Endoscopic Retrograde Cholangiopancreatography (ERCP) profile of a tertiary care hospital in Peshawar: indications, procedures, and complications

Authors

  • Muhammad Naveed Anwar Consultant Gastroenterologist, Department of Medicine, Rehman Medical Institute, Peshawar, Khyber Pakhtunkhwa
  • Muhammad Khizar Hayat House Officer, Rehman Medical Institute, Peshawar
  • Zunnoor Ahmad House Officer, Rehman Medical Institute, Peshawar
  • Mawara Iftikhar House Officer, Rehman Medical Institute, Peshawar
  • Mohammad Ahmed Arsalan Khan House Officer, Rehman Medical Institute, Peshawar

DOI:

https://doi.org/10.52442/jrmi.v6i2.177

Keywords:

Obstructive Jaundice, Retrograde Cholangiopancreatography, Gallstones, Pancreatic Duct

Abstract

Introduction: Endoscopic Retrograde Cholangio-pancreatography (ERCP), being a useful though technically demanding diagnostic and therapeutic procedure to evaluate and treat diseases of biliary and pancreatic ducts is dependent in large part for its success on the skill of the operator.

Objective: To determine the indications, procedures performed and success rate of ERCP at a tertiary care center of Peshawar.

Materials & Methods: A descriptive cross-sectional study was carried out at the Endoscopy Unit of Rehman Medical Institute (RMI) from January 2020 to April 2020 using universal sampling technique. All ERCP procedures done in the endoscopy unit from January 2019 to December 2019 were included in the study regardless of their age, gender, ethnicity or presenting complains. Any ERCP that did not have complete data were excluded from the study. Data were collected in a structured Performa. Data were analyzed in Microsoft Excel for descriptive statistics.

Results: A total of 161 ERCP procedures were performed during the study duration, of which 84(52.2%) were in males while 77(47.82%) were in females; the mean age was 54.82 ± 15.83 years. Biliary Stent placement (51.6%) was the most commonly performed procedure followed by Biliary Stone extraction (22.4%). Failed ERCP accounted for 30(18.6%) cases. The main indication for ERCP was Obstructive Jaundice (65.8%) followed by Common Bile duct (CBD) stones (42.9%). The least common indication was Dilated Intrahepatic Duct (1.86%). Only 4 cases of minor bleeding were observed during the procedure which were controlled during the procedures. No major complications have been seen on follow-up.

Conclusion: Obstructive Jaundice is major contributor to ERCP’s being performed. It is a relatively safe procedure in the hands of an experienced operator.

Keywords: Obstructive Jaundice; Retrograde Cholangiopancreatography; Gallstones; Pancreatic Duct.

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Published

2020-07-10