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Volume : 34 Issue : 3 Year : 2019



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Evaluation of Safety and Outcomes of Endoscopic Retrograde Cholangiopancreatography in 1337 Patients at a Single Center [Medeniyet Med J]
Medeniyet Med J. 2019; 34(3): 290-296 | DOI: 10.5222/MMJ.2019.58265  

Evaluation of Safety and Outcomes of Endoscopic Retrograde Cholangiopancreatography in 1337 Patients at a Single Center

Ebru Tarıkçı Kılıç1, Resul Kahraman2, Kamil Özdil2
1Health Sciences University Ümraniye Training and Research Hospital, Anesthesiology and Reanimation
2Health Sciences University Ümraniye Training and Research Hospital, Gastroenterology Department

Aim
Endoscopic retrograde cholangiopancreatography (ERCP) is the gold standard treatment for pancreaticobiliary diseases. The aim of this study was to evaluate the safety and review the outcomes of ERCP over the past 4 years.
Materials and Methods
The clinical records of patients aged 18–104 years who underwent ERCP at our gastroenterology clinic between 2014 and 2018 were included in the study. Data were acquired from the hospital archive system.
Results
A total of 1337 patients underwent ERCP, of which 775 were female and 562 were male, and their mean age was 60.58 ± 17.96 years. Thirty-nine patients were aged 18–30 years, 694 were aged 30–65 years, 274 were aged 65–75 years, 258 were aged 75–85 years, and 72 were aged >85 years. Among them, 28.27% were rated III–IV on the American Society of Anesthesiologists scale. Although biliary cannulation with standard sphincterotomy was successful in 1303 patients (97.45%), it could not be performed in 34 patients (2.55%). Precut papillotomy was performed in 27 (79.41%) of 34 patients. Furthermore, no complication was observed in 1207 patients (90.27%), whereas 96 patients (7.18%) had minor and major procedure-related and anesthesia-related complications. The 30-day mortality rate was 1.64% (n=22).
Conclusion
We concluded that ERCP, which is currently performed entirely for therapeutic purposes, is safe and lifesaving, with high clinical success rates.

Keywords: ERCP, pancreaticobiliary diseases, outcomes, complications


Endoskopik Retrograd Kolanjiopankreatografinin sonuçları ve güvenilirliğinin değerlendirilmesi: Tek merkezin 1337 hasta sonuçları

Ebru Tarıkçı Kılıç1, Resul Kahraman2, Kamil Özdil2
1Anesteziyoloji Departmanı, Sağlık Bilimleri Üniversitesi Ümraniye Eğitim ve Araştırma Hastanesi, İstanbul, Türkiye
2Gastroenteroloji Departmanı, Sağlık Bilimleri Üniversitesi Ümraniye Eğitim ve Araştırma Hastanesi, İstanbul, Türkiye

Amaç
Pankreatikobiliyer hastalıkların tedavisinde endoskopik retrograde kolanjio pankreatografi (ERCP) altın standarttır. Çalışmamızın amacı son dört yılda ERCP konusundaki deneyimimizi gözden geçirip, ERCP işleminin güvenilirliğini değerlendirmektir.
Materyal ve Metot
Çalışmamız, 2014-2018 yıllarında ERCP işlemine alınan 18-104 yaş arasındaki tüm hastaların kayıtlarının retrospektif olarak incelenmesiyle gerçekleştirilmiştir. Gerekli veriye hastanemiz arşiv sisteminden ulaşılmıştır.
Bulgular
Toplam 1337 hasta çalışmaya dahil edildi. 775’i kadın, 562’si erkek, ortalama yaş 60.58 ± 17.96 idi. Hastaların 39’u 18-30 yaş, 694’ü 30-65 yaş, 274’ü 65–75 yaş, 258’i 75–85 yaş, 72’si ise 85 yaş üstü idi. Hastaların 28.27%’si Amerikan Anestezistler Derneğine göre (ASA) III-IV’dü. İşleme alınan hastaların 1303’de standart sfinkteretomi başarılı iken (97.45%), 34 hastada başarılı olunmadı (2.55%). Erken kesi papillotomi 34 hastanın 27’sinde (79.41%) gerçekleştirildi. Hastaların 1207’sinde (90.27%) hiçbir komplikasyon görülmezken, 96’sında (7.18%) anestezi ve işlem ile ilişkili minor ve major komplikasyon görülmüştür. Otuz günlük mortalite oranı 1.64% olarak bulunmuştur (n=22).
Sonuçlar
Tümüyle terapötik amaçlarla uygulanan ERCP’nin yüksek klinik başarısıyla güvenilir ve hayat kurtarıcı olduğu kanaatindeyiz.

Anahtar Kelimeler: ERCP, pankreatobiliyer hastalıklar, sonuçlar, komplikasyonlar


Ebru Tarıkçı Kılıç, Resul Kahraman, Kamil Özdil. Evaluation of Safety and Outcomes of Endoscopic Retrograde Cholangiopancreatography in 1337 Patients at a Single Center. Medeniyet Med J. 2019; 34(3): 290-296

Corresponding Author: Ebru Tarıkçı Kılıç, Türkiye


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