Relationship between duodenal diverticula and cannulation time during ERCP procedures and post ERCP complications
10.3760/cma.j.issn.1007-5232.2016.08.011
- VernacularTitle:十二指肠憩室对胆管插管时间及术后并发症的影响研究
- Author:
Ming WEN
;
Jianming WANG
;
Qibin HE
;
Yiyang ZHANG
;
Xiaoping ZOU
- Publication Type:Journal Article
- Keywords:
Cholangiopancreatography,endoscopic retrograde;
Postoperative complications;
Selective biliary cannulation;
Duodenal diverticula
- From:
Chinese Journal of Digestive Endoscopy
2016;33(8):543-546
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the influence of duodenal diverticula on cannulation time and complication in patients undergoing ERCP.Methods Data of 3 265 patients undergoing ERCP in Drum Tower Hospital affiliated to Nanjing Medical University between January 1,2008 and December 31,2014 were enrolled.The patients' information and endoscopic pictures/videos were collected.The duodenal diverticula,cannulation time,postoperative complications were analyzed.Results There were 2 599 (79.6％) cases of non-diverticula,445(13.6％) cases of one-diverticula,122(3.7％) patients with two or more diverticula,and 99 (3.0％) intradiverticular papilla.Patients with duodenal diverticula accounted for 20.4％ (666/3 265) of all patients who received ERCP procedure.The mean cannulation time was 6.62 minutes in all cases,6.30 minutes in non-diverticula group,7.63 minutes in one-diverticula group,8.07 minutes in two-or-more group,8.58 minutes in intradiverticular papilla group,respectively.There were significant differences in cannulation time and complication rate between the groups.Conclusion Duodenal diverticula may be one of the factors that affect the cannulation time.It may enhance the cannulation complications and prolong the cannulation time,especially in those with intradiverticular papilla.
