Endoscopic Retrograde Cholangio-Pancreatography: A Single Hospital Experience, Aden, Yemen
Introduction: Since the last few years, 22 May Hospital-Aden has launched ERCP (endoscopic retrograde cholangio-pancreatography) services. ERCP is an endoscopic procedure used to diagnose and treat disease in the biliary tract and pancreatic duct. This study aimed to identify demographic characteristic of patients and indications for the procedure and underlying causes, to describe the techniques used during the procedure and the complications of ERCP, and to describe the received and referred cases from and to surgical department during the study period in this hospital.
Methods: This is a retrospective, descriptive study from the 1st October 2017 to 31st September 2019 in 22 May hospital. Available reports of ERCP during the study period were reviewed. Patients who underwent ERCP to remove stent from bile or pancreatic ducts were excluded from the study. Relevant data were extracted. Quantitative variables were expressed as mean and standard deviation whereas categorical variables were expressed as counts and percentages. For statistical entry and analysis, the Statistical Package for Social Sciences (SPSS) software version 17 was used.
Results: A total of 48 ERCP reports were evaluated. Composed of 26 females (54.2%) and 22 males (45.8%). The mean age of the patients was 50.2 with a standard deviation of 17.11 years. The most common indication for ERCP was obstructive jaundice (81.3%) and the most common underlying cause was choledocholithiasis (60.4%). All the ERCPs were done for therapeutic purpose. Common bile duct was successfully cannulated in 46 cases (95.8%). Post ERCP pancreatitis was developed in 2 patients (4.2%).
Conclusion: The findings of the study is comparable to that in many recent published papers in the world. The introduction of ERCP services into the hospital can be regarded as a foundation stone for a new era in the management of pancreatico-biliary disease.
Keywords: ERCP, Obstructive Jaundice, Choledocholithiasis, Laparoscopic Cholecystectomy, Sphincterotomy.