1Gasteroenterolgy Center, AL-Diwaniyah Teaching Hospital, Al-Qadisiyah, Iraq
2Faculty of Medicine, University of Al-Qadisiyah, Iraq, 58001
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.
To describe the indications and results of ERCP in Al-Diwaniyah Gastroenterology Center at Al-Diwaniyah Province, Iraq and compare it with international results.
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.
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%).
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.
Endoscopic Retrograde Cholangiopancreatography (ERCP), endoscopy, fluoroscopy, Common Bile Duct (CBD)
