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DOI: 10.1055/s-0038-1637381
EFFICACY AND SAFETY IN LEFT LATERAL DECUBITUS VERSUS PRONE POSITION FOR ERCP: WHICH IS BETTER????
Publikationsverlauf
Publikationsdatum:
27. März 2018 (online)
Aims:
To compare efficacy and safety of ERCP in the left lateral decubiitus position versus prone position.
Methods:
This was a retrospective, multicenter, open-label, observational study. A total of 652 ERCP were performed at four centers in Guayaquil, Ecuador between October 2013 and October 2017. Inclusion criteria. Age > 18 years, native papilla, and biliary indication. Exclusion criteria: coagulopathy, pregnancy. Primary outcome measure was bile duct cannulation rate. Secondary outcomes were a times to ampullary localization and bile duct cannulation and complication rate.
Results:
ERCPs reviewed from 652 patients in two positions: 426 prone and 226 LLD. Cannulation Rate. 96% prone versus 89% in left lateral decubitus position. Median times (IRQ):
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Ampullary localization: 88sec (68 – 108) prone versus 95sec (75 – 115);
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bile duct cannulation: 136sec (39 – 340) prone versus 155sec (50 – 405) left lateral decubitus.
No perioperative complications occurred in neither group. Postprocedure complications: 42 (10%) prone versus 34 (15%) left lateral decubitus position.
Conclusions:
Our results show that ERCP performed in left lateral decubitus position allowed for deep bile duct cannulation in 90% of patients without significantly increased procedural times or rate of complications as compared to prone position.
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