Results of endoscopic retrograde cholangio-pancreatography using a mobile image intensifier.
The results of performing endoscopic retrograde cholangio-pancreatography (ERCP) using a mobile image intensifier in a theatre or endoscopic unit are presented. Over a 2-year period, a total of 157 ERCPs were attempted in 131 patients. The procedure was successful in 146 cases (93%), with failure in 11 cases (7%). A total of 75 endoscopic sphincterotomies were attempted in 60 patients, and 69 (92%) procedures were successful, with failure to perform a sphincterotomy occurring in 6 (8%) procedures. Of the 69 successful sphincterotomies, 8 (11.6%) patients subsequently required surgery as a result of failure of stone extraction or gall bladder symptoms. There were 11 (7.5%) complications following sphincterotomy, with only one death (0.68%) attributable to the procedure. With results approaching those of specialist centres, the above method is suggested as an alternative way to expand ERCP services where X-ray department facilities are not readily available.
Vellacott
K D
KD
Endoscopy Unit, Royal Gwent Hospital, Newport, UK.
Ogunbiyi
O A
OA
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002760:Cholangiopancreatography, Endoscopic Retrograde / Q000379:methods*; D004066:Digestive System Diseases / Q000175:diagnosis; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D011856:Radiographic Image Enhancement / Q000295:instrumentation*; D016717:Sphincterotomy, Endoscopic