Is it Worth to Repeat Endoscopic Retrograde Cholangiopancreaticography after Failed Precut? Short Report from a Tertiary Care Hospital in North India
Aim: The aim of this study is to determine the success rate of biliary cannulation in cases where endoscopic retrograde cholangiopancreatography (ERCP) is repeated after failed precut sphincterotomy. Materials and Methods: In this retrospective study, consecutive ERCPs performed between August 2013...
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| Format: | Article |
| Language: | English |
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2017-07-01
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| Series: | Journal of Digestive Endoscopy |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.4103/jde.JDE_29_17 |
| _version_ | 1818847483995881472 |
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| author | Kumar Shwetanshu Narayan Gaurav Kumar Gupta Sandeep Nijhawan Sudhakar Pandey Bhanwar Singh Dhandhu Shekhar Puri Awanish Kumar Deepak Sharma |
| author_facet | Kumar Shwetanshu Narayan Gaurav Kumar Gupta Sandeep Nijhawan Sudhakar Pandey Bhanwar Singh Dhandhu Shekhar Puri Awanish Kumar Deepak Sharma |
| author_sort | Kumar Shwetanshu Narayan |
| collection | DOAJ |
| description | Aim: The aim of this study is to determine the success rate of biliary cannulation in cases where endoscopic retrograde cholangiopancreatography (ERCP) is repeated after failed precut sphincterotomy. Materials and Methods: In this retrospective study, consecutive ERCPs performed between August 2013 and June 2017 were included. Data was analyzed for indication of ERCP, success rate at initial cannulation attempt, use of precut sphincterotomy, biliary access rate after precut, repeat ERCP rate, and associated complications. Results: A total of 1872 ERCPs were included in the study. Of these, 55% were done for common bile duct stones, 37% for malignant biliary obstruction, and 8% for biliary leak. During the initial ERCP, 84.9% cases had successful biliary cannulation. Nearly 86.8% cases undergoing precut sphincterotomy achieved biliary access. Repeat ERCP was done in 28 cases after a median interval of 3 days and biliary cannulation was achieved in 78.5% cases. Conclusion: Repeat ERCP after 3 days in cases of failed initial precut sphincterotomy should be practiced and recommended as this allows definitive biliary therapy in majority of such patients and prevents morbidity and mortality from other invasive alternative therapies. |
| first_indexed | 2024-12-19T06:02:10Z |
| format | Article |
| id | doaj.art-aa3ae7a408a84ca3be72b0c1f54acb66 |
| institution | Directory Open Access Journal |
| issn | 0976-5042 0976-5050 |
| language | English |
| last_indexed | 2024-12-19T06:02:10Z |
| publishDate | 2017-07-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Journal of Digestive Endoscopy |
| spelling | doaj.art-aa3ae7a408a84ca3be72b0c1f54acb662022-12-21T20:33:16ZengThieme Medical and Scientific Publishers Pvt. Ltd.Journal of Digestive Endoscopy0976-50420976-50502017-07-01080312913110.4103/jde.JDE_29_17Is it Worth to Repeat Endoscopic Retrograde Cholangiopancreaticography after Failed Precut? Short Report from a Tertiary Care Hospital in North IndiaKumar Shwetanshu Narayan0Gaurav Kumar Gupta1Sandeep Nijhawan2Sudhakar Pandey3Bhanwar Singh Dhandhu4Shekhar Puri5Awanish Kumar6Deepak Sharma7Department of Gastroenterology, Sawai Man Singh Medical College and Hospital, Jaipur, Rajasthan, IndiaDepartment of Gastroenterology, Sawai Man Singh Medical College and Hospital, Jaipur, Rajasthan, IndiaDepartment of Gastroenterology, Sawai Man Singh Medical College and Hospital, Jaipur, Rajasthan, IndiaDepartment of Gastroenterology, Sawai Man Singh Medical College and Hospital, Jaipur, Rajasthan, IndiaDepartment of Gastroenterology, Sawai Man Singh Medical College and Hospital, Jaipur, Rajasthan, IndiaDepartment of Gastroenterology, Sawai Man Singh Medical College and Hospital, Jaipur, Rajasthan, IndiaDepartment of Gastroenterology, Sawai Man Singh Medical College and Hospital, Jaipur, Rajasthan, IndiaDepartment of Gastroenterology, Sawai Man Singh Medical College and Hospital, Jaipur, Rajasthan, IndiaAim: The aim of this study is to determine the success rate of biliary cannulation in cases where endoscopic retrograde cholangiopancreatography (ERCP) is repeated after failed precut sphincterotomy. Materials and Methods: In this retrospective study, consecutive ERCPs performed between August 2013 and June 2017 were included. Data was analyzed for indication of ERCP, success rate at initial cannulation attempt, use of precut sphincterotomy, biliary access rate after precut, repeat ERCP rate, and associated complications. Results: A total of 1872 ERCPs were included in the study. Of these, 55% were done for common bile duct stones, 37% for malignant biliary obstruction, and 8% for biliary leak. During the initial ERCP, 84.9% cases had successful biliary cannulation. Nearly 86.8% cases undergoing precut sphincterotomy achieved biliary access. Repeat ERCP was done in 28 cases after a median interval of 3 days and biliary cannulation was achieved in 78.5% cases. Conclusion: Repeat ERCP after 3 days in cases of failed initial precut sphincterotomy should be practiced and recommended as this allows definitive biliary therapy in majority of such patients and prevents morbidity and mortality from other invasive alternative therapies.http://www.thieme-connect.de/DOI/DOI?10.4103/jde.JDE_29_17 cannulation common bile duct sphincterotomy |
| spellingShingle | Kumar Shwetanshu Narayan Gaurav Kumar Gupta Sandeep Nijhawan Sudhakar Pandey Bhanwar Singh Dhandhu Shekhar Puri Awanish Kumar Deepak Sharma Is it Worth to Repeat Endoscopic Retrograde Cholangiopancreaticography after Failed Precut? Short Report from a Tertiary Care Hospital in North India Journal of Digestive Endoscopy cannulation common bile duct sphincterotomy |
| title | Is it Worth to Repeat Endoscopic Retrograde Cholangiopancreaticography after Failed Precut? Short Report from a Tertiary Care Hospital in North India |
| title_full | Is it Worth to Repeat Endoscopic Retrograde Cholangiopancreaticography after Failed Precut? Short Report from a Tertiary Care Hospital in North India |
| title_fullStr | Is it Worth to Repeat Endoscopic Retrograde Cholangiopancreaticography after Failed Precut? Short Report from a Tertiary Care Hospital in North India |
| title_full_unstemmed | Is it Worth to Repeat Endoscopic Retrograde Cholangiopancreaticography after Failed Precut? Short Report from a Tertiary Care Hospital in North India |
| title_short | Is it Worth to Repeat Endoscopic Retrograde Cholangiopancreaticography after Failed Precut? Short Report from a Tertiary Care Hospital in North India |
| title_sort | is it worth to repeat endoscopic retrograde cholangiopancreaticography after failed precut short report from a tertiary care hospital in north india |
| topic | cannulation common bile duct sphincterotomy |
| url | http://www.thieme-connect.de/DOI/DOI?10.4103/jde.JDE_29_17 |
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