A SURGICALLY-COMPROMISED SITUATION: ERCP-RELATED COMPLICATIONS

Aziz Mutlu Barlas

A SURGICALLY-COMPROMISED SITUATION: ERCP-RELATED COMPLICATIONS

Abstract

Background: In this retrospective study, an evaluation was made of ERCP-related perforations and necrotizing pancreatitis that required surgical intervention.

Methods: A total of 1439 ERCP procedures were performed by gastroenterologists and 12 complications that required surgical intervention were identified (0.8%). All of the cases presented in this study were primarily managed conservatively in the Gastroenterology Department and were evaluated by the surgeons when signs and symptoms deteriorated.

Results: Patient age was mean 55.5±17.3 years. The mean time from ERCP to surgery was 3.92 days (0-14 days). Of the 12 patients, 6 (50%) died postoperatively. No statistically significant difference was determined between the surviving and not surviving groups in respect of patient age or the mean time from ERCP to operation. The operational technique was decided during the surgery depending on the extent of the perforation and the condition of the peritoneum. The correlation between diagnosis and type of operative procedure was similar in both groups.

Conclusions: There is no consensus on the surgical management of ERCP-related complications which might result in high mortality rates despite full-care management. Therefore, the main objective of departments dealing with ERCP procedures should be to reduce the risk of ERCP-related complications to a minimum.

Keywords

ERCP; complication; hepatobiliary surgery; perforation; necrotizing pancreatitis; duodenum

References

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Details

Primary Language

English

Subjects

Health Care Administration

Journal Section

Research Article

Authors

Aziz Mutlu Barlas ^*
Ankara Eğitim ve Araştırma Hastanesi, Genel Cerrahi Kliniği
Türkiye

Publication Date

March 30, 2018

Submission Date

March 8, 2018

Acceptance Date

June 21, 2018

Published in Issue

Year 2018 Volume: 51 Number: 1

IZ

https://izlik.org/JA67NP89NR

Cite

RIS / Bibtex

APA

Barlas, A. M. (2018). A SURGICALLY-COMPROMISED SITUATION: ERCP-RELATED COMPLICATIONS. Ankara Eğitim Ve Araştırma Hastanesi Tıp Dergisi, 51(1), 14-19. https://izlik.org/JA67NP89NR

AMA

1.Barlas AM. A SURGICALLY-COMPROMISED SITUATION: ERCP-RELATED COMPLICATIONS. Ankara Eğitim ve Araştırma Hastanesi Tıp Dergisi. 2018;51(1):14-19. https://izlik.org/JA67NP89NR

Chicago

Barlas, Aziz Mutlu. 2018. “A SURGICALLY-COMPROMISED SITUATION: ERCP-RELATED COMPLICATIONS”. Ankara Eğitim Ve Araştırma Hastanesi Tıp Dergisi 51 (1): 14-19. https://izlik.org/JA67NP89NR.

EndNote

Barlas AM (March 1, 2018) A SURGICALLY-COMPROMISED SITUATION: ERCP-RELATED COMPLICATIONS. Ankara Eğitim ve Araştırma Hastanesi Tıp Dergisi 51 1 14–19.

IEEE

[1]A. M. Barlas, “A SURGICALLY-COMPROMISED SITUATION: ERCP-RELATED COMPLICATIONS”, Ankara Eğitim ve Araştırma Hastanesi Tıp Dergisi, vol. 51, no. 1, pp. 14–19, Mar. 2018, [Online]. Available: https://izlik.org/JA67NP89NR

ISNAD

Barlas, Aziz Mutlu. “A SURGICALLY-COMPROMISED SITUATION: ERCP-RELATED COMPLICATIONS”. Ankara Eğitim ve Araştırma Hastanesi Tıp Dergisi 51/1 (March 1, 2018): 14-19. https://izlik.org/JA67NP89NR.

JAMA

1.Barlas AM. A SURGICALLY-COMPROMISED SITUATION: ERCP-RELATED COMPLICATIONS. Ankara Eğitim ve Araştırma Hastanesi Tıp Dergisi. 2018;51:14–19.

MLA

Barlas, Aziz Mutlu. “A SURGICALLY-COMPROMISED SITUATION: ERCP-RELATED COMPLICATIONS”. Ankara Eğitim Ve Araştırma Hastanesi Tıp Dergisi, vol. 51, no. 1, Mar. 2018, pp. 14-19, https://izlik.org/JA67NP89NR.

Vancouver

1.Aziz Mutlu Barlas. A SURGICALLY-COMPROMISED SITUATION: ERCP-RELATED COMPLICATIONS. Ankara Eğitim ve Araştırma Hastanesi Tıp Dergisi [Internet]. 2018 Mar. 1;51(1):14-9. Available from: https://izlik.org/JA67NP89NR