Abstract
Introduction: Recent advances in ERCP techniques are developed to improve its efficacy and safety but there are
limited data regarding the efficacy and safety of ERCP carried out in secondary care hospital setting using
modern techniques.
Objective: To perform a clinical audit of ERCP of patients performed in secondary care hospital.
Materials and Methods: Cross-sectional study conducted at the Department of Gastroenterology hospital, Lahore
from Jan 2018 - Dec 2018. After approval from the ethical committee and informed consent from subjects, detailed
demographic information was collected and entered into a structured questionnaire. A total of 66 ERCP were
included in the study by non-probability consecutive sampling. Data was analyzed in SPSS ver: 21.0. Frequency
and percentages were calculated for qualitative variables like gender and diagnosis and complications.
Results: A total of 66 ERCP were performed. The mean age of patients was 57.35 + 12.30. 36.4% were male and
63.6% were female in our study. 53.0% had malignant ERCP findings and 47.0% had benign pathology. Among
malignant conditions were proximal CBD malignant strictures (25.8%), distal CBD stricture with ampullary
growth (9.0%), distal malignant CBD stricture (6.0%), long distal malignant CBD stricture (9.0%), and complete
malignant obstruction mid CBD (3.1%).
Conclusion: The ERCP services provided at secondary care hospital are standardized with a desirable outcome.
The rate of its technical success is comparable to tertiary care setting and complication rates are low alone with
mortality related to the procedure.
Imran Anwar Khan, Sheikh Muhammad Mahmoud, Saman Saeed, Shajeel Akhtar, Muzammil Kataria. (2020) A Clinical Audit of Endoscopic Retrograde Cholangiopancreaticogram of Patients performed in a Secondary Care Hospital, The Journal of Rawalpindi Medical College, Volume 24, Issue 3.
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