Our endoscopic retrograde cholangiopancreatography experience

Endoscopic retrograd cholangiopancreatography (ERCP) is the most important method for the diagnosis and treatment of bilier and pancreatic disease. It is alternative or complamentary to surgery. We have began to perform ERCP at our clinic at June 2002. At this study, a retrospective evaluation of 88 ERCP subjects (104 ERCP procedures) were done. Patient’s mean age was 54 years (18-90 years) and 51 of patients were women. ive cannulation was succesfully done at 74 patients (84%). Also, therapeutic procedures were succesfully done at 54 patients (61,4%). The diagnosis of ERCP were choledocholithiasis in 51 patients (57,9%), malignancy in 19 patients (21,5%), normal findings in 8 patients (9%), biliary leak after cyst hydatic operation in I patients, primary sclerosing cho¬langitis in two patients and Caroli‘s disease in one patient. Second procedure was required for 12 patients (13,6%), three and five procedures were required to one patient eac h. Seven abdominal pain and hyperamylasemia, two mild, self-limited bleeding and one acute cholecystitis were seen as ERCP complication (%9,6). ive cannulation rate was 84% and succes at therapeutic procedures was 61,4%. At temping second procedure was increased succes rate.

Endoskopik retrograde kolanjiopankreatografi olgularýmýz

Giriþ: Endoskopik retrograd kolanjiopankreatografi (ERCP) bilier sistem ve pankreas hastalýklarýnýn taný rcj tedavisinde çok önemli bir yöntemdir. Cerrahiye alternatif yada cerrahi¬nin bütünleyicisidir. Kliniðimizde ERCP Haziran 2002‘de baþladý. Bu çalýþmanýn amacý kliniðimizde yapýlan ERCP olgularýnýn retrospektif olarak deðerlendirilmesidir.

Sonuçlar: Haziran 2002-M ay t s 2005 tarilý/eri arasýnda kliniðimizde SS hastaya 104 seans ERCP uygulandý. Hastalarýn ortalama yaþý 54 (18-90) 51‘i kadýndý. 88 hastanýn 74’ünde (%84) selektif koledok kaniilasyonýý saðlanmýþtýr. 54 hastada (%6I,4) ise tedavi edici iþlemler baþarýyla uygulanmýþtýr. Hastalarýn 51‘inde (%57.9) koledok lasý. 19‘ýnýda (%21.5) malignite,8 hastada (%9) normal bulgular.1 hastada kist hidatik operasyonuna baðlý kaçak. 2 hastada sklerozun kolanjit, / hastada Camii hastalýðý saplanmýþtýr. 12 hastada (% 13,6) 2. seans, bir hastaya 3. bir hastaya ise 5 seans uygulandý. On iþlemde komplikasyon geliþti (%9,6). Yedi hastada karýn aðrýsý ve hiperamilazemi, 2 hastada hafif sýzýntý tarzýnda kanama ve bir hastada kolesistit geliþti.

Yorum: Yeni ERCP yapmaya baþlayan bir klinik olarak selektif kanalizasyon oranýmýz %84, terapötik iþlemlerde baþarý oranýmýz %61,4’dir. 2.seans iþlemi tekrar denemek baþarýyý arttýrmaktadýr