Comparative Study between Use of Endoscopic Ultrasound before Endoscopic Retrograde Cholangio Pancreatography Versus Endoscopic Retrograde Cholangio Pancreatography Alone

Document Type : Original Article

Authors

The Departments of Tropical Medicine* and Internal Medicine**, Faculty of Medicine, Al-Azhar University, Cairo

Abstract

Abstract
Background: Endoscopic Ultrasound (EUS) could be used as non-invasive procedure instead of Endoscopic Retrograde Cholangiopancreatography (ERCP) in pancreatico-biliary disorders diagnosis. The impact of EUS use before ERCP need to be evaluated.
Aim of Study: The aim of this study was to determine the impact of EUS use before ERCP in patients of pancreatico-biliary disorders as regard, the procedure accessibility, duration, success rate and rate of complications.
Methods: This study was conducted on fifty patients with pancreatico-biliary disorders prepared to ERCP procedure. Randomly, 25 patients were subjected to ERCP directly (group-I) and for the remaining 25 patients EUS was done before ERCP (group-II).
Results: There was no significant difference between patients of both groups regarding age and sex, clinical features, laboratory parameters, sonographic and diagnostic findings and post ERCP complications. Use of EUS before ERCP showed significant higher rates of successful stone extraction without lithotriptor and reduced the procedure duration.
Conclusion: Our study supports the idea that use of EUS before ERCP showed significant reduction of procedure time and higher rates of successful stone extraction by balloon or basket without use of lithotripter and did not alter the rate of procedure complications.

Keywords

The Medical Journal of Cairo University
Volume 86, December
December 2018
Pages 4033-4037

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