Results of endoscopic retrograde cholangio-pancreatography using a mobile image intensifier

The results of performing endoscopic retrograde cholangio-pancreatography (ERCP) using a mobile image intensifier in a theatre or endoscopic unit are presented. Over a 2-year period, a total of 157 ERCPs were attempted in 131 patients. The procedure was successful in 146 cases (93%), with failure in 11 cases (7%). A total of 75 endoscopic sphincterotomies were attempted in 60 patients, and 69 (92%) procedures were successful, with failure to perform a sphincterotomy occurring in 6 (8%) procedures. Of the 69 successful sphincterotomies, 8 (11.6%) patients subsequently required surgery as a result of failure of stone extraction or gall bladder symptoms. There were 11 (7.5%) complications following sphincterotomy, with only one death (0.68%) attributable to the procedure. With results approaching those of specialist centres, the above method is suggested as an alternative way to expand ERCP services where X-ray department facilities are not readily available.