Complications of ERCP (Cholangiopancreatography) in 40 patients underwent ERCP for various diagnostic and therapeutic indications- A prospective study

Complications of ERCP (Cholangiopancreatography)

Abstract

Background and Objectives: Endoscopic Retrograde Cholangiopancreatography (ERCP) is a minimal invasive procedure that combines upper gastrointestinal side viewing endoscope and fluoroscopy to diagnosis and treatment of common bile duct and pancreatic duct pathology. Along with usefulness of ERCP it is also associated with its own complications. The study aim was the various complications encountered during and post ERCP period. Material and method: Here collected data of 40 patients underwent ERCP for various diagnostic and therapeutic indications in our hospital for duration of three years, February 2011 to January 2014. We had collected data regarding complications during and Post ERCP period like acute Pancreatitis, duodenal and bile duct perforations, hemorrhage, cholangitis, retained common bile duct stent and cardio-respiratory complications. We had followed patient up to 3 months of post ERCP. We had also collected data regarding the prognosis and management of Post ERCP Complications. Results: In our study out of 40 patients, acute pancreatitis was the most common post ERCP complication (ten patients) and Cholangitis was the second most common complication (four patients). We also observed that three patients had intra operative bleeding, two patients had post ERCP cardiac complication, two patients had retained common bile duct stent, and mortality of one patient. Conclusion: Although ERCP and related procedures are minimal invasive, it associated significant complications, so post ERCP monitoring and early recognisation and management of complication are mandatory to decrease the morbidity and mortality