ISSN: 1859 - 2872
Challenges and outcomes of ERCP in patients with periampullary duodenal diverticulum: Insights from a single-center retrospective study in Vietnam
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Abstract
Background: The relationship between periampullary duodenal diverticulum (PAD) and ERCP outcomes remains unclear. This study aims to assess the effects of PAD on cannulation success, complications, and treatment efficacy in patients with bile duct stones. Subject and method: A retrospective study was conducted among 587 patients with native papilla who underwent ERCP from January 2021 to December 2022 at 108 Military Central Hospital, categorized into two groups: those with PAD (n = 143) and those without (NPAD, n = 444). We analyzed cannulation success, procedural difficulties, and complications. Result: PAD was identified in 22.9% of the cohort. Both groups had comparable successful cannulation rates (PAD: 98.6%, NPAD: 95.9%, p=0.2), yet PAD patients faced more significant challenges (35% vs. 23.4%, p=0.009). The necessity for biliary stenting was notably higher in the PAD group (16.3% vs. 9.6%, p=0.04). Although post-ERCP complications did not differ significantly, the hospital stay was longer for PAD patients (7 days vs. 6 days, p=0.0002). Conclusion: PAD may complicate the ERCP procedure; however, treatment outcomes remain primarily consistent across both groups. Enhanced management approaches are essential for improving patient care in those with PAD.
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References
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