A retrospective analysis of 500 ERCP procedures: outcomes, adverse events, and risk factors over two years

Authors : Yunus Halil Polat, Ahmet Yozgat

Pages : 309-313

View : 35 | Download : 26

Publication Date : 2024-12-23

Article Type : Research Paper

Abstract :Aims: Endoscopic retrograde cholangiopancreatography (ERCP) is a widely used procedure for both the diagnosis and management of biliary and pancreatic ductal diseases. While it has been largely replaced by non-invasive imaging techniques for diagnostic purposes, ERCP remains the gold standard for therapeutic interventions. This study aims to retrospectively analyze the outcomes, adverse events, and success rates of ERCP procedures performed on 500 patients over two years. Methods: A retrospective review of 500 ERCP procedures performed at a single center over 24 months was conducted. Patient demographics, indications for ERCP, procedural outcomes, and adverse event rates were collected and analyzed. Success rates for therapeutic interventions, as well as risk factors for post-procedural adverse events, were identified. Results: The study revealed that 448 (89.6%) of ERCP procedures were successful in achieving the primary therapeutic goal (e.g., stone extraction, stent placement). Adverse events occurred in 93 (18.6%) of cases, with post-ERCP pancreatitis being the most common adverse event (n: 73, 14.6%). Risk factors associated with adverse events included previous cholecystectomy (p<0.001), difficult cannulation (p<0.001), and prolonged procedure time (p:0.003). Conclusion: ERCP remains a highly effective treatment tool for treating biliary and pancreatic diseases, although it carries the risk of many adverse events. The identification of key risk factors may help to minimize the incidence of adverse events and improve patient outcomes. The data collected in this study provide valuable insight into the current practice of ERCP and the role it plays in modern gastroenterology.
Keywords : ERCP, biliyer hastalıklar, terapötik endoskopi, ERCP sonrası pankreatit, advers olay oranları, retrospektif çalışma.