[Success and complication rates of diagnostic and therapeutic endoscopic retrograde cholangiopancreatography--a prospective study].
The aim of the prospective study was to evaluated the efficacy and the complications of 2,820 ERCP-examinations in 1,717 consecutive patients (performed over a three-year period). The rate of success was 82.8% for diagnostic ERCP, 96.6% for endoscopic sphincterotomy, 76.8% for the extraction of stones on common bile tract, 87.5% for drainage in bile tract obstruction, respectively. The rate of all complications amounted to 7.9% (4.9% diagnostic ERCP, 9.2% therapeutic ERCP, in detail: 3.8% acute pancreatitis, 2.1% cholangitis, 1.3% bleeding, 0.2% perforation, 0.5% other respectively). The total mortality was 0.1% (three cases of death). The frequency of complications increased with the number of procedure at the papilla Vateri in patients, who underwent needle knife papillotomy in combination with standard papillotomy.
Zinsser
E
E
Klinik für Innere Medizin I, Friedrich-Schiller-Universität Jena.
Hoffmann
A
A
Will
U
U
Koppe
P
P
Bosseckert
H
H
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002760:Cholangiopancreatography, Endoscopic Retrograde / Q000009:adverse effects* / Q000706:statistics & numerical data; D001651:Cholestasis, Extrahepatic / Q000175:diagnosis / Q000628:therapy*; D004322:Drainage; D005260:Female; D042882:Gallstones / Q000175:diagnosis / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D012306:Risk; D016717:Sphincterotomy, Endoscopic / Q000009:adverse effects* / Q000706:statistics & numerical data; D016896:Treatment Outcome