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Success of repeat ERCP by the same endoscopist

F C Ramirez¹, B Dennert, R A Sanowski

¹Department of Medicine, Gastroenterology Section, Carl T. Hayden Veterans Affairs Medical Center, Phoenix, Arizona 85012, USA.

Gastrointestinal Endoscopy

|December 31, 1998

Summary

Repeat endoscopic retrograde cholangiopancreatography (ERCP) by the same endoscopist has an 87.5% success rate. This improves the overall success rate to 95% for difficult pancreaticobiliary cases.

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Area of Science:

Gastroenterology
Hepatology
Endoscopy

Background:

The efficacy of repeat endoscopic retrograde cholangiopancreatography (ERCP) by the same endoscopist after an initial failed attempt is not well-established.
Tertiary referral centers are often suggested for repeat ERCP after unsuccessful initial procedures.

Purpose of the Study:

To determine the success rate of repeat ERCP performed by the same endoscopist in a subsequent session.
To evaluate patient outcomes following a failed index ERCP procedure.

Main Methods:

A retrospective review of 500 consecutive ERCP procedures at a teaching institution.
Analysis of repeat ERCP success rates and outcomes in patients with initial failed cannulation.

Main Results:

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The initial ERCP success rate for duct cannulation was 90.8%.
Repeat ERCP was performed in 51% of unsuccessful cases, achieving an 87.5% success rate.
Needle knife use facilitated cannulation in 80% of instances, with no complications reported for repeat ERCP.

Conclusions:

Repeat ERCP by the same endoscopist demonstrates a high success rate of 87.5%.
The overall success rate, including repeat procedures, reaches 95%.
Repeat ERCP is an effective strategy for patients with initially unsuccessful procedures.