Sayed Ammar, Saleem Abdul Sattar Khan.
Role of Endoscopic retrograde cholangiopancreatography in obstructive jaundice. a retrospective analysis at King Abdullah Hospital, Bisha.
Pak J Surg Jan ;36(2):114-7.

Background: Gall bladder stone diseases is a very common in the the world, if not treated in time the stone may progress into the common bile duct causing obstructive jaundice. The laboratory data shows raised total and conjugated bilirubin with raised liver enzyme. Magnatic resonance cholangiopancreatography (MRCP) help in diagnosing pancreato-billiary pathology. Endoscopic retrograde cholangic pancreatography is the gold standard in both diagnosing and treating the pancreatobiliary disorders, Bisha is situated in Southern region of Saudi Arabia. We face a huge number of cases of biliary pathology, major bulk of these require laparoscopic cholecystectomy. Inspite of adequate facility for laparoscopic colycystectomy we are still facing a good number of cases of obstructive jaundice. We are providing 30-months data of Endoscopic Retrograde Cholangiopancreatography (ERCP) at our endoscopy unit in Bisha. Material and Methods: All cases who underwent ERCP from April 2017 till October 2019 are included in the study. The patient with previous history of sphincterotomy stent placement or previous papillary intervention are excluded from the study. All demographic finding, indicator of ERCP and outcome of ERCP and its complication entered into a pre-designed proforma and analysed using SPSS version 21. Results: 112-patients underwent endoscopic retrograde cholangiopancreatography at King Abdullah Hospital from April 2017 till October 2019. The most common pathology was common bile duct stone (choledhocolithiasis) followed by malignant billiary obstruction. Post-ERCP complication was found in 6-patients. The most common complication was post-ERCP acute pancreatitis. Conclusion: Endoscopic retrograde pancreotocholangiography is a commonly performed safe procedure at specialized centre in the hand of experiences endoscopist. ERCP has minimal complications. Endoscopic retrograde cholangic pancreatography is the gold standard in both diagnosing and treating the pancreatobiliary disorders.

PakMediNet -Pakistan's largest Database of Pakistani Medical Journals - http://www.pakmedinet.com