Outcomes of endoscopic retrograde cholangiopancreatography in patients with situs inversus viscerum
Background/Aims Situs inversus viscerum (SIV) is a congenital condition defined by left-to-right transposition of all visceral organs. This anatomical variant has caused technical challenges in endoscopic retrograde cholangiopancreatography (ERCP). Data on ERCP in patients with SIV are limited to ca...
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| Format: | Article |
| Language: | English |
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Korean Society of Gastrointestinal Endoscopy
2023-11-01
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| Series: | Clinical Endoscopy |
| Subjects: | |
| Online Access: | http://www.e-ce.org/upload/pdf/ce-2022-292.pdf |
| _version_ | 1797617674992222208 |
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| author | Long Le Nicholas McDonald Anders Westanmo Mohammad Bilal Dharma Sunjaya |
| author_facet | Long Le Nicholas McDonald Anders Westanmo Mohammad Bilal Dharma Sunjaya |
| author_sort | Long Le |
| collection | DOAJ |
| description | Background/Aims Situs inversus viscerum (SIV) is a congenital condition defined by left-to-right transposition of all visceral organs. This anatomical variant has caused technical challenges in endoscopic retrograde cholangiopancreatography (ERCP). Data on ERCP in patients with SIV are limited to case reports of unknown clinical and technical success rates. This study aimed to evaluate the clinical and technical success rates of ERCP in patients with SIV. Methods Data from patients with SIV who underwent ERCP were retrospectively reviewed. The data were collected by querying the nationwide Veterans Affairs Health System database for patients diagnosed with SIV who underwent ERCP. Patient demographics and procedural characteristics were collected. Results Eight patients with SIV who underwent ERCP were included. Choledocholithiasis was the most common indication for ERCP (62.5%). The technical success rate was 63%. Subsequent ERCP with interventional radiology–assisted rendezvous has increased the technical success rate to 100%. Clinical success was achieved in 63% of cases. Among cases of subsequent rendezvous ERCP after conventional ERCP failure, clinical success was achieved in 100%. Conclusions The clinical and technical success rates of ERCP in patients with SIV were both 63%. In patients with SIV in whom ERCP fails, interventional radiology–assisted rendezvous ERCP can be considered. |
| first_indexed | 2024-03-11T07:59:09Z |
| format | Article |
| id | doaj.art-cd7ab900db7c428089b4794de3e71bea |
| institution | Directory Open Access Journal |
| issn | 2234-2400 2234-2443 |
| language | English |
| last_indexed | 2024-03-11T07:59:09Z |
| publishDate | 2023-11-01 |
| publisher | Korean Society of Gastrointestinal Endoscopy |
| record_format | Article |
| series | Clinical Endoscopy |
| spelling | doaj.art-cd7ab900db7c428089b4794de3e71bea2023-11-17T04:58:11ZengKorean Society of Gastrointestinal EndoscopyClinical Endoscopy2234-24002234-24432023-11-0156679079410.5946/ce.2022.2927766Outcomes of endoscopic retrograde cholangiopancreatography in patients with situs inversus viscerumLong Le0Nicholas McDonald1Anders Westanmo2Mohammad Bilal3Dharma Sunjaya4 Department of Gastroenterology and Hepatology, University of Minnesota, Minneapolis, MN, USA Department of Gastroenterology and Hepatology, University of Minnesota, Minneapolis, MN, USA Department of Pharmacy, Minneapolis Veterans Affairs, Minneapolis, MN, USA Department of Gastroenterology and Hepatology, University of Minnesota, Minneapolis, MN, USA Department of Gastroenterology and Hepatology, University of Minnesota, Minneapolis, MN, USABackground/Aims Situs inversus viscerum (SIV) is a congenital condition defined by left-to-right transposition of all visceral organs. This anatomical variant has caused technical challenges in endoscopic retrograde cholangiopancreatography (ERCP). Data on ERCP in patients with SIV are limited to case reports of unknown clinical and technical success rates. This study aimed to evaluate the clinical and technical success rates of ERCP in patients with SIV. Methods Data from patients with SIV who underwent ERCP were retrospectively reviewed. The data were collected by querying the nationwide Veterans Affairs Health System database for patients diagnosed with SIV who underwent ERCP. Patient demographics and procedural characteristics were collected. Results Eight patients with SIV who underwent ERCP were included. Choledocholithiasis was the most common indication for ERCP (62.5%). The technical success rate was 63%. Subsequent ERCP with interventional radiology–assisted rendezvous has increased the technical success rate to 100%. Clinical success was achieved in 63% of cases. Among cases of subsequent rendezvous ERCP after conventional ERCP failure, clinical success was achieved in 100%. Conclusions The clinical and technical success rates of ERCP in patients with SIV were both 63%. In patients with SIV in whom ERCP fails, interventional radiology–assisted rendezvous ERCP can be considered.http://www.e-ce.org/upload/pdf/ce-2022-292.pdfendoscopic retrograde cholangiopancreatographysitus inversus |
| spellingShingle | Long Le Nicholas McDonald Anders Westanmo Mohammad Bilal Dharma Sunjaya Outcomes of endoscopic retrograde cholangiopancreatography in patients with situs inversus viscerum Clinical Endoscopy endoscopic retrograde cholangiopancreatography situs inversus |
| title | Outcomes of endoscopic retrograde cholangiopancreatography in patients with situs inversus viscerum |
| title_full | Outcomes of endoscopic retrograde cholangiopancreatography in patients with situs inversus viscerum |
| title_fullStr | Outcomes of endoscopic retrograde cholangiopancreatography in patients with situs inversus viscerum |
| title_full_unstemmed | Outcomes of endoscopic retrograde cholangiopancreatography in patients with situs inversus viscerum |
| title_short | Outcomes of endoscopic retrograde cholangiopancreatography in patients with situs inversus viscerum |
| title_sort | outcomes of endoscopic retrograde cholangiopancreatography in patients with situs inversus viscerum |
| topic | endoscopic retrograde cholangiopancreatography situs inversus |
| url | http://www.e-ce.org/upload/pdf/ce-2022-292.pdf |
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