Endoscopic retrograde cholangiopancreaticography prior to explorative laparotomy avoids unnecessary surgery in patients suspected for biliary atresia

Abstract Objective: To measure the success rate of endoscopic retrograde cholangiopancreaticography biliary cannulation of a recently credentialed endoscopist at a tertiary hospital. Methods: The clinical audit was conducted at the Aga Khan University Hospital. Karachi, and comprised data of all patients who underwent endoscopic retrograde cholangiopancreaticography under the care of a single operator during 2016. Data was retrospectively extracted from patient charts by an assistant blinded to the study. Data extracted included demographics, admission type, details and indication for the procedure, diagnosis, cannulation outcome, duct clearance, complications, follow-up surgical intervention, radiological imaging and mortality post-endoscopy. Data was analysed using SPSS 19. Results: Of 143 procedures performed, 102(71.3%) were included. The mean age was 52±17 years and 54(52.9%) of them were females. Most common indication was choledocholithiasis in 70(68.6%). The average procedure time was 41.5±5.5 minutes. Cannulation success rate was 96(94.1%). Complications included post-procedure pancreatitis in 5(4.9%), minimal bleeding in 8(7.8%) and oesophageal perforation in 1(0.98%). There was no procedure-related mortality. Conclusion: The success rate was high and complications were low Continuous...

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1148 Radiation Exposure in Pediatric Population During Endoscopic Retrograde Cholangiopancreaticography (ERCP)

The American Journal of Gastroenterology ◽

10.14309/01.ajg.0000594120.09435.94 ◽

2019 ◽

Vol 114 (1) ◽

pp. S644-S644

Author(s):

Srinivas Ramireddy ◽

Sruthi K. Subramanian ◽

Prithvi Patil ◽

Tomas Davee ◽

Ricardo Badillo ◽

...

Keyword(s):

Radiation Exposure ◽

Pediatric Population ◽

Endoscopic Retrograde ◽

Endoscopic Retrograde Cholangiopancreaticography

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Therapeutic Endoscopic Retrograde Cholangiopancreaticography (ERCP) for Bile Duct Stones in Patients with a Prior Billroth II Gastrectomy

Gastrointestinal Endoscopy ◽

10.1016/j.gie.2007.03.468 ◽

2007 ◽

Vol 65 (5) ◽

pp. AB222

Author(s):

Kazunari Nakahara ◽

Jun Horaguchi ◽

Naotaka Fujita ◽

Yutaka Noda ◽

Go Kobayashi ◽

...

Keyword(s):

Bile Duct ◽

Bile Duct Stones ◽

Endoscopic Retrograde ◽

Billroth Ii ◽

Endoscopic Retrograde Cholangiopancreaticography ◽

Billroth Ii Gastrectomy

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Reclassification of “Atypical” Diagnoses in Endoscopic Retrograde Cholangiopancreaticography–Guided Biliary Brushings

Acta Cytologica ◽

10.1159/000326547 ◽

2003 ◽

Vol 47 (3) ◽

pp. 435-442 ◽

Cited By ~ 19

Author(s):

Adaora M. Okonkwo ◽

Denise V. S. De Frias ◽

Raymond Gunn ◽

Leslie Diaz ◽

Susanne Schindler ◽

...

Keyword(s):

Endoscopic Retrograde ◽

Endoscopic Retrograde Cholangiopancreaticography

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Early Cholecystectomy Versus Late Cholecystectomy in Choledocholithiasis following Endoscopic Retrograde Cholangiopancreaticography

Journal of Evolution of Medical and Dental Sciences ◽

10.14260/jemds/2019/625 ◽

2019 ◽

Vol 8 (38) ◽

pp. 2876-2880

Author(s):

Pranav Sharma ◽

Varun Dogra ◽

Ashish Rathore

Keyword(s):

Endoscopic Retrograde ◽

Early Cholecystectomy ◽

Endoscopic Retrograde Cholangiopancreaticography

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DOES EARLY LAPAROSCOPIC CHOLECYSTECTOMY AFTER ERCP OFFERS SIGNIFICANT BENEFIT IN SURGICAL OUTCOME? A COMPARATIVE STUDY BETWEEN EARLY AND LATE GROUPS

10.36106/ijsr/3225443 ◽

2021 ◽

pp. 59-61

Author(s):

Anshul Mathur ◽

Ketan Patel ◽

Jitendra Kumar Mangtani ◽

K.K. Dangayach

Keyword(s):

Laparoscopic Cholecystectomy ◽

Hospital Stay ◽

Operative Time ◽

Open Cholecystectomy ◽

Endoscopic Retrograde ◽

Endoscopic Retrograde Cholangiopancreaticography ◽

Early Laparoscopic Cholecystectomy ◽

Conversion Rates ◽

Group A ◽

Group B

Introduction:- Endoscopic retrograde cholangiopancreaticography (ERCP) prior to Laparoscopic Cholecystectomy(LC) is most commonly practiced strategy worldwide for management of co-existing cholelithiasis with choledocholithiasis. The time interval between Endoscopic Retrograde Cholangiopancreaticography (ERCP) and Laparoscopic cholecystectomy (LC) is questionable and varies from 1 day to 6 weeks in different studies. Aims and objectives:- To compare two groups of patients managed with laparoscopic cholecystectomy (after ERCP), EARLY(24 to 72 hours), and LATE(> 6weeks) in terms of mean operative time in minutes, intraoperative difculties, conversion rates to open cholecystectomy, conversion rates to open cholecystectomy, drain insertion required or not, postoperative complications, and duration of hospital stay. Materials and methods:- A prospective randomized comparative study was conducted on 70 patients who presented with concomitant cholelithiasis with choledocholithiasis over a period of January 2019 to June 2020 at the Department of General Surgery, Mahatma Gandhi Medical College & Hospital, Jaipur. After ERCP and stone retrieval patients were randomised into 2 groups using sealed envelope method. Group A underwent early laparoscopic cholecystectomy (24 to 72hours) and Group B underwent late laparoscopic cholecystectomy (after 6 weeks). Data collected, statistical analysis done, results and observations concluded. Result:- We found that mean operative time, intraoperative difculties, post operative complications and mean hospital stay in days were signicantly higher in Group B as compared to Group A. Though the conversion rates to open procedure and requirement of drain insertion were comparatively higher in Group B but were found to be statistically non signicant. Conclusion:- We hereby conclude that early laparoscopic cholecystectomy (24 to 72 hours) after Endoscopic Retrograde Cholangiopancreaticography (ERCP) is better as compared to late laparoscopic cholecystectomy (>6 weeks) after ERCP in patients of cholelithiasis with coexisting choledocholithiasis. So, we recommend performing early Laparoscopic Cholecystectomy (24-72hours) after Endoscopic Retrograde Cholangiopancreaticography (ERCP)

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