Periampullary diverticula increase post-ERCP pancreatitis, but not bleeding

Abstract

Background/aims: It is suggested that the endoscopic retrograde cholangiopancreatography procedure is more difficult and carriers higher risk of complication in patients with periampullary diverticula than in normal subjects. Prevalence of periampullary diverticula is 5% to 32% in patients who undergo endoscopic retrograde cholangiopancreatography. In this study, we aimed to investigate the prevalence of periampullary diverticula in patients who underwent endoscopic retrograde cholangiopancreatography for various indications and the impact of periampullary diverticula on the complications of endoscopic retrograde cholangiopancreatography. Materials and Methods: Consecutive endoscopic retrograde cholangiopancreatography procedures in our endoscopy unit performed between July 2009 and October 2010 were evaluated retrospectively. Patients who underwent an endoscopic retrograde cholangiopancreatography were divided into two groups according to the presence or not of periampullary diverticula. The complications were evaluated according to the presence of periampullary diverticula. Results: Periampullary diverticula were present in 31 (14.6%) of the 213 patients undergoing endoscopic retrograde cholangiopancreatography for various indications. A total of 258 procedures were evaluated. The mean age was significantly higher in patients with periampullary diverticula (71.4±12.4 years) than in the control group (58.3±17.3 years) (p

Keywords

• Periampullary diverticula, endoscopic retrograde cholangiopancreatography, complication

Periampuller divertikül ERCP'de pankreatiti artırır kanamayı arttırmaz

Öz

Giriş ve Amaç: Periampuller divertiküllü hastalarda endoskopik retrograd kolanjiopankreatikografi işleminin normal hastalara göre daha zor ve komplikasyon açısından daha riskli olduğu sanılmaktadır. Genelde, endoskopik retrograd kolanjiopankreatikografi yapılan hastalarda periampuller divertikül prevelansı %5-32 arasında saptanmıştır. Çalışmamızda, çeşitli nedenlerle endoskopik retrograd kolanjiopankreatikografi endikasyonu konan hastalarımızda periampuller divertikül sıklığı ve periampuller divertikülün endoskopik retrograd kolanjiopankreatikografi yapılan hastalarda komplikasyon oranlarını artırıp arttırmadığının retrospektif değerlendirilmesi amaçlandı. Gereç ve Yöntem: Temmuz 2009 ile Ekim 2010 arasında ünitemizde yapılan endoskopik retrograd kolanjiopankreatikografi işlemleri retrospektif olarak değerlendirildi. Endoskopik retrograd kolanjiopankreatikografi yapılan hastalar periampuller divertikül bulunup bulunmamasına göre iki gruba ayrıldı. Periampuller divertikül mevcudiyetine göre endoskopik retrograd kolanjiopankreatikografi komplikasyonları değerlendirildi. Bulgular: Çeşitli nedenlerle endoskopik retrograd kolanjiopankreatikografi yapılan 216 hastanın 31'inde (%14,6) periampuller divertikül vardı. Bu hastalara yapılan toplam 258 işlem değerlendirmeye alındı. Periampuller divertikülü olan hastaların ortalama yaşı (71.4±12.4 yıl), periampuller divertikülü olmayan hastalardan (58.3±17.3 yıl) yüksekti (p

Anahtar Kelimeler

• Periampuller divertikül, endoskopik retrograd kolanjiopankreatikografi, komplikasyon

Kaynakça

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