Post-ERCP Pancreatitis in patient undergo Needle-knife Sphincterotomy versus Transpancreatic Sphincterotomy

  • Kritsaran Sothanapaisan Department of Surgery, Bangkok Metropolitan Administration General Hospital, Bangkok Province, Thailand
  • Chaiyaporn Suwitchakul Department of Surgery, Bangkok Metropolitan Administration General Hospital, Bangkok Province, Thailand
Keywords: Endoscopic Retrograde Cholangiopancreatography, Needle-knife sphincterotomy, Transpancreatic sphincterotomy, post-ERCP pancreatitis

Abstract

Background. Endoscopic Retrograde Cholangiopancreatography (ERCP) is widely used in pancreaticobiliary diseases for diagnostic and therapeutic purposes. In patients with difficult biliary cannulation is increase the risk of adverse effects such as post-ERCP pancreatitis, bleeding, perforation, and cholangitis. Needle-knife sphincterotomy(NKS)  and Transpancreatic sphincterotomy(TPS) are technique for patients with difficult cannulation.

Objectives. Compare the adverse event rate of TPS and NKS.

Materials and Methods. The study was carried out as retrospective analyzed the medical records, from January 2015 to December 2019.The study population consisted of OPD and IPD patients who had indication for required ERCP.

Results. There were 86 (38 male, 48 female) patients underwent ERCP. Subjects were divided into 2 groups: 36 in NKS and 50 in TPS. Mean age 56.3 yrs in NKS group and 56.9 yrs in TPS group (p = 0.864). Success canulation rate was 91.7% for NKS versus 96.0% for TPS (p = 0.645). Post-ERCP pancreatitis was 0% for NKS versus 2.0% for TPS (p = 0.393). Other outcome measures were equivalent.

Conclusion. NKS and TPS were no differences in adverse event rate.

 

 

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Author Biographies

Kritsaran Sothanapaisan, Department of Surgery, Bangkok Metropolitan Administration General Hospital, Bangkok Province, Thailand

 

 

Chaiyaporn Suwitchakul, Department of Surgery, Bangkok Metropolitan Administration General Hospital, Bangkok Province, Thailand

 

 

 

 

Published
2021-09-15
How to Cite
Sothanapaisan, K., & Suwitchakul, C. (2021). Post-ERCP Pancreatitis in patient undergo Needle-knife Sphincterotomy versus Transpancreatic Sphincterotomy . Journal of the Association of General Surgeons of Thailand under the Royal of Patronage of HM the King , 6(2), 35-42. Retrieved from https://he02.tci-thaijo.org/index.php/agstjournal/article/view/252804