Follow-up to determine unplanned hospitalization and complications after endoscopic retrograde cholangiopancreatography

2016 ◽  
Vol 88 (3) ◽  
pp. E142-E146 ◽  
Author(s):  
Edwina Chan ◽  
Teresa Neeman ◽  
Andrew Thomson
Keyword(s):  
Endoscopic Retrograde Cholangiopancreatography ◽  
Endoscopic Retrograde

scholarly journals The Role of Endoscopic Retrograde Cholangiopancreatography (ERCP) in the Management of Intra-Biliary Rupture of Liver Hydatid Cysts (IBRH): Follow-Up of 12 Cases

2014 ◽  
Vol 03 (09) ◽  
pp. 533-543
Author(s):  
Mohammad Abdulrahman Alshekhani ◽  
Taha A. Alkarbuli ◽  
Naser Abdullah Mohammed Alqazi ◽  
Hiwa A. Hussein ◽  
Qalandar H. Kasnazan ◽  
...  
Keyword(s):  
Endoscopic Retrograde Cholangiopancreatography ◽  
Hydatid Cysts ◽  
Endoscopic Retrograde

scholarly journals A multicenter survey on endoscopic retrograde cholangiopancreatography during the COVID-19 pandemic in northern and central Italy

2021 ◽  
Vol 09 (04) ◽  
pp. E629-E634
Author(s):  
Giulio Donato ◽  
Edoardo Forti ◽  
Massimiliano Mutignani ◽  
Maria Antonella Laterra ◽  
Daniele Arese ◽  
...  
Keyword(s):  
Endoscopic Retrograde Cholangiopancreatography ◽  
Central Italy ◽  
Similar Rate ◽  
Published Data ◽  
Case Volume ◽  
Endoscopic Retrograde ◽  
Multicenter Survey ◽  
Screening Protocol ◽  
The Impact

Abstract Background and study aims COVID-19 has dramatically impacted endoscopy practice because upper endoscopy procedures can be aerosol-generating. Most elective procedures have been rescheduled. Endoscopic retrograde cholangiopancreatography (ERCP) is frequently performed in emergency or urgent settings in which rescheduling is not possible. We evaluated the impact of the COVID-19 pandemic on ERCP in Italy during the SARS-CoV-2 lockdown, in areas with high incidence of COVID-19. Patients and methods We performed a retrospective survey of centers performing ERCP in high COVID-19 prevalence areas in Italy to collect information regarding clinical data from patients undergoing ERCP, staff, case-volume and organization of endoscopy units from March 8, 2020 to April 30, 2020. Results We collected data from 31 centers and 804 patients. All centers adopted a triage and/or screening protocol for SARS-CoV-2 and performed follow-up of patients 2 weeks after the procedure. ERCP case-volume was reduced by 44.1 % compared to the respective 2019 timeframe. Of the 804 patients undergoing ERCP, 22 (2.7 %) were positive for COVID-19. Adverse events occurred at a similar rate to previously published data. Of the patients, endoscopists, and nurses, 1.6 %, 11.7 %, and 4.9 %, respectively, tested positive for SARS-CoV-2 at follow up. Only 38.7 % of centers had access to a negative-pressure room for ERCP. Conclusion The case-volume reduction for ERCP during lockdown was lower than for other gastrointestinal endoscopy procedures. No definitive conclusions can be drawn about the percentage of SARS-CoV-2-positive patients and healthcare workers observed after ERCP. Appropriate triage and screening of patients and adherence to society recommendations are paramount.

scholarly journals Endoscopic closure of duodenal perforation post-endoscopic retrograde cholangiopancreatography: A case report

2021 ◽  
Vol 2 (5) ◽  
Author(s):  
Ramin Niknam ◽  
◽  
Gholam Reza Sivandzadeh ◽  
Keyword(s):  
Endoscopic Retrograde Cholangiopancreatography ◽  
Common Bile Duct Stones ◽  
Duodenal Perforation ◽  
Endoscopic Retrograde ◽  
Endoscopic Repair ◽  
Case Presentation ◽  
Surgical Interventions ◽  
Endoscopic Closure ◽  
Endoscopic Clips

Background: Duodenal perforation post - Endoscopic Retrograde Cholangiopancreatography (ERCP) is uncommon, but if not treated well enough in time, it can have serious consequences. There are few reports that endoscopic-related duodenal perforation has been successfully treated using endoclips. Case presentation: A 63-year-old woman was referred for ERCP because of cholestatic jaundice caused by common bile duct stones. During the procedure, duodenal perforation post-ERCP was suggested. The endoscopic repair of the perforation was performed immediately using 5 endoscopic clips. Antibiotic therapy was also started and clinical and radiological follow-up was performed. Patient condition was good immediately after surgery and during hospitalization. Conclusion: Endoscopic treatment of duodenal perforation postERCP can be suggested as a treatment option in highly selected patients which may lead to a reduction in the frequency of surgical interventions. Keywords: endoscopic retrograde cholangiopancreatography; endoscopy; perforation; endoscopic clips.

scholarly journals Long-term follow-up after fetal radiation exposure during endoscopic retrograde cholangiopancreatography

2020 ◽  
Vol 08 (12) ◽  
pp. E1909-E1914
Author(s):  
Oscar Laudanno ◽  
Jose Garrido ◽  
Gabrial Ahumarán ◽  
Pablo Gollo ◽  
Marina Khoury
Keyword(s):  
Radiation Exposure ◽  
Endoscopic Retrograde Cholangiopancreatography ◽  
Main Concern ◽  
Short Term ◽  
Endoscopic Retrograde ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Long Term Follow Up

Abstract Background and study aims The main concern about endoscopic retrograde cholangiopancreatography (ERCP) during pregnancy is the risk of radiation exposure to the fetus. The potential exists not only in the short-term, but also in the long-term and includes growth and development problems and the possibility of childhood cancer. Little is known about the long-term effects of fetal radiation exposure at the time of ERCP. The aim of the study was to report the long-term outcome of babies born after radiation exposure to mothers who underwent ERCP during pregnancy. Patients and methods This was a single-center retrospective cohort study. We included 24 consecutive pregnant patients who underwent ERCP due to choledocholithiasis and their children, between June 1997 and June 2015. All patients and their babies were followed up until birth to assess their short-term outcome. To assess long-term outcomes, from September 2014 to September 2015, a comprehensive medical interview was conducted with the mothers and their children. We also evaluated medical records, lab tests, school report cards, and the families completed a questionnaire inquiring about perceived health status of the children. Results Fifteen patients had full-term pregnancies. One patient had a preterm delivery (32 weeks) due to preeclampsia. There were no cases of miscarriage, stillbirth or fetal malformations. Long-term follow-up was performed at a mean age of 11.08 years (range 1–18) for the children, with no developmental delays, poor school performance, or malignancies found. Conclusions Long-term outcome in children born after radiation exposure during ERCP was unremarkable.

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