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[Endoscopic papillotomy--analysis of complications]
Schweizerische Medizinische Wochenschrift
|May 14, 1983
Summary
Endoscopic papillotomy complications are significantly higher with failed therapy (37%) compared to successful procedures (2.8%). Successful endoscopic papillotomy offers a low complication rate, with most occurring immediately.
Area of Science:
- Gastroenterology
- Endoscopic procedures
- Biliary tract interventions
Context:
- Endoscopic retrograde cholangiopancreatography (ERCP) is a common procedure.
- Complications associated with ERCP, particularly endoscopic papillotomy, require careful evaluation.
- Assessing the safety and efficacy of endoscopic papillotomy is crucial for patient outcomes.
Purpose:
- To determine the complication rate of endoscopic papillotomy.
- To compare complication frequencies between successful and failed endoscopic papillotomies.
- To analyze the types and timing of complications following endoscopic papillotomy.
Summary:
- A total of 250 patients underwent endoscopic papillotomy, with 19 experiencing complications.
- The complication rate was significantly higher in patients with failed therapy (37%) versus successful therapy (2.8%) (p < 0.0001).
- Observed complications included cholangitis, pancreatitis, bleeding, perforation, Dormia basket impaction, and gallstone ileus, with three deaths attributed to cholangitis.
Impact:
- Endoscopic papillotomy is a relatively safe procedure when successful, with a low immediate complication rate.
- Failed endoscopic papillotomy is associated with a substantially increased risk of complications.
- Understanding these risks can guide clinical decision-making and improve patient management strategies.