Patient And Procedure Related Risk Factors of Post-ERCP Pancreatitis In Assiut University Hospital

Abstract

Background: Post-endoscopic retrograde cholangiopancreatography (ERCP) pancreatitis (PEP) one of the most common and serious  complications causing morbidity and mortality.

Aim of study: This study aimed to assess patient and technical factors that may be related  to PEP

Patient and methods: We observed 120 patients who developed signs of pancreatitis after ERCP, clinical data and procedural details were recorded in these patients to be evaluated.

Results: A total of 120 studied patients, their mean age was 37.38 ±  12.51 years, 63.3% were females, the most noted indication of ERCP was choledocholithiasis, 24.2% of patient have history of pancreatitis,  long time of procedure was noted in these cases, precut sphincterotomy in 55% and pancreatic duct cannulation was noted in 53.3% of  cases, moreover increased difficulty of cannulation occur more in our patients.

Conclusion: Patients’ related factors as young age, female  sex and indication of ERCP, and technical-related factors as precut phincterotomy and pancreatic cannulation may contribute to  PEP.