Effectiveness of Endoscopic Retrograde Cholangiopancreatography for Treatment of Bile Duct Stone and Bile Duct Stricture in One Day Surgery Program of Si Sa Ket Hospital

Abstract

Background: Cholelithiasis is commonly found in the Thai population. In the past, open common bile duct exploration was a choice of treatment, which carried high risks complication and required a long recovery time. Currently, Endoscopic Retrograde Cholangiopancreatography (ERCP) is the primary tool for treatment, helping to reduce complications from open surgery and shorten the hospital stay.
Objective: To report the effectiveness of ERCP for treatment of Bile duct stone and Bile duct stricture in One day surgery (ODS) program of Si Sa Ket hospital, and to compare factors contributing the complications associated with ERCP in ODS program.
Method: Retrospective study on patients diagnosed with biliary stones and biliary strictures who underwent ERCP in ODS program at Si Sa Ket Hospital from January 1^st., 2022, to January 31^st., 2024.
Results: A total of 35 patients underwent ERCP on ODS program. The success rate of guidewire insertion was 91.4%, the success rate of stone removal was 85.7%. Plastic stents were placed in 37.2% of the cases. Complications following the procedure included pancreatitis, 5.73% and bleeding, 2.87%. The average hospital stay was 4.6 days, and no patients required readmission within 30 days.
Conclusions: ERCP on ODS program is high success rates procedure and shortens hospital stays, reduces infection risk, lowers costs, and eases hospital overcrowding.