Saudi Journal of Gastroenterology

ARTICLES
Year
: 1996  |  Volume : 2  |  Issue : 3  |  Page : 138--141

Diagnostic and therapeutic value of ERCP and prediction of outcome: A retrospective analysis


Abdulaziz Al Quorain, Ezzeddin M Ibrahim, Ali I Al Sultan 
 Department of Internal Medicine, King Fahd Hospital of the University, Al-Khobar, Saudi Arabia

Correspondence Address:
Abdulaziz Al Quorain
P.O. Box 40001, Al-Khobar 31952
Saudi Arabia

The objective is to analyze the experience of using diagnostic and therapeutic ERCP and to attempt identifying the independent factors that predict positive and useful procedures. The medical records of 198 patients seen during the period 1991-1993 were retrospectively reviewed. There were 102 males and 96 females with a mean age of 45.2 SD + 16.7 years. The main indications for performing the procedure were jaundice, abdominal pain, nausea and/or fever. Laboratory tests showed elevated direct bilirubin in 50% of patients, deranged liver enzymes in 43%, and ESR was raised in 51% and fever was documented in 52% of patients. The cannulation of both ducts was successful in 93% of all procedures. The commonest finding was gallbladder and common bile duct stones (CBD). In 54 patients out of 64 with CBD stones, stones were removed endoscopically. Stepwise regressive analyzis has identified age above 40 years, presence of jaundice (total bilirubin > 2.5 mg/ml) and raised ESR (> 25 mm in the 1st hour) as significant factors that independently predict a positive ERCP that revealed findings previously unknown (useful procedure). Diagnostic and therapeutic ERCP is an integral part in management of biliary and pancreatic ducts disorders. The validity of clinical prediction role should be tested prospectively.


How to cite this article:
Al Quorain A, Ibrahim EM, Al Sultan AI. Diagnostic and therapeutic value of ERCP and prediction of outcome: A retrospective analysis.Saudi J Gastroenterol 1996;2:138-141


How to cite this URL:
Al Quorain A, Ibrahim EM, Al Sultan AI. Diagnostic and therapeutic value of ERCP and prediction of outcome: A retrospective analysis. Saudi J Gastroenterol [serial online] 1996 [cited 2021 Oct 20 ];2:138-141
Available from: https://www.saudijgastro.com/article.asp?issn=1319-3767;year=1996;volume=2;issue=3;spage=138;epage=141;aulast=Al;type=0