Post-Endoscopic Retrograde Cholangio-Pancreatography (ERCP) Complications: Our Experience and Comparison with the Literature

KOCA, Yavuz Savaş; YILDIZ, İhsan; GÖZEL, Sedat

Post-Endoscopic Retrograde Cholangio-Pancreatography (ERCP) Complications: Our Experience and Comparison with the Literature

Sedat GÖZEL, (Başkent Üniversitesi, Tıp Fakültesi, İç Hastalıkları Anabilim Dalı, Adana, Türkiye)

İhsan YILDIZ, (Süleyman Demirel Üniversitesi, Tıp Fakültesi, Genel Cerrahi Anabilim Dalı, Isparta, Türkiye)

Yavuz Savaş KOCA (Süleyman Demirel Üniversitesi, Tıp Fakültesi, Genel Cerrahi Anabilim Dalı, Isparta, Türkiye)

Journal of Clinical and Analytical Medicine

1 0

Yıl: 2016 Cilt: 7 Sayı: 5 Sayfa Aralığı: 656 - 659 Metin Dili: İngilizce İndeks Tarihi: 29-07-2022

Post-Endoscopic Retrograde Cholangio-Pancreatography (ERCP) Complications: Our Experience and Comparison with the Literature

Öz:

Amaç: ERCP, pankreas ve safra yollarının benign ve malign patolojilerinin teşhis ve tedavisinde uygulanabilen minimal invaziv bir yöntemdir. Bu yöntemin başta pankreatit olmak üzere kanama, kolanjit ve duodenal perforasyon gibi ciddi komplikasyonlara yol açabilir. Çalışmada, merkezimizde yapılan ERCP işleminin komplikasyonları literatür ile karşılaştırıldı. Gereç ve Yöntem: Çalışma için ERCP işlemi uygulanmış 176'sı kadın, 163'ü erkek toplam 339 hasta retrospektif olarak araştırıldı. Ortalama takip süresi 2 gün idi. Hastaların ERCP öncesi ve 24-72 saat sonrası hemogram, sedimantasyon, C-reactive protein, alkalen fosfataz, gama glutamil transferaz, total-direkt bilirübin, amilaz ve lipaz değerlerine bakıldı. ERCP işlemi sonrası pankreatit, kanama ve kolanjit oranlarına bakıldı. Bulgular: ERCP yapılan 339 hastanın 26'sında (% 7.6) pankreatit, 15'inde (% 4.4 ) kanama, 11'inde (% 3,2) kolanjit görüldü. Pankreatit gelişen hastaların yaş ortalaması 56±17 iken pankreatit gelişmeyen hastaların yaş ortalaması 60±14 idi. Bu fark istatistiksel olarak anlamlı değildi (P>0,05). Ancak hastalar kanama ve yaş açısından karşılaştırıldığında, kanama gelişen hastaların yaş ortalaması 67±13 iken kanama gelişmeyen hastaların yaş ortalaması 59±15 idi. Bu fark istatistiksel olarak anlamlı bulundu (P<0,05). Tartışma: Komplikasyon oranlarımızın literatüre göre yüksek bulunmasının nedeni merkezin yeni kurulmuş olması ve referans merkez olmasına bağlandı. Çalışmada en dikkat çekici sonuç hasta yaşı arttıkça ERCP sonrası kanamanın da artmış olmasıydı. Sonuç olarak yaşlı hastalarda ERCP komplikasyonlarını azaltmanın etkin yollarından biri gereksiz ERCP den kaçınmaktır

Anahtar Kelime:

Konular: Genel ve Dahili Tıp

Endoskopik Retrograd-Kolanjio-Pankreotografi (ERCP) Komplikasyonlarımız ve Literatürle Karşılaştırılması

Öz:

Aim: Endoscopic retrograde cholangio-pancreatography (ERCP) is a minimally invasive method used in the diagnosis and treatment of pancreatobiliary disorders. Endoscopic retrograde cholangio-pancreatography (ERCP) may lead to serious complications including pancreatitis, bleeding, cholangitis, and perforation. In this study, we compare our experience with post-ERCP complications with the literature. Material and Method: A total of 339 patients who underwent ERCP, including 176 (51.9%) female and 163 (48.1%) male patients, were retrospectively evaluated. Hemogram, sedimentation, C-reactive protein, alkaline phosphatase, gama-glutamil-tranferase, total direct bilirubin, and amylase and lipase activities were recorded both before and 24-72 h after ERCP. The rates of post-ERCP complications of pancreatitis, bleeding, and cholangitis rates were evaluated. Results: A total of 339 patients who underwent ERCP, including 176 (51.9%) female and 163 (48.1%) male patients, were retrospectively evaluated. Of the 339 patients, pancreatitis occurred in 26 (7.6%), bleeding in 15 (4.4%), and cholangitis in 11 (3.2%). The patients with pancreatitis had a mean age of 56±17 years and the patients without pancreatitis had a mean age of 60±14 years; however, no significant difference was found (p>0.05). The patients with bleeding had a mean age of 67±13 years and the patients without bleeding had a mean age of 59±15 years; a significant difference was found. Discussion: The study shows that the incidence of post-ERCP bleeding increases with age. The most effective way of reducing ERCP complications in elderly patients is to avoid unnecessary ERCP

Anahtar Kelime:

Konular: Genel ve Dahili Tıp

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	GÖZEL S, YILDIZ İ, KOCA Y (2016). Post-Endoscopic Retrograde Cholangio-Pancreatography (ERCP) Complications: Our Experience and Comparison with the Literature. , 656 - 659.
Chicago	GÖZEL Sedat,YILDIZ İhsan,KOCA Yavuz Savaş Post-Endoscopic Retrograde Cholangio-Pancreatography (ERCP) Complications: Our Experience and Comparison with the Literature. (2016): 656 - 659.
MLA	GÖZEL Sedat,YILDIZ İhsan,KOCA Yavuz Savaş Post-Endoscopic Retrograde Cholangio-Pancreatography (ERCP) Complications: Our Experience and Comparison with the Literature. , 2016, ss.656 - 659.
AMA	GÖZEL S,YILDIZ İ,KOCA Y Post-Endoscopic Retrograde Cholangio-Pancreatography (ERCP) Complications: Our Experience and Comparison with the Literature. . 2016; 656 - 659.
Vancouver	GÖZEL S,YILDIZ İ,KOCA Y Post-Endoscopic Retrograde Cholangio-Pancreatography (ERCP) Complications: Our Experience and Comparison with the Literature. . 2016; 656 - 659.
IEEE	GÖZEL S,YILDIZ İ,KOCA Y "Post-Endoscopic Retrograde Cholangio-Pancreatography (ERCP) Complications: Our Experience and Comparison with the Literature." , ss.656 - 659, 2016.
ISNAD	GÖZEL, Sedat vd. "Post-Endoscopic Retrograde Cholangio-Pancreatography (ERCP) Complications: Our Experience and Comparison with the Literature". (2016), 656-659.

APA	GÖZEL S, YILDIZ İ, KOCA Y (2016). Post-Endoscopic Retrograde Cholangio-Pancreatography (ERCP) Complications: Our Experience and Comparison with the Literature. Journal of Clinical and Analytical Medicine, 7(5), 656 - 659.
Chicago	GÖZEL Sedat,YILDIZ İhsan,KOCA Yavuz Savaş Post-Endoscopic Retrograde Cholangio-Pancreatography (ERCP) Complications: Our Experience and Comparison with the Literature. Journal of Clinical and Analytical Medicine 7, no.5 (2016): 656 - 659.
MLA	GÖZEL Sedat,YILDIZ İhsan,KOCA Yavuz Savaş Post-Endoscopic Retrograde Cholangio-Pancreatography (ERCP) Complications: Our Experience and Comparison with the Literature. Journal of Clinical and Analytical Medicine, vol.7, no.5, 2016, ss.656 - 659.
AMA	GÖZEL S,YILDIZ İ,KOCA Y Post-Endoscopic Retrograde Cholangio-Pancreatography (ERCP) Complications: Our Experience and Comparison with the Literature. Journal of Clinical and Analytical Medicine. 2016; 7(5): 656 - 659.
Vancouver	GÖZEL S,YILDIZ İ,KOCA Y Post-Endoscopic Retrograde Cholangio-Pancreatography (ERCP) Complications: Our Experience and Comparison with the Literature. Journal of Clinical and Analytical Medicine. 2016; 7(5): 656 - 659.
IEEE	GÖZEL S,YILDIZ İ,KOCA Y "Post-Endoscopic Retrograde Cholangio-Pancreatography (ERCP) Complications: Our Experience and Comparison with the Literature." Journal of Clinical and Analytical Medicine, 7, ss.656 - 659, 2016.
ISNAD	GÖZEL, Sedat vd. "Post-Endoscopic Retrograde Cholangio-Pancreatography (ERCP) Complications: Our Experience and Comparison with the Literature". Journal of Clinical and Analytical Medicine 7/5 (2016), 656-659.