Retrospective analysis of endoscopic retrograde cholangiopancreatography after pancreaticoduodenectomy
10.3760/cma.j.cn321463-20220610-00221
- VernacularTitle:胰十二指肠切除术后行内镜逆行胰胆管造影术诊治的回顾性分析
- Author:
Jingyi WANG
1
;
Yijin ZHU
;
Hui LUO
;
Tao DONG
;
Xiangping WANG
;
Gui REN
;
Linhui ZHANG
;
Yanglin PAN
;
Xuegang GUO
;
Shuhui LIANG
Author Information
1. 西安医学院研究生处，西安710000
- Keywords:
Cholangiopancreatography, endoscopic retrograde;
After pancreaticoduodenectomy;
Balloon assisted enteroscopy;
Colonoscopy
- From:
Chinese Journal of Digestive Endoscopy
2023;40(4):298-301
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the efficacy and safety of endoscopic retrograde cholangiopancreatography (ERCP) after pancreaticoduodenectomy and endoscopic selection strategies.Methods:Clinical data of 34 patients treated with ERCP after pancreaticoduodenectomy at the Endoscopic Center of the First Affiliated Hospital of Air Force Medical University from January 2013 to December 2021 were retrospectively analyzed. The success rates of endoscopic insertion, diagnosis, treatment and ERCP, and the incidence of adverse events were analyzed.Results:Fifty ERCP treatments were performed in 34 patients. The success rates of endoscopic insertion, diagnosis, treatment, and ERCP after pancreaticoduodenectomy were 92.0% (46/50), 93.5% (43/46), 88.4% (38/43) and 76.0% (38/50), respectively. The success rates of ERCP assisted with colonoscope and balloon-assisted enterosocpe were 76.0% (19/25) and 75.0% (18/24), respectively. There were 3 adverse events, including 1 case of anastomotic mucosa tear during surgery, 1 case of cardiopulmonary arrest and 1 case of postoperative cholangitis.Conclusion:ERCP is effective and safe after pancreaticoduodenectomy in general. ERCP assisted with colonoscope and balloon-assisted colonoscope shows similar success rate after pancreaticoduodenectomy.
