Is periampullary diverticulum a nightmare in ERCP?
| Autor: | Ali Riza Koksal, Canan Alkim, Pınar Sayın, İlker Şen, Salih Boga, Huseyin Alkim |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Endoscopic retrograde cholangiopancreatography medicine.diagnostic_test Common bile duct business.industry Significant difference Ampulla of Vater Mean age General Medicine digestive system digestive system diseases Endoscopy Surgery 03 medical and health sciences surgical procedures operative 0302 clinical medicine medicine.anatomical_structure 030220 oncology & carcinogenesis otorhinolaryngologic diseases medicine Duodenum Periampullary diverticulum 030211 gastroenterology & hepatology business |
| Zdroj: | SiSli Etfal Hastanesi Tip Bulteni / The Medical Bulletin of Sisli Hospital. :193-7 |
| ISSN: | 1308-5123 1302-7123 |
| DOI: | 10.5350/semb.20160417085747 |
| Popis: | Objective: Periampullary diverticulum (PAD) is an acquried luminal pathology that is located in the second segment of duodenum and Ampulla of Vater is located in or aside of it. We aimed to determine the frequency of periampullary diverticulum in endoscopic retrograde cholangiopancreatography (ERCP) and the effect of presence of periampullary diverticulum on ERCP success and complications. Material and Method: The ERCP procedures held in Gastroenterologic Endoscopy Unit of Sisli Hamidiye Etfal Training and Research Hospital between years 2011-2014 were retrospectively evaluated. Results: Periampullary diverticulum was found in 112 of (11.8%) 948 cases who underwent ERCP with various indications. A 1026 procedures were done to 836 patients without periampullary diverticulum and 136 procedures were done to 112 patients with periampullary diverticulum. No statistically significant difference was found in terms of number of ERCP procedure per patient between patients with and without periampullary diverticulum (1.21 vs. 1.23 p=0.838). Common bile duct cannulation failed in 8 (7%) of patients with periampullary diverticulum whereas this cannulation was unsuccessful in 54 (6.4%) of patients without periampullary diverticulum (p=0.859). The mean age of cases with periampullary diverticulum (72.7±12.2 years) was statistically significantly higher than the ones without periampullary diverticulum (56.8±16.4 years) (p |
| Databáze: | OpenAIRE |
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