ERCP Success Rate and Periampullary Diverticula: The Pocket Makes No Difference

Ketwaroo, Gyanprakash A.; Qureshi, Waqar

doi:10.1007/s10620-019-05497-7

Cited by 5 publications

(1 citation statement)

References 18 publications

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“…In the study of Ketwaroo et al [16] on 1325 patients, it was concluded that the formation of a diverticulum does not make a difference in cannulation success during ERCP. However, in many studies, it was concluded that the presence of a diverticulum is one of the difficult cannulation criteria which reduces cannulation success rates.…”

Section: Discussionmentioning

confidence: 99%

Complications increase in which type of duodenal diverticulum? A retrospective cohort study

Akaydın¹,

Akay²,

Leblebici³

2020

Journal of Surgery and Medicine

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Committee with the decision numbered 2013-KAEK-64. All procedures in this study involving human participants were performed in accordance with the 1964 Helsinki Declaration and its later amendments. Etik Kurul Onayı: Bu çalışma Sağlık Bakanlığı İstanbul Medeniyet Üniversitesi Göztepe Eğitim ve Araştırma Hastanesi Klinik Araştırmalar Etik Kurulu tarafından 11.03.2020 tarihinde 2013-KAEK-64 sayılı kararla onaylanmıştır. İnsan katılımcıların katıldığı çalışmalardaki tüm prosedürler, 1964 Helsinki Deklarasyonu ve daha sonra yapılan değişiklikler uyarınca gerçekleştirilmiştir.

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Section: Discussionmentioning

confidence: 99%

Complications increase in which type of duodenal diverticulum? A retrospective cohort study

Akaydın¹,

Akay²,

Leblebici³

2020

Journal of Surgery and Medicine

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Evaluation of juxtapapillary duodenal diverticula using multiplanar reformation in MDCT: correlation with ERCP findings

et al. 2020

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Impact of Periampullary Diverticulum Types on Post-ERCP Hyperamylasemia: A Retrospective Observational Study

Akca,

Atar,

Ocal

et al. 2025

Preprint

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Background This study aimed to assess the incidence of periampullary diverticulum (PAD) among endoscopic retrograde cholangiopancreatography (ERCP) patients in Southwestern Turkey and investigate the association between the new PAD classification, post-ERCP hyperamylasemia, and post-ERCP pancreatitis (PEP). Materials and Methods We retrospectively reviewed 1,317 ERCP procedures performed between January 1, 2022, and December 31, 2023, at Antalya Training and Research Hospital. The PAD type was determined according to the He-xian Shi classification. Hyperamylasemia was defined as an increase of three times the normal level of amylase at 4-6 h, and PEP was defined as hyperamylasemia along with abdominal pain lasting more than 24 hours. Results A total of 594 naive patients who underwent ERCP were analyzed. PAD was present in 137 patients (23.1%), and the success rate of choledochal cannulation in the first ERCP procedure was 94.3%. There was no difference in the choledochal cannulation rate between patients with and without PAD (95.6%-93.9%, p=0.53). Asymptomatic hyperamylasemia was observed in 19.0% of the patients. Post-ERCP hyperamylasemia rates were similar between patients with and without PAD (16.1%-19.9%, p=0.38). PEP was observed in 8.8% of the patients. PAD was not a risk factor for post-ERCP pancreatitis (7.3% vs. 9.2%, p=0.60). When we checked the results according to the type of PAD, the prevalence of post-ERCP hyperamylasemia was significantly lower in patients with type 2b PAD than in those with PAD of other types and in patients without PAD. Conclusion PAD is a common finding in ERCP patients, with an incidence of 23.1% in our cohort. The rate of choledochal cannulation, post ERCP hyperamylasemia and PEP did not differ between the patients with and without PAD. However, the type of PAD is important; post-ERCP hyperamylasemia is significantly lower in patients with type 2b PAD than in all other PAD types and patients without PAD. Different subtypes of PAD may have different impacts on ERCP outcomes. Further investigations with new PAD classification systems developed for ERCP purposes are needed.

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ERCP Success Rate and Periampullary Diverticula: The Pocket Makes No Difference

Cited by 5 publications

References 18 publications

Complications increase in which type of duodenal diverticulum? A retrospective cohort study

Complications increase in which type of duodenal diverticulum? A retrospective cohort study

Evaluation of juxtapapillary duodenal diverticula using multiplanar reformation in MDCT: correlation with ERCP findings

Impact of Periampullary Diverticulum Types on Post-ERCP Hyperamylasemia: A Retrospective Observational Study

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