Diverticulum With Papillae: Does Position of Papilla Affect Technical Success?

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
E ParlakB Sahin

Abstract

The presence of peripapillary diverticulum (PPD) can cause some biliary diseases, especially common bile duct stones, and also, literally, can change the technique of endoscopic retrograde cholangiopancreatography (ERCP) and affect the complication ratio of this procedure. In this study, we investigate the effect of localization and position of the papilla according to the diverticulum on the success of therapeutic ERCP procedures. The study was conducted prospectively in the patients with naive papillae, who underwent ERCP for a period of 16 months. In all patients, the position of papillae according to the diverticulum (the periphery of the diverticulum is thought as the clock circumference, and the position of papillae is defined as the dials of clock), the success rate of biliary cannulation, total procedure time, overall treatment success rate of ERCP, and the complications are investigated. During this period, 222 (18.5%) of the 1205 enrolled patients who underwent ERCP had PPD. Of the patients with PPD, 123 (55.4%) were female and 99 (44.6%) were male, and the median age was 68.9±10.1 years. According to the position of the papilla by the diverticulum, 90 (40.5%) patients have it on 7 o'clock position, 64 (28.8%) patient...Continue Reading

References

May 1, 1991·Gastrointestinal Endoscopy·P B CottonN Nickl
Mar 8, 1980·The Medical Journal of Australia·C LeinkramG A Kune
Jul 1, 1982·Annals of Surgery·T LøtveitS Larsen
Sep 26, 1996·The New England Journal of Medicine·M L FreemanA M Pheley
Feb 28, 2006·Gastrointestinal Endoscopy·Sedef KuranBurhan Sahin
Jun 17, 2010·Digestive Surgery·Naoto EgawaTerumi Kamisawa

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