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[Endoscopic sphincterotomy. Complications and follow-up]
N Landoni1, N Chopita, A Jmelnitzky
1H.I.G.A. Gral San Martín, La Plata, Argentina.
Acta Gastroenterologica Latinoamericana
|January 1, 1993
Summary
This study on 547 endoscopic retrograde cholangiopancreatography (ERCP) procedures found a 5.6% early complication rate and 1.8% mortality, with no significant increase from complementary methods.
Area of Science:
- Gastroenterology
- Hepatobiliary Surgery
- Endoscopic Procedures
Context:
- A decade-long analysis of 547 endoscopic retrograde cholangiopancreatography (ERCP) procedures.
- Patients were grouped similarly in terms of technical-anatomical and sociocultural factors.
- Seventy-five procedures included in situ gallbladder assessment.
Purpose:
- To evaluate the early morbidity and mortality associated with ERCP.
- To analyze complications based on the indication for ERCP.
- To compare morbi-mortality rates over different periods and assess long-term outcomes.
Summary:
- Early morbidity was 5.6% (31 complications), primarily perforation (8) and hemorrhage (5).
- Mortality rate was 1.8% (10 cases), with perforation and cholecystitis as main causes.
- Complications were more frequent with choledochal stones (3.6%) and combined choledochal/gallbladder stones (1.3%).
Impact:
- ERCP demonstrated a manageable risk profile, with low rates of severe complications.
- Understanding complication patterns aids in refining patient selection and procedural techniques.
- Long-term follow-up identified pathological cases, informing subsequent management strategies.