Safety and Effectiveness of Peroral Cholangioscopy With ERCP in Biliary Diseases
10.3969/j.issn.1008-7125.2024.10.003
- VernacularTitle:经口胆道镜联合ERCP在胆系疾病中的安全性和有效性分析
- Author:
Yanjuan LIU
1
;
Ziyi ZAHNG
1
;
Shengzheng LUO
1
;
Chenghong FU
1
;
Baiwen LI
1
;
Lungen LU
1
;
Xiaoyuan GONG
1
;
Shuqi WAN
1
Author Information
1. 上海交通大学医学院附属第一人民医院消化内科(201260)
- Publication Type:Journal Article
- Keywords:
Cholangioscopy;
Cholangiopancreatography,Endoscopic Retrograde;
Safety;
Effectiveness
- From:
Chinese Journal of Gastroenterology
2024;29(10):590-594
- CountryChina
- Language:Chinese
-
Abstract:
Background:With the development of medical technology,cholangioscopy has been increasingly utilized in the diagnostic and therapeutic process of endoscopic retrograde cholangiopancreatography(ERCP).They play a significant role in the visual diagnosis and biopsy of tumors,providing more accurate and detailed information for clinicians.Aims:To evaluate the safety and effectiveness of peroral cholangioscopy combined with ERCP in biliary diseases.Methods:A total of 90 cases underwent peroral cholangioscopy and ERCP from October 2022 to October 2023 at Shanghai General Hospital,Shanghai Jiao Tong University School of Medicine were recruited retrospectively,and the clinical data were collected.The success rate,postoperative complications,and other relevant indicators were evaluated.Results:A total of 90 patients were enrolled,the preoperative diagnosis including common bile duct stones(43 cases),biliary obstruction by tumor invasion(21 cases),benign biliary stenosis(15 cases),benign ampullary tumors(6 cases),postoperative biliary stricture after liver transplantation(3 cases),primary sclerosing cholangitis(1 case),and biliary varices(1 case).The technical success rate of peroral cholangioscopy with ERCP was 100%,and the stone removal rate was 95.3%(41/43),the average operation time was(81±37)min,and the ERCP re-intervention rate within six months was 17.8%.Postoperative complications included fever(7.8%),abdominal pain(3.3%),bleeding/anemia(2.2%),and postoperative pancreatitis(2.2%).Conclusions:The combination of peroral cholangioscopy with ERCP is safe and effective for the biliary diseases with no increase in procedure-related adverse events and risks.
