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Endoscopic pancreatic sphincterotomy: indications and complications
Yong Won Joo1, Jai Hoon Yoon, Seung Chul Cho
1Department of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea.
The Korean Journal of Internal Medicine
|September 2, 2009
Summary
Endoscopic pancreatic sphincterotomy (EPST) is a safe and effective procedure for treating pancreatic diseases, with a high success rate and low complication incidence. Additional procedures like EST or pancreatic drainage do not further reduce complications.
Area of Science:
- Gastroenterology
- Endoscopic Procedures
- Pancreatic Diseases
Background:
- Limited comparative studies exist on physician skill and complications of endoscopic pancreatic sphincterotomy (EPST).
- This study evaluates indications, complications, and safety of EPST performed by a single physician.
Purpose of the Study:
- To examine the indications, complications, and safety of EPST.
- To assess the effectiveness of EPST in managing pancreatic diseases.
Main Methods:
- Retrospective analysis of 46 patients undergoing EPST between 1996 and 2008.
- Evaluation of diagnostic and therapeutic indications, success rates, and acute complications.
Main Results:
- High EPST success rate (95.7%).
- Low acute complication rate: 10.9% pancreatitis, 2.2% cholangitis.
- No reduction in complications with concomitant EPST and EST or pancreatic drainage procedures.
Conclusions:
- EPST is a safe and effective endoscopic treatment for various pancreatic diseases.
- Concomitant procedures do not decrease EPST-related complications.
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