The Significance of Sphincterotomy Techniques in the Complications of Endoscopic Retrograde Cholangiopancreatography

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dc.contributor.authorAkın, Mete
dc.contributor.authorAdanır, Haydar
dc.contributor.authorUçmak, Feyzullah
dc.contributor.authorTuna, Yaşar
dc.date.accessioned2024-04-24T19:11:31Z
dc.date.available2024-04-24T19:11:31Z
dc.date.issued2019
dc.departmentDicle Üniversitesien_US
dc.description.abstractObjective: Endoscopic retrograde cholangiopancreatography (ERCP) has been used primarily fortherapeutic interventions. Precut sphincterotomy is a technique that is used after conventional methodsof biliary cannulation have failed. We aimed to evaluate whether the precut technique increases thefrequency of complications.Material and Methods: Two hundred fifteen patients in whom ERCP was performed wereprospectively evaluated. One hundred eighty-five patients included in the study were divided intothree groups based on the cannulation technique: Group 1: Deep biliary cannulation or cannulationby guide wire; Group 2: Precut technique; Group 3: If cannulation was not possible with these twotechniques within 10 minutes, a precut with needle-knife sphincterotomy was carried out in thesepatients. Complete blood count, and blood serum amylase and lipase levels were checked before andafter the procedure. The patients were monitored for 30 days for the development of any complications.Results: Complications were observed in 26 (14%) of 185 patients, including pancreatitis in 18(9.7%) patients, cholangitis in six (3.2%) patients, and hemorrhage in two (1.1%) patients. Thefrequency of complications was 9.2% in group 1, 9.3% in group 2, and 35.3% in group 3 (p<0.05).When multivariate analysis was applied, the difficulty of cannulation and opaque injection into thepancreatic duct were correlated with elevated complication rates.Conclusion: Difficult cannulation and opaque injection into the pancreas are risk factors forcomplications after ERCP, while the precut technique is safe. Therefore, it is recommended toprefer the precut method earlier instead of insisting on conventional techniques, to avoid the risk ofcomplications.en_US
dc.identifier.doi10.17954/amj.2019.1560
dc.identifier.endpage258en_US
dc.identifier.issn1300-1779
dc.identifier.issn2687-2781
dc.identifier.issue2en_US
dc.identifier.startpage251en_US
dc.identifier.trdizinid313894
dc.identifier.urihttps://doi.org/10.17954/amj.2019.1560
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/313894
dc.identifier.urihttps://hdl.handle.net/11468/28057
dc.identifier.volume5en_US
dc.indekslendigikaynakTR-Dizin
dc.language.isoenen_US
dc.relation.ispartofAkdeniz Tıp Dergisi
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.titleThe Significance of Sphincterotomy Techniques in the Complications of Endoscopic Retrograde Cholangiopancreatographyen_US
dc.titleThe Significance of Sphincterotomy Techniques in the Complications of Endoscopic Retrograde Cholangiopancreatography
dc.typeArticleen_US

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