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Related Concept Videos

Endoscopic Procedures V: ERCP01:26

Endoscopic Procedures V: ERCP

2.1K
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
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Endoscopic retrograde cholangiography via a permanent access loop.

Mustafa Kaplan1, Selçuk Dişibeyaz2, Bülent Ödemiş1

  • 1Department of Gastroenterology, Yüksek Ihtisas Training and Research Hospital, Ankara, Turkey.

The Turkish Journal of Gastroenterology : the Official Journal of Turkish Society of Gastroenterology
|May 16, 2020
PubMed
Summary

Endoscopic retrograde cholangiography (ERC) via a permanent access loop (PAL) offers high success rates for patients needing frequent biliary procedures. This technique demonstrates 100% technical success and 85% clinical success with a low complication rate.

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Area of Science:

  • Gastroenterology
  • Interventional Radiology
  • Hepatobiliary Surgery

Background:

  • Patients with complex biliary tract issues often require repeated interventions.
  • Access to the biliary system can be challenging in certain patient populations.

Purpose of the Study:

  • To evaluate the indications, technical and clinical success, and complications of ERC performed via a permanent access loop (PAL).

Main Methods:

  • A retrospective study of 20 patients who underwent ERC through PAL between 2009 and 2017.
  • Technical success was defined as successful bile duct access via PAL.
  • Clinical success was defined as patient improvement post-procedure.

Main Results:

  • The most common indications for ERC via PAL were stones (40%) and cholangitis (30%).
  • Anastomotic or branched strictures were present in 75% of patients.
  • Technical success was 100%, and clinical success was 85%. One patient experienced free wall perforation requiring surgery; no mortality was observed.

Conclusions:

  • PAL-mediated ERC is a valuable technique for patients requiring frequent percutaneous procedures or those with difficult biliary access.
  • The procedure demonstrates high technical and clinical success with a low complication rate.