ERCP Procedures in a Finnish Community Hospital: A Retrospective Analysis of 1207 Cases

Abstract

Results: Cannulation of the desired duct was successful in 89.2% of 825 ERCPs with no earlier sphincterotomy. Complete stone removal was achieved in 91.3% of procedures. standard biliary sphincterotomy was performed in 73.8% and precut sphincterotomy in 12.0 % of cases. Cholangitis developed in 2.1%, bleeding in 1.9%, pancreatitis in 1.9%, perforation in 1.0% and cardio-pulmonary or miscellaneous complications in 4.2% of cases. the majority of complications could be managed conservatively. in procedures with no earlier sphincterotomy ERCP-related 30-day mortality was 0.2% (n = 2) and overall 30-day mortality was 3.3% (n = 27).Conclusions: ERCP indications and success rates, as well as morbidity and mortality were comparable to those reported earlier. although the success rate of cannulation and thereby ERCP procedures seem to be somewhat lower than in tertiary referral centres, ERCP procedures can be safely performed in a low-volume ERCP unit by concentrating procedures on a few experienced endoscopists. the success rates may be further improved with the latest cannulation techniques, used selectively in the last years of the study period.

ERCP in a cohort of 759 cases: A 6-year experience of a single tertiary centre in Libya

“…ERCP is a technically challenging procedure, with reported rates of successful cannulation varying between 63% and 98% [12][13][14][15][16]. This wide discrepancy in successful cannulation in these studies can be the result of differences in operator experience in performing this procedure or due to various anatomical factors such as the deep location of the ampulla of Vater in periampullary diverticula, the deformations or strictures of the pylorus and duodenum, or postgastrectomy anatomical changes [17,18].…”

Evidence-Based Current Surgical Practice: Calculous Gallbladder Disease

“…The overall complication rate for ERCP ranges from 0.8–11.1%, although therapeutic ERCP is associated with a higher complication rate compared to diagnostic ERCP. [43–46] ERCP-induced pancreatitis occurs in 0.2–5.2% of procedures, and is typically mild or moderate. [44–46] Hemorrhage (0.2–1.9%), perforation (0.2–1.0%), and cholangitis (0.1–2.1%) are less commonly encountered.…”

“…[43–46] ERCP-induced pancreatitis occurs in 0.2–5.2% of procedures, and is typically mild or moderate. [44–46] Hemorrhage (0.2–1.9%), perforation (0.2–1.0%), and cholangitis (0.1–2.1%) are less commonly encountered. [44–46] Increasing age, sphincterotomy technique, failure to clear the bile duct, and obstruction of the ampulla of Vater have been associated with an increased risk of ERCP-induced complications.…”

“…[44–46] Hemorrhage (0.2–1.9%), perforation (0.2–1.0%), and cholangitis (0.1–2.1%) are less commonly encountered. [44–46] Increasing age, sphincterotomy technique, failure to clear the bile duct, and obstruction of the ampulla of Vater have been associated with an increased risk of ERCP-induced complications. [44] ERCP-related mortality rates range from 0.1–3.3%,[43, 45, 46] and age greater than 60 years has been associated with increased risk of ERCP-related death.…”

“…[44–46] Increasing age, sphincterotomy technique, failure to clear the bile duct, and obstruction of the ampulla of Vater have been associated with an increased risk of ERCP-induced complications. [44] ERCP-related mortality rates range from 0.1–3.3%,[43, 45, 46] and age greater than 60 years has been associated with increased risk of ERCP-related death. [46] The role and timing of ERCP in the management of known or suspected CBD stones is discussed in detail below.…”