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EARLY COMPLICATIONS OF ENDOSCOPIC SPHINCTEROTOMY
Author(s) -
Mukai Hidekazu,
Fujiwara Hitoshi,
Fujita Tsuyoshi,
Watanabe Akihiko,
Kushiyama Yoshinori
Publication year - 2002
Publication title -
digestive endoscopy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.5
H-Index - 56
eISSN - 1443-1661
pISSN - 0915-5635
DOI - 10.1046/j.1443-1661.14.s1.20.x
Subject(s) - medicine , perforation , complication , pancreatitis , cholecystitis , surgery , acute cholecystitis , prospective cohort study , general surgery , cholecystectomy , gallbladder , materials science , punching , metallurgy
The risk management with regard to endoscopic sphincterotomy (EST) techniques should be considered in clinical practice. Therefore, early complications of the ordinary EST, wire‐guided EST, and needle‐knife EST were retrospectively studied in 227 patients with biliopancreatic diseases in our hospital. An early complication rate was encountered in 7.5% of patients and there was no death; pancreatitis in 4.8%, bleeding in 0.9%, cholangitis in 0.9%, cholecystitis in 0.4%, and perforation in 0.4%. Statistically, there were no significant differences among the three EST techniques, while the complication rate of the needle‐knife EST was higher than that of the ordinary EST and wire‐guided EST. We suggest that the condition of the patient, anatomic variations, and the skill of the endoscopist influence risk factors of EST. However, further prospective multicenter studies are needed to clarify risk factors for early complications of EST.