Abstract

GOMEZ PONCE, Regina Luz. Complicaciones tempranas de colangio-pancreatografía retrógrada endóscopica realizadas de Enero de 1998 a Diciembre del 2000 en el Hospital Nacional Daniel Alcides Carrión Lima - Perú. Rev. gastroenterol. Perú [online]. 2002, vol.22, n.1, pp.33-43. ISSN 1022-5129.

OBJETIVES: the aim of this study was to determine the procedure characteristics of ERCP, indications and frecuency of complications, as well as analyzing the associated risk factors. METHODS: ERCPs carried out from January 1998 to December 2000 in the Gastroenterology Service of Daniel Alcides Carrión Hospital were evaluated retrospectively; 17 risk factors were analyzed. RESULTS: A total of 202 ERCPs were carried out in 182 patients, of which 70.3% were patients aged under 60 years and 66.5% were female patients. The most frequent indication was bile duct stone suspect (59.4%). Therapeutic ERCPs were carried out in 49.5% of total ERCPs, diagnostic ERCPs were 33.2%, and failure ERCPs 17.3%. Post-ERCP complications occurred in 5.9% (12 cases), and the most frequent were: acute pancreatitis 3.4% and hemorrhage 1%. There was no mortality case related with complications. A risk factor related with the procedure: pancreatic cannulation or pancreatic contrast injections reached the highest statistic significance (p= 0.063). Therapeutic or failed ERCPs presented significant higher frequency of complications than diagnostic ERCPs: (p=0.0085 and p=0.0381). CONCLUSIONS: the frequency of early post-ERCP complications is 5.9%, and has a direct relation with therapeutic or failed ERCPs. This marks a difference with regards to diagnostic ERCPs. There was no mortality, and pancreatic cannulation or pancreatic contrast injections would be able to determine the development of complications.

Keywords : Complications; Endoscopic Retrograde Cholangiopancreatography.