Efficacy and safety of endoscopic retrograde cholangiopancreatography combined with oral cholangiopancreatography in the treatment of duodenal papilla cholecystectomy

Liying Tao; Hongguang Wang; Qingmei Guo; Xiang Guo; Lianyu Piao; Muyu Yang; Yong YU; Libin Ruan; Jianbin GU; Si Chen; Yingting DU; Xiuying Gai; Sijie Guo

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Efficacy and safety of endoscopic retrograde cholangiopancreatography combined with oral cholangiopancreatography in the treatment of duodenal papilla cholecystectomy

VernacularTitle:经口胆胰管镜联合内镜逆行胰胆管造影经十二指肠乳头胆囊息肉切除的疗效及安全性分析
Author: Liying TAO ¹ ; Hongguang WANG ¹ ; Qingmei GUO ¹ ; Xiang GUO ¹ ; Lianyu PIAO ¹ ; Muyu YANG ¹ ; Yong YU ¹ ; Libin RUAN ¹ ; Jianbin GU ¹ ; Si CHEN ² ; Yingting DU ³ ; Xiuying GAI ¹ ; Sijie GUO ¹
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1. Department of Gastroenterology Jilin People’s Hospital， Jilin Jilin 132001， China
2. Department of Science and Education Jilin People’s Hospital， Jilin Jilin 132001， China
3. Department of Pathology Jilin People’s Hospital， Jilin Jilin 132001， China
Publication Type:Journal Article
Keywords: Gallbladder Diseases; Polyps; Ampulla of Vater; Cholangiopancreatography， Endoscopic Retrograde; Oral Cholangiopancreatography
From: Journal of Clinical Hepatology 2025;41(3):513-517
CountryChina
Language:Chinese
Abstract: ObjectiveTo investigate the feasibility and safety of endoscopic retrograde cholangiopancreatography （ERCP） combined with oral cholangiopancreatography in the treatment of major duodenal papilla gallbladder polyps. MethodsA retrospective analysis was performed for the clinical data of eight patients with choledocholithiasis and gallbladder polyps who underwent ERCP and combined with oral cholangiopancreatography for major duodenal papilla cholecystectomy in Center of Digestive Endoscopy， Jilin People’s Hospital， from May 2022 to June 2024， and related data were collected， including the success rate of surgery， the technical success rate of gallbladder polyp removal， the superselective method of cystic duct， the time of operation， the time of gallbladder polyp removal， and surgical complications. ResultsBoth the success rate of surgery and the technical success rate of gallbladder polyp removal reached 100%， and of all eight patients， three patients used guide wire to enter the gallbladder under direct view， while five patients received oral cholangiopancreatography to directly enter the gallbladder. The time of operation was 51.88±12.34 minutes， and the time of gallbladder polyp removal was 23.13±10.94 minutes. The diameter of gallbladder polyp was 2‍ ‍—‍ ‍8 mm， and pathological examination showed inflammatory polyps in three patients， adenomatous polyps in one patient， and cholesterol polyps in four patients. There were no complications during or after surgery. The patients were followed up for 2‍ ‍—‍ ‍27 months after surgery， and no recurrence of gallbladder polyp was observed. ConclusionOral cholangiopancreatography is technically safe and feasible in endoscopic major duodenal papilla cholecystectomy.