |
| author_facet | Amol Sonyabapu Dahale Manish Gupta Pritul Saxena Ajay Kumar Ujjwal Sonika Manish Kumar Siddharth Srivastava Sanjeev Sachdeva Barjesh Chander Sharma Amarender Singh Puri Ashok Dalal |
| author_sort | Amol Sonyabapu Dahale |
| collection | DOAJ |
| description | Introduction: Endoscopic retrograde cholangiopancreaticography (ERCP) is an essential therapeutic procedure with a significant risk of complications. Data regarding the complications and predictors of adverse outcomes such as mortality are scarce, especially from India and Asia. We aimed to look at the incidence and outcome of complications in ERCP patients.
Materials and Methods: This study is a retrospective analysis of prospectively collected data of all the patients who underwent ERCP and had a complication from January 2012 to December 2018. Data were recorded in predesigned pro forma. The data analysis was done by appropriate statistical tests.
Results: A total of 17,163 ERCP were done. A total of 570 patients (3.3%) had complications; perforation (n = 275, 1.6%) was most common followed by pancreatitis (n = 177, 1.03%) and bleeding (n = 60, 0.35%). The majorities of perforations were managed conservatively (n = 205, 74.5%), and 53 (19%) required surgery. Overall, 69 (0.4%) patients died. Of these, 30 (10.9%) patients died with perforation. Age (odds ratio [OR]: 1.04, 95% confidence interval [CI]: 1.005–1.07) and need of surgery (OR: 5.11, 95% CI: 1.66–15.77) were the predictors of mortality in patients with perforation. The majority pancreatitis were mild (n = 125, 70.6%) and overall mortality was 5.6% (n = 10).
Conclusion: ERCP complications have been remained static over the years, with perforation and pancreatitis contributing the most. Most perforations can be managed conservatively with good clinical outcomes. |
| first_indexed | 2024-04-11T17:16:56Z |
| format | Article |
| id | doaj.art-6d36cbf51b76488b86f5a3207291a983 |
| institution | Directory Open Access Journal |
| issn | 0972-9941 1998-3921 |
| language | English |
| last_indexed | 2024-04-11T17:16:56Z |
| publishDate | 2022-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Minimal Access Surgery |
| spelling | doaj.art-6d36cbf51b76488b86f5a3207291a9832022-12-22T04:12:36ZengWolters Kluwer Medknow PublicationsJournal of Minimal Access Surgery0972-99411998-39212022-01-0118452653210.4103/jmas.jmas_272_21Endoscopic retrograde cholangiopancreaticography-related complications – Experience from tertiary care teaching centre over half a decadeAmol Sonyabapu DahaleManish GuptaPritul SaxenaAjay KumarUjjwal SonikaManish KumarSiddharth SrivastavaSanjeev SachdevaBarjesh Chander SharmaAmarender Singh PuriAshok DalalIntroduction: Endoscopic retrograde cholangiopancreaticography (ERCP) is an essential therapeutic procedure with a significant risk of complications. Data regarding the complications and predictors of adverse outcomes such as mortality are scarce, especially from India and Asia. We aimed to look at the incidence and outcome of complications in ERCP patients. Materials and Methods: This study is a retrospective analysis of prospectively collected data of all the patients who underwent ERCP and had a complication from January 2012 to December 2018. Data were recorded in predesigned pro forma. The data analysis was done by appropriate statistical tests. Results: A total of 17,163 ERCP were done. A total of 570 patients (3.3%) had complications; perforation (n = 275, 1.6%) was most common followed by pancreatitis (n = 177, 1.03%) and bleeding (n = 60, 0.35%). The majorities of perforations were managed conservatively (n = 205, 74.5%), and 53 (19%) required surgery. Overall, 69 (0.4%) patients died. Of these, 30 (10.9%) patients died with perforation. Age (odds ratio [OR]: 1.04, 95% confidence interval [CI]: 1.005–1.07) and need of surgery (OR: 5.11, 95% CI: 1.66–15.77) were the predictors of mortality in patients with perforation. The majority pancreatitis were mild (n = 125, 70.6%) and overall mortality was 5.6% (n = 10). Conclusion: ERCP complications have been remained static over the years, with perforation and pancreatitis contributing the most. Most perforations can be managed conservatively with good clinical outcomes.http://www.journalofmas.com/article.asp?issn=0972-9941;year=2022;volume=18;issue=4;spage=526;epage=532;aulast=Dahalebleedingendoscopic retrograde cholangiopancreatographyoutcomeover-the-scope-clippancreatitisperforationsurgery |
| spellingShingle | Amol Sonyabapu Dahale Manish Gupta Pritul Saxena Ajay Kumar Ujjwal Sonika Manish Kumar Siddharth Srivastava Sanjeev Sachdeva Barjesh Chander Sharma Amarender Singh Puri Ashok Dalal Endoscopic retrograde cholangiopancreaticography-related complications – Experience from tertiary care teaching centre over half a decade Journal of Minimal Access Surgery bleeding endoscopic retrograde cholangiopancreatography outcome over-the-scope-clip pancreatitis perforation surgery |
| title | Endoscopic retrograde cholangiopancreaticography-related complications – Experience from tertiary care teaching centre over half a decade |
| title_full | Endoscopic retrograde cholangiopancreaticography-related complications – Experience from tertiary care teaching centre over half a decade |
| title_fullStr | Endoscopic retrograde cholangiopancreaticography-related complications – Experience from tertiary care teaching centre over half a decade |
| title_full_unstemmed | Endoscopic retrograde cholangiopancreaticography-related complications – Experience from tertiary care teaching centre over half a decade |
| title_short | Endoscopic retrograde cholangiopancreaticography-related complications – Experience from tertiary care teaching centre over half a decade |
| title_sort | endoscopic retrograde cholangiopancreaticography related complications experience from tertiary care teaching centre over half a decade |
| topic | bleeding endoscopic retrograde cholangiopancreatography outcome over-the-scope-clip pancreatitis perforation surgery |
| url | http://www.journalofmas.com/article.asp?issn=0972-9941;year=2022;volume=18;issue=4;spage=526;epage=532;aulast=Dahale |
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