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Intradiverticular Ampulla of Vater : Personal Experience at ERCP
Joint Authors
Modica, Giuseppe
Sciuto, Antonio
Sciumè, Carmelo
Geraci, Girolamo
Source
Diagnostic and Therapeutic Endoscopy
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-07-01
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Introduction.
Conflicting results have been reported about the true impact of intradiverticula ampulla (IA) on the technical success and complication rate of endoscopic retrograde cholangiopancreatography (ERCP).
Patients.
A total of 500 patients who underwent ERCP were divided into two groups according to the presence (group A, 81 patients) or absence (group B, 419 patients) of IA.
Success rate, difficulty at cannulation, findings at ERCP, and procedure-related complications were retrospectively reviewed.
Results.
Successful cannulation was achieved in 100% of group A patients compared to 98% of group B patients (P = ns).
There was a significant difference in the type of cannulation that was routinary in group B (P<0.05), while requiring guidewire in group A (P<0.05).
Cholangitis (P<0.05), microstones (P<0.01), dilated common bile duct without stones (P<0.01), stone recurrence (P<0.01), and transient postprocedure hyperamylasemia (P<0.01) were more frequently observed in group A.
There was no significant difference in complication rate between both groups.
Conclusions.
The finding of an IA at ERCP should not be considered a predictor for failed cannulation.
IA is associated with post-ERCP transient hyperamylasemia and is a risk factor for biliary stone disease and its recurrence.
American Psychological Association (APA)
Geraci, Girolamo& Modica, Giuseppe& Sciumè, Carmelo& Sciuto, Antonio. 2013. Intradiverticular Ampulla of Vater : Personal Experience at ERCP. Diagnostic and Therapeutic Endoscopy،Vol. 2013, no. 2013, pp.1-4.
https://search.emarefa.net/detail/BIM-446478
Modern Language Association (MLA)
Geraci, Girolamo…[et al.]. Intradiverticular Ampulla of Vater : Personal Experience at ERCP. Diagnostic and Therapeutic Endoscopy No. 2013 (2013), pp.1-4.
https://search.emarefa.net/detail/BIM-446478
American Medical Association (AMA)
Geraci, Girolamo& Modica, Giuseppe& Sciumè, Carmelo& Sciuto, Antonio. Intradiverticular Ampulla of Vater : Personal Experience at ERCP. Diagnostic and Therapeutic Endoscopy. 2013. Vol. 2013, no. 2013, pp.1-4.
https://search.emarefa.net/detail/BIM-446478
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-446478