Early Post Endoscopic Retrograde Cholangiopancreatography (ERCP) Cholecystitis - Incidence, Risk Factors, Severity, and Surgical Implications — Case Series

Ravikiran Sk,Nitin Rao Ar,Avinash B,Manjunath Patil Kiran R,Satyaprakash Bs,Lokesh Lv

doi:10.24871/2222021164-166

Abstract

Cholecystitis can be a serious complication following endoscopic retrograde cholangiopancreatography (ERCP). Though the concept of early post-ERCP cholecystitis (PEC) is well known, studies that analysed the predictors, occurrence and outcomes of early PEC are rare. This is an analysis of 11 cases developing severe early post-ERCP cholecystitis.

Highlights

Endoscopic retrograde cholangiopancreatography (ERCP) is a commonly performed diagnostic procedure for pancreaticobiliary disorders
endoscopic retrograde cholangiopancreatography (ERCP) is associated with post procedure complications such as pancreatitis, bleeding, sepsis and perforation
Criteria for a diagnosis of post-ERCP cholecystitis (PEC) was finding of either one or more of the following on surgery/ histopathology: empyema, gangrenous gall bladder or severe cholecystitis on histopathology of the gall bladder specimen

Summary

INTRODUCTION

Endoscopic retrograde cholangiopancreatography (ERCP) is a commonly performed diagnostic procedure for pancreaticobiliary disorders. ERCP is associated with post procedure complications such as pancreatitis, bleeding, sepsis and perforation. The risk of cholecystitis increases due to placement of self-expandable metal stents, if cystic duct is obstructed.[2] The aim of this study was to assess the incidence, severity and risk factors associated with early PEC. Post Endoscopic Retrograde Cholangiopancreatography (ERCP) Cholecystitis - Incidence, Risk Factors, Severity, and Surgical Implications — Case Series. A total of 398 patients underwent ERCP for various indications between June 2016 and May 2017 and only 11 patients (5 men and 6 women) developed severe early PEC. Criteria for a diagnosis of PEC was finding of either one or more of the following on surgery/ histopathology: empyema, gangrenous gall bladder or severe cholecystitis on histopathology of the gall bladder specimen.

DISCUSSION

Findings

F 68 Choledocholithiasis 10 F 45 Choledocholithiasis