Abstract:

ABSTRACT Background / Aims: This study aimed to report our single-endoscopist endoscopic retrograde cholangiopancreatography (ERCP) experience, including ERCP success rate, complication rates and factors affecting them. Materials and Methods: Retrospective data were collected from 573 patients who underwent ERCP from 2018 to 2020 at our clinic. Patients aged under 18 years, patients who had previously undergone ERCP at another center, patients using rectal non-steroidal anti-inflammatory drugs, patients with sedation-related complications , and patients using pancreatoxic medication were not included. Results: The average age of the 573 patients included in the study was calculated as 58.6 (min. 18 - max. 104) years. In the examination of the success of cannulation, target duct was intubated in 93.9% (538/573) of the patients. In our study, the rate of post ercp pancreatitis was seen 7% , post ercp bleeding was observed as 1.2% , the rate of post ercp cholangitis was 0.9% , the post ercp perforation rate was 0.5% .When we compared the complications between successful and unsuccessful groups, there was a statistically significant difference in perforation and cholangitis (p<0.001 – p<0.001 respectively) Concusions: There are some strategies to reduce and manage ERCP-related complications. Larger studies are needed to identify these strategies.