Abstract

EFFECTIVENESS OF ENDOSCOPIC RETROGRAGE CHOLANGIOPANCREATOGRAPHY IN PATIENTS PRESENTING WITH CHOLEDOCHOLITHIASIS AT TERTIARY CARE HOSPITAL

Sana Qazi*, Erum Bashir Khan, Mazar Taj and Sheikh Ahmed

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Abstract

Introduction: The essential problematic complications subsequent a cholecystectomy include retained calculi in the Common Bile Duct (CBD) or remnant of cystic duct, unrecognized iatrogenic bile duct injuries, post operative strictures involving the CBD or common hepatic duct, leakage of bile from the slipped cystic duct ligature, profuse and persistent discharge of bile from the biliary drains, biliary enteric fistulae, obstruction of common bile duct by clips with consequent deepening jaundice; and cholangitis.[1] Objective: To determine the efficacy of endoscopic retrograge cholangiopancreatography in patients presenting with choledocholithiasis at tertiary care hospital. Settings and study design duration: This Study design was descriptive study was conducted at Surgery of Department, Bolan Medical College, Quetta from 23/7/2021 to 23/7/2022. Methodology: Patients complete history, physical examination and ultrasounds were performed for the confirmation of choledocholithiasis. ERCP was performed for the included patients. All patients were followed up after every 5 hours for any complication. The final outcome was observed at 3rd post operative day for the diagnosis of confirm stone clearance on the basis of ultrasounds. All the ultrasounds were performed by single experienced qualified radiologist having minimum of five years of teaching experience. Results: Our study shows that 346 patients 134 (39%) patients were in age range 20-40 years, 212 (61%) patients were in age range 41-60 years. Mean age was 52 years with SD ± 10.88. 198 (57%) patients were male while 148 (43%) patients were female. ERCP was effective in 284 (82%) patients and was not effective in 62 (18%) patients. Conclusion: This study concludes that the efficacy of endoscopic retrograge cholangiopancreatography was 82% in patients presenting with choledocholithiasis at tertiary care hospital Quetta.

Keywords: Endoscopic retrograge, Cholangiopancreatography, Choledocholithiasis.