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Research Journal of Pharmacy and Technology
Year : 2020, Volume : 13, Issue : 6
First page : ( 2681) Last page : ( 2684)
Print ISSN : 0974-3618. Online ISSN : 0974-360X.
Article DOI : 10.5958/0974-360X.2020.00476.X

Endoscopic Retrograde Cholangiopancreatography in Central Iraq: A Retrospective Single-Center Study

Muslim Osamah Tahir1, Dakhil Abbas Sabbar2,*, Abdlmajed Mohammed Abdlmohsin1

1Gasteroenterolgy Center, AL-Diwaniyah Teaching Hospital, Al-Qadisiyah, Iraq

2Faculty of Medicine, University of Al-Qadisiyah, Iraq, 58001

*Corresponding Author E-mail: abbassd992@gmail.com

Online published on 4 July, 2020.

Abstract

Background

Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic and therapeutic procedure that use both of endoscopy and fluoroscopy for of the biliary or pancreatic ductal systems.

Objective

To describe the indications and results of ERCP in Al-Diwaniyah Gastroenterology Center at Al-Diwaniyah Province, Iraq and compare it with international results.

Patients and Method

A Retrospective observational study was conducted on 545 patients (274 and 180 males) underwent ERCP in the Gastroenterology and Hepatology Center in Al-Diwaniyah (Central Iraq) in 3 years (2016–2018) included in the Study; the indications, procedure details and the results were studied.

Results

The main indications for referral to ERCP were: Common Bile Duct Stones (68.94%) followed by biliary complications of Liver Hydatid Cyst (7.26%) and Pancreatic Carcinoma (5.50%). The Success Rate of Deep Biliary Cannulation in the First Session was (80.17%) without Needlknife Fistulotomy and raised to ((90.08%) with Needlknife Fistulotomy. The Success of Complete Extraction of CBD Stone in the First session was (77.31%) and the Overall Extraction Success in more than one Session (80.06%).

Conclusions

CBD Stones and Biliary Complications of Hydatid Cysts were the two most common indications of referral to ERCP; The Success rates in Biliary Cannulation and Stone Extraction was Comparable to the International Figures.

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Keywords

Endoscopic Retrograde Cholangiopancreatography (ERCP), endoscopy, fluoroscopy, Common Bile Duct (CBD).

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