Analysis of Index ERCP Outcomes for Choledocholithiasis Cases in a Tertiary Care Hospital

Authors

  • Tanveer Hussain Gastroenterology department, Holy Family Hospital, Rawalpindi
  • Anum Abbas Gastroenterology department, Holy Family Hospital, Rawalpindi
  • Bushra Khar Department of Gastroenterology, Holy Family Hospital & Rawalpindi Medical University
  • Muhammad Umar Vice Chancellor RMU
  • Aqsa Naseer Gastroenterology department, Holy Family Hospital, Rawalpindi
  • Javeria Zahid Khan Gastroenterology department, Holy Family Hospital, Rawalpindi
  • Sadia Ahmed Department of Gastroenterology, Holy Family Hospital & Rawalpindi Medical University
  • Misbah Noureen Department of Gastroenterology, Holy Family Hospital & Rawalpindi Medical University

Abstract

Objective: To evaluate the outcomes of Endoscopic Retrograde Cholangiopancreatography (ERCP) for choledocholithiasis at a tertiary care hospital.

Methodology: This is a retrospective study conducted from January, 2021 to December 2023.  All patients with choledocholithiasis diagnosed on ultrasound abdomen or magnetic cholangiopancreatography with clinical symptoms were selected for ERCP. The primary objective was to assess the success rate of bile duct stone (BDS) clearance during the initial procedure and identify factors contributing to procedural failures. Data was collected from ERCP database.

Results: Total 1878 ERCP procedures were performed whereas, 866 were for choledocholithiasis, with 763 being index ERCPs for this condition. Among these index ERCPs, 562 achieved successful stone retrieval and confirmed CBD clearance with occlusion cholangiogram in a single procedure (73.65%).  In remaining 201 index ERCP for choledocholithiasis, biliary plastic stenting was carried out in 184 (24.11%) due to different reasons.

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Published

2024-06-11

Issue

Vol. 20 No. 3 (2024): July-Sept

Section

Original Articles

License

Copyright (c) 2024 Tanveer Hussain, Anum Abbas, Bushra Khar, Muhammad Umar, Aqsa Naseer, Javeria Zahid Khan, Sadia Ahmed, Misbah Noureen

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by-nc/4.0/.) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.