OVER VIEW OF ROLE OF ERCP IN HEPATOBILIARY PROBLEMS AND ENCOUNTERED COMPLICATIONS IN A TERTIARY CARE HOSPITAL IN KPK PROVINCE

Abstract

Objective: To evaluate the contribution of ERCP in various hepatobiliary disorders and complications encountered. Study Design: Cross sectional study. Place of Study and Duration: Study was carried out at Gastroenterology and Radiology department, Combined Military Hospital (CMH) Peshawar Pakistan, from Jan 2015 to Nov 2015. Methodology: Consecutive patients coming to Gastroenterology department of CMH Peshawar were enrolled in the study after calculating sample size. Unsuccessful ERCP or patients with previous history of pancreatobiliary surgery were excluded. All ERCPs were performed by single endoscopist and images were reviewed by senior radiologist. Patients were observed for 48 hours with serial amylase levels and X-ray abdomen on need basis. Results: One hundred and one patients were included in the study out of which 55 were male and 49 were female with mean age 51.83 ± 18.414 years. Choledocholithiasis was seen in 44.23%, strictures in 42.3% and bile duct dilatation in 61.5% cases. Overall complication rate was 12.5%. Complications encountered included pancreatitis (4.8%) infection (3.8%) bleeding (1.9%) and perforation (1.9%). Conclusion: Hepatobiliary disorders were quite frequent in our day to day practices. Choledocholithiasis and biliary stricture were the commonest among them. ERCP is an extremely useful technique in dealing with these hepatobiliary disorders saving unnecessary surgeries.

Keywords

• biliary strictures
• choledocholithiasis