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Volume 5, Number 4 (December 2010) , 243-246

Original Article

Audit of ERCP at Ibn Sina Hospital from 2009-2010

Nasreeldeen Adam Ali1, Abdelmoiem Eltayeb2, Tarig Mohamed Husien2, Mohamed2 O M Sulaiman, Bahauldeen Gasm El Seed2, MAM Ibnouf3

 

Abstract

Background:

      Surgeons are expected to deal with expect some failure of ERCP in extraction of missed CBD stones. Re-do surgery is difficult; however surgeons have to stand for it. 

Objectives: 

       To audit the outcome of ERCP in extraction of CBD stone for patients referred to Ibn Sina Teaching Hospital.

Material and methods:-

Study design:-This is prospective, hospital based study; carried in the period from January 2009 to June 2010 in Ibn Sina Teaching Hospital .A total of 119 patients referred for ERCP extraction of CBD stones were studied.

Results:

Male to female ratio was 1:5. The mean age (±SD) is 55.4 (±17.57). Post cholecystectomy missed stones were 7(6%), post CDB exploration retained stones were 4(3.4%) and re-do ERCP was done in 9(7.6%) patients.

Failure of stone extraction occurred in 10(25%) cases due to failure of cannulation while another 10(25%) cases had  multiple impacted stones and nine (22.2%) had too big stone to be extracted. In addition, five (12.5%) cases had CBD stricture, and the procedure was not completed because of bleeding in two cases and impaction of the dormia basket in two (5%) cases. The success of redo ERCP is seven out of nine cases. Complication occurred in seven (5.88%) patients. These were bleeding in two (1.68%), cholangitis in one (0.84%) CBD and retro-peritoneal duodenal perforations in two (1.68%) and retained dormia basket in two (1.68%) cases. The mortality rate was one (0.8%) patient.

Conclusion:

ERCP, at Ibn Sina Hospital, has success rate in stone extraction in 79(66.4%) and complication rate in seven (5.88%) patients. About one third of cases attending ERCP for stone extraction were referred back for open exploration of CBD.

 

Keywords: cholecystectomy, CDB exploration, impacted stones.

 

1.       Registrar of surgery. IbnSina Hospital.

2.       Consultant surgeon. IbnSina Hospital.

3.       Prof of surgery. Omdurman Islamic University.

  Correspondence: maibnouf@gmail.com  
 

 

 

 

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