Prevention of post-ERCP pancreatitis

Sarıtaş, Ülkü; Üstündağ, Yücel; Baron, Todd H.

doi:10.4318/tjg.2011.0302

Cited by 2 publications

(2 citation statements)

References 116 publications

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“…One of the significant complications that the surgeons face during the LC is bile leaks, which are brought about by three causes (9)(10)(11)(12)(13)(14)(15): the Luschka channel in the liver bed, the cystic channel, or extrahepatic channel injuries. If drain was implemented following LC, bile leak occurs and early diagnosis can be obtained (14).…”

Section: Discussionmentioning

confidence: 99%

Does endoscopic retrograde cholangiopancreatography have a negative effect on laparoscopic cholecystectomy?

Çakır

Küçükkartallar

Tekın

et al. 2015

UCD

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Objective:We have observed that patients who had undergone endoscopic retrograde cholangiopancreatography (ERCP) had some difficulties with laparoscopic cholecystectomy procedures. Through a retrospective study, we planned to compare the surgical procedures between patients who had undergone ERCP and those who had not in order to clarify this. Material and Methods:The results of 122 patients who had undergone ERCP because of choledocholithiasis before undergoing laparoscopic cholecystectomy procedures between 2008 and 2011 were compared to the values of 2140 patients operated because of cholelithiasis only within the same period.Results: Among the patients who underwent surgical procedures following ERCP, 80 (65%) were female and 42 (35%) were male. The average age of the patients was 51.9 years (range: 20-83 years). The operation period after the procedure was 30.14 days (range: 1-93 days). Although the hospitalization period was 4.67 days (range: 1-22 days), the postoperative hospitalization period was 2.68 days (range: 1-15 days). Regarding the difficulty of operation, adhesion in 58 (47.5%) patients, bleeding in two (1.6%) patients, and conversion to open procedure in 12 (9.8) patients were observed. In two (1.6%) patients, bleeding and biliary fistula were the reasons for re-operation. Conclusion:Laparoscopic cholecystectomy is more complicated in patients who underwent ERCP.

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Section: Discussionmentioning

confidence: 99%

Does endoscopic retrograde cholangiopancreatography have a negative effect on laparoscopic cholecystectomy?

Çakır

Küçükkartallar

Tekın

et al. 2015

UCD

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“…ERCP was found to be safe and effective for the elderly [10, 12, 34, 35]. However, combining this method with laparoscopic cholecystectomy, while improving the removal of gallbladder stones, may lead to increased complications such as bile leaks or adhesions [36, 37]. Alternatively, the reason for these complications might not be the ERCP itself, but pre-existing pathologies that prompted the use of ERCP in the first place [38].…”

Section: Introductionmentioning

confidence: 99%

Management of complicated gallstones in the elderly: comparing surgical and non-surgical treatment options

Nassar

Richter

2019

Gastroenterology Report

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Objective The aim of this study was to evaluate the differences in clinical outcomes of endoscopic retrograde cholangiopancreatography (ERCP), ERCP followed by cholecystectomy (EC) and percutaneous aspiration (PA) in the elderly population with choledocholithiasis. Methods We included a total of 43 338 elderly patients aged 60 years or older and 45 295 patients younger than 60 years for comparison in our study. Data were obtained from the Nationwide Inpatient Sample (Healthcare Utilization Project) for years 2001–14 by identifying patients who were admitted for gallstone complications based on the ICD 9 diagnostic code. Multiple logistic regression was used to calculate the odds of in-hospital mortality and to detect statistical differences among the treatment groups, age groups and between male and female patients. Univariate ordinary linear regression was used to compare the length of hospital stay and readmission frequency among the different age groups. Results The age of the patient affected mortality and the length of hospital stay after any type of procedure of gallstones removal. In a manner independent of the patient’s age, PA was associated with the highest risk of death and length of stay, while the EC was characterized by lowest mortality and ERCP by the shortest length of stay. Neither age of the patient nor the type of procedure affected the likelihood of readmission. The odds of death and the probability of readmission were not affected by patient sex. However, in patients aged between 60 and 79 years, the female gender predicted a shorter duration of stay in the hospital. Conclusions A patient’s age negatively affects the treatment outcomes of cholelithiasis with associated complications. The EC procedure appears to be the method of choice for the management of complicated gallstones in patients of all ages.

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Prevention of post-ERCP pancreatitis

Cited by 2 publications

References 116 publications

Does endoscopic retrograde cholangiopancreatography have a negative effect on laparoscopic cholecystectomy?

Does endoscopic retrograde cholangiopancreatography have a negative effect on laparoscopic cholecystectomy?

Management of complicated gallstones in the elderly: comparing surgical and non-surgical treatment options

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