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Published on: May 23, 2021
Study on Endoscopic Retrograde Cholangiopancreatography
C R Debnath1, N Ahmed, M R Debnath
1Professor Dr Chitta Ranjan Debnath, Professor & Head, Department of Hepatology, Mymensingh Medical College (MMC), Mymensingh, Bangladesh.
Endoscopic retrograde cholangiopancreatography (ERCP) in Mymensingh, Bangladesh, successfully treated biliary and pancreatic diseases in 301 patients. The study highlights ERCP
Area of Science:
- Gastroenterology and Hepatology
- Interventional Endoscopy
- Biliary and Pancreatic Diseases
Background:
- Endoscopic retrograde cholangiopancreatography (ERCP) is crucial for diagnosing and treating biliary and pancreatic conditions.
- ERCP services in Bangladesh are concentrated in major urban centers.
- Mymensingh Medical College Hospital (MMCH) initiated ERCP services in 2016, collaborating with a private facility.
Purpose of the Study:
- To evaluate the initial experience with ERCP at MMCH.
- To characterize the etiologies and findings of ERCP procedures.
- To assess the frequency and types of complications associated with ERCP.
Main Methods:
- A prospective study conducted at MMCH from April 2016 to July 2018.
- Inclusion of all patients undergoing ERCP during the study period.
- Assessment of etiologies, findings, and complications during and after the procedure, including 30-day follow-up.
Main Results:
- A total of 301 ERCPs were performed, with indications including cholangiocarcinoma (32.56%), choledocholithiasis (31.56%), and periampullary growth (30.89%).
- Therapeutic procedures, primarily endoscopic sphincterotomy (87.04%), were performed in all cases.
- Successful stone extraction was achieved in 98.67% of cases. Post-ERCP pancreatitis occurred in 2.99% of patients.
Conclusions:
- ERCP is a valuable therapeutic tool for biliary and pancreatic diseases in Mymensingh.
- The study demonstrates the feasibility and safety of establishing ERCP services in a tertiary care hospital outside the capital.
- Careful patient selection and monitoring are essential to minimize ERCP-related complications.
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