Indications, outcomes, and complications of endoscopic retrograde cholangiopancreatography: A retrospective analysis of 750 procedures from Kauvery hospitals, Trichy
Keywords:
ERCP, Choledocholithiasis, Biliary obstruction, Biliary stenting, postERCP pancreatitisAbstract
Background: Endoscopic retrograde cholangiopancreatography (ERCP) is an established therapeutic modality for the management of pancreaticobiliary disorders. Although highly effective, ERCP is associated with procedure-related complications.
Aim: To evaluate the clinical indications, procedural outcomes, and complications of ERCP performed in Kauvery Hospitals, Trichy. Methods: This retrospective observational study included 750 ERCP procedures performed at Kauvery Hospitals, Trichy. Demographic details, indications for ERCP, interventions performed, stent placement, procedural success, and complications were analysed. Statistical analysis was performed and the results were expressed as mean ± standard deviation or frequency with percentage.
Results: A total of 750 ERCP procedures were included. The mean patient age was 55.9 ± 17.7 years, with male predominance (56%). The most common indication was choledocholithiasis (72.7%), followed by malignant biliary obstruction and benign biliary strictures. The overall procedural success rate was 94.9%. Procedure-related complications occurred in approximately 5–6% of cases, with post-ERCP pancreatitis being the most frequent complication, followed by bleeding and cholangitis. Statistical analysis did not demonstrate significant associations between sex and disease type or between diagnosis type and complication rate.
Conclusion: ERCP remains a safe and effective therapeutic procedure for pancreaticobiliary diseases when performed in experienced centres, with high success rates and acceptable complication rates.
