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Title: Frequency of Post-Endoscopic Retrograde Cholangiopancreatography (ERCP) Complications
Authors: Asma Abdul Razzak, Muhammad Raza
Journal: Journal of Bahria University Medical and Dental College (JBUMDC)
Publisher: Bahria University, Islamabad
Country: Pakistan
Year: 2023
Volume: 13
Issue: 2
Language: English
Keywords: Endoscopic Retrograde CholangiopancreatographyPancreatitisEndoscopy
Objective: Endoscopic Retrograde Cholangiopancreatography (ERCP) is a highly technical procedure that carries somerisks associated with it. It consolidates the utilization of an endoscope with X-ray to look at the biliary and pancreaticchannels with the ability to intervene when indicated to address problems identified during surgery. This study aimed todetermine the frequencyStudy Design & Setting: Cross-sectional study design at Dow Hospital Karachi.Methodology: The patients with the age ranging from 18 to 60 years who had endoscopies were taken from July 2020 toFebruary 2021. All the pregnant patients and those who were unwilling to participate in the study were excluded from thestudy. The data were collected from the patients and they were kept under observation for 4 – 6 hours after ERCP to monitorthe development of an immediate complication. The findings were recorded only at 48 hours of the procedure.Results: The age of the participants was 37±12 years on average. The complications were recorded with pancreatitis at36% followed by 34.5% bleeding and 29% perforation. 92% of the procedures were successful.Conclusions: In conclusion, while ERCP is generally considered a safe and effective procedure, it is not without risks.The most common complications of ERCP are pancreatitis, bleeding, and perforation
To determine the frequency of post-Endoscopic Retrograde Cholangiopancreatography (ERCP) complications.
A cross-sectional study design was employed at Dow Hospital Karachi. Patients aged 18 to 60 years who underwent ERCP between July 2020 and February 2021 were included. Pregnant patients and those unwilling to participate were excluded. Patients were observed for 4-6 hours post-ERCP for immediate complications, and findings were recorded at 48 hours. Data was collected from patients and analyzed using SPSS version 20.
graph TD; A["Patient Selection Age 18-60"] --> B["ERCP Procedure"]; B --> C["Post-ERCP Observation 4-6 hours"]; C --> D["Complication Recording 48 hours"]; D --> E["Data Collection"]; E --> F["Data Analysis SPSS v20"]; F --> G["Report Findings"];
While ERCP is generally safe, complications such as pancreatitis, bleeding, and perforation can occur. Prompt recognition and management of these complications are crucial. Factors like patient selection, pre-procedural preparation, and procedural technique influence the risk of complications.
The most common complications recorded were pancreatitis (36%), bleeding (34.5%), and perforation (29%). 92% of the procedures were successful. The average age of participants was 37±12 years.
ERCP is a generally safe and effective procedure, but it carries risks. Pancreatitis, bleeding, and perforation are the most frequent complications. Minimizing these risks requires careful patient selection, appropriate preparation, and meticulous procedural technique.
- The study was conducted at Dow Hospital Karachi. (Confirmed in Methodology section)
- The average age of participants was 37±12 years. (Confirmed in Results section)
- The reported frequencies of complications were pancreatitis at 36%, bleeding at 34.5%, and perforation at 29%. (Confirmed in Results section)
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