Endoskopik Retrograd Kolanjiopankreatografi Komplikasyonlarının Gelişiminde Sfinkterotomi Tekniklerinin Önemi

Year 2019, Volume: 5 Issue: 2, 251 - 258, 01.01.2019

Haydar Adanır Mete Akın Feyzullah Uçmak Yaşar Tuna

Abstract

Amaç: Endoskopik retrograd kolanjiopankreatografi ERCP öncelikli olarak terapötik girişimler için kullanılmaktadır. Precut sfinkterotomi, klasik safra kanülasyon yöntemleri başarısız olduktan sonra kullanılan bir tekniktir. Çalışmada, precut tekniklerin komplikasyonların sıklığını artırıp artırmadığını araştırmak amaçlanmıştır.Gereç ve Yöntemler: ERCP yapılan 215 hasta prospektif olarak değerlendirildi. Çalışmaya dahil edilen 185 hasta kanülasyon tekniklerini temel alarak üç gruba ayrıldı: Grup 1: Derin bilier kanülasyon veya kılavuz tel ile kanülasyon; Grup 2: Precut tekniği; Grup 3: Bu iki teknikle 10 dakika içinde kanülasyon yapılamayıp, needle-knife sfinkterotomisi uygulanan hastalar. Hastaların prosedürden önce ve sonra tam kan sayımı, kan serum amilaz ve lipaz düzeyleri değerlendirildi, hastalar herhangi bir komplikasyon gelişimi açısından 30 gün boyunca takip edildiBulgular: Onsekiz hastada pankreatit % 9,7 , altı hastada kolanjit % 3,2 ve iki hastada % 1,1 hemoraji olmak üzere 185 hastanın 26'sında % 14 komplikasyon izlendi. Komplikasyonların sıklığı grup 1'de %9,2, grup 2'de %9,3 ve grup 3'te %35,3 idi p

Keywords

Endoskopik retrograd kolanjiopankreatografi, Komplikasyon, Pankreatit, Precut sfinkterotomi

The Significance of Sphincterotomy Techniques in the Complications of Endoscopic Retrograde Cholangiopancreatography

Abstract

Objective: Endoscopic retrograde cholangiopancreatography ERCP has been used primarily for therapeutic interventions. Precut sphincterotomy is a technique that is used after conventional methods of biliary cannulation have failed. We aimed to evaluate whether the precut technique increases the frequency of complications.Material and Methods: Two hundred fifteen patients in whom ERCP was performed were prospectively evaluated. One hundred eighty-five patients included in the study were divided into three groups based on the cannulation technique: Group 1: Deep biliary cannulation or cannulation by guide wire; Group 2: Precut technique; Group 3: If cannulation was not possible with these two techniques within 10 minutes, a precut with needle-knife sphincterotomy was carried out in these patients. Complete blood count, and blood serum amylase and lipase levels were checked before and after the procedure. The patients were monitored for 30 days for the development of any complications.Results: Complications were observed in 26 14% of 185 patients, including pancreatitis in 1 8 9.7% patients, cholangitis in six 3.2% patients, and hemorrhage in two 1.1% patients. The frequency of complications was 9.2% in group 1, 9.3% in group 2, and 35.3% in group 3 p

Keywords

Endoscopic retrograde cholangiopancreatography, Complication, Pancreatitis, Precut sphincterotomy

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