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4 - Our endoscopic retrograde cholangiopancreatography experience
H.Mehmet Sökmen, Canan Alkım, Çetin Karaca, Nihat Akbayır Levent Erdem*, Hüseyin Demirsoy, Özdal Ersoy, Beşir Kesici, Kamil Özdil, Muzaffer Başak, Zeki Karpat
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. Patients 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 Carolis 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.
Keywords: ERCP. sphincterotomy,choledocholithiasis.
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