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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.
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:
- 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.