PRELIMINARY RESULTS OF APPLICATION OF ERCP IN THE TREATMENT OF SOME PANCREATOBILINARY DISEASES

Background and objectives: ERCP is helpful technique in the diagnosis and treatment of some pancreatobilinary diseases. Purposes of this study are studying clinical characteristics, imaging of patients pancreatobilinary diseases indicated for ERCP as well as treatment results and safety of ERCP in the treatment of some pancreatobilinary diseases. Materials and methods: a observational study of results of ERCP application in the patients with bilinary stones and Oddi sphincter stenosis, pancreatic tumors at Quangnam Central General Hospital from 6/2013 till 5/2015. Results: Among 30 patients selected for study, there are 26 patients with bile duct stones (86.6%), 1 patients with Oddi sphincter stenosis and 1 bile duct stenosis (6.7%) and 2 patients with pancreatic tumors (6.7%). In patients with bile duct stones, 12 patients were complicated by obstructive jaundice. Among them, 11 patients were complicated by bilinary infection (42.3%), 5 patients had hyperamylasemia (19.2%), 2 patients were complicated by acute pancreatitis (7.7%); in patients with Oddi sphincter stenosis and 1 bile duct stenosis, in patients with pancreatic tumors. The complete success rate of stone removing is 81.3% in common bile duct stones. The complete success rate of stone removing is 42.9% in common bile duct stones combined with hepatic duct stones. We can not remove stones in all 3 patients with only hepatic duct stones. The complication rate of ERCP is 13.3%, including 2 acute pancreatitis (6.7%), 2 bleeding (6.7%). Conclusions: Bile duct stones are the commonest pancreatobilinary diseases which were selected for ERCP. ERCP is the safe, effective technique in the treatment of pancreatobilinary diseases. Key words: (Endoscopic Retrograde Cholangio-Pancreatography: ERCP);