A SURGICALLY-COMPROMISED SITUATION: ERCP-RELATED COMPLICATIONS

Authors : Aziz Mutlu Barlas

Pages : 14-19

View : 37 | Download : 14

Publication Date : 2018-03-30

Article Type : Research

Abstract :Background: In this retrospective study, an evaluation was made of ERCP-related perforations and necrotizing pancreatitis that required surgical intervention. Methods: A total of 1439 ERCP procedures were performed by gastroenterologists and 12 complications that required surgical intervention were identified (0.8%). All of the cases presented in this study were primarily managed conservatively in the Gastroenterology Department and were evaluated by the surgeons when signs and symptoms deteriorated. Results: Patient age was mean 55.5±17.3 years. The mean time from ERCP to surgery was 3.92 days (0-14 days). Of the 12 patients, 6 (50%) died postoperatively. No statistically significant difference was determined between the surviving and not surviving groups in respect of patient age or the mean time from ERCP to operation. The operational technique was decided during the surgery depending on the extent of the perforation and the condition of the peritoneum. The correlation between diagnosis and type of operative procedure was similar in both groups. Conclusions: There is no consensus on the surgical management of ERCP-related complications which might result in high mortality rates despite full-care management. Therefore, the main objective of departments dealing with ERCP procedures should be to reduce the risk of ERCP-related complications to a minimum.
Keywords : ERCP, complication, hepatobiliary surgery, perforation, necrotizing pancreatitis, duodenum