A SURGICALLY-COMPROMISED SITUATION: ERCP-RELATED COMPLICATIONS

Aziz Mutlu Barlas

A SURGICALLY-COMPROMISED SITUATION: ERCP-RELATED COMPLICATIONS

Öz

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.

Anahtar Kelimeler

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

Kaynakça

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Ayrıntılar

Birincil Dil

İngilizce

Konular

Sağlık Kurumları Yönetimi

Bölüm

Araştırma Makalesi

Yazarlar

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

Yayımlanma Tarihi

30 Mart 2018

Gönderilme Tarihi

8 Mart 2018

Kabul Tarihi

21 Haziran 2018

Yayımlandığı Sayı

Yıl 2018 Cilt: 51 Sayı: 1

IZ

https://izlik.org/JA67NP89NR

Kaynak Göster

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 (01 Mart 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, c. 51, sy 1, ss. 14–19, Mar. 2018, [çevrimiçi]. Erişim adresi: https://izlik.org/JA67NP89NR

ISNAD

Barlas, Aziz Mutlu. “A SURGICALLY-COMPROMISED SITUATION: ERCP-RELATED COMPLICATIONS”. Ankara Eğitim ve Araştırma Hastanesi Tıp Dergisi 51/1 (01 Mart 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, c. 51, sy 1, Mart 2018, ss. 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]. 01 Mart 2018;51(1):14-9. Erişim adresi: https://izlik.org/JA67NP89NR