Original Article

Assessment of the endoscopic retrograde cholangiopancreatography grading system: A prospective study from a tertiary care center

Volume 27 · Issue 2 Publish Date: March 15, 2016
Serkan Torun Erkan Parlak Hakan Yıldız Selçuk Dişibeyaz Bülent Ödemiş Yavuz Beyazıt Nurgül Şaşmaz Ertuğrul Kayaçetin
Full Text PDF
DOI

Published In

Turkish Journal of Gastroenterology

Volume 27 · Issue 2

Pages: 187-191

History

Published Online: March 15, 2016

Copyright © 2016 Serkan Torun, Erkan Parlak, Hakan Yıldız, Selçuk Dişibeyaz, Bülent Ödemiş, Yavuz Beyazıt, Nurgül Şaşmaz, Ertuğrul Kayaçetin

Serkan Torun
Department of Gastroenterology, Türkiye Yüksek İhtisas Training and Research Hospital, Ankara, Turkey
Erkan Parlak
Department of Gastroenterology, Sakarya University School of Medicine, Sakarya, Turkey
Hakan Yıldız
Department of Gastroenterology, Türkiye Yüksek İhtisas Hospital, Ankara, Turkey
Selçuk Dişibeyaz
Department of Gastroenterology, Türkiye Yüksek İhtisas Training and Research Hospital, Ankara, Turkey
Bülent Ödemiş
Department of Gastroenterology, Türkiye Yüksek İhtisas Training and Research Hospital, Ankara, Turkey
Yavuz Beyazıt
Department of Gastroenterology, Çanakkale State Hospital, Çanakkale, Turkey
Nurgül Şaşmaz
Department of Gastroenterology, Türkiye Yüksek İhtisas Training and Research Hospital, Ankara, Turkey
Ertuğrul Kayaçetin
Department of Gastroenterology, Ankara Yüksek İhtisas Research and Training Hospital, Ankara, Turkey
Torun, S., Parlak, E., Yıldız, H., Dişibeyaz, S., Ödemiş, B., Beyazıt, Y., … Kayaçetin, E. (2016). Assessment of the endoscopic retrograde cholangiopancreatography grading system: A prospective study from a tertiary care center. Turkish Journal of Gastroenterology, 27(2), 187–191. https://doi.org/10.5152/tjg.2015.150366
Endnote/Zotero/Mendeley (RIS) BibTeX
Full Text Full Text PDF

Abstract

Abstract Background/Aims: The American Society for Gastrointestinal Endoscopy (ASGE) endoscopic retrograde cholangiopancreatography (ERCP) grading system was proposed but has not been fully evaluated with prospective clinical studies. In this study, we aimed to evaluate the effectiveness of the ERCP difficulty grading system for predicting success and adverse event rates related to the procedure. Materials and Methods: A total of 1057 ERCP procedures performed on 752 patients were included in the present study. The complexity grades of the procedures were recorded according to the ASGE grading system. Specific complications of ERCP (pancreatitis, cholangitis, bleeding, and perforation) were also defined and graded. Results: The procedure difficulty was determined as 1st degree in 153 patients (14.4%), 2nd degree in 498 patients (47.1%), 3rd degree in 271 (25.6%), and 4th degree in 135 patients (12.7%). The success rate for the entire procedures was 88.4%. The success rate for 1st degree procedures was 99.3%, 97.2% for 2nd degree procedures, 86.7% for 3rd degree procedures, and 46.7% for 4th degree procedures (p<0.005). When the difficulty of the procedures increased from 1 to 4, the adverse event rates increased from 1.3% to 10.4%. Conclusion: The findings support the evidence that the difficulty degrees of ERCP procedures can help predict the success and complication rates of the procedure. Because of the increased rates of failure and complications in more difficult cases, the procedures should be performed by experienced endoscopists in advanced centers.

Most read articles by the same author(s)

1 2 3 4 5 6 7 8 9 10 11 > >> 
Article Info
Published In
Journal Turkish Journal of Gastroenterology
Volume / Issue Volume 27 · Issue 2
Pages 187-191
DOI 10.5152/tjg.2015.150366
History
Published Online March 15, 2016
Copyright
Copyright (c) 2016 Serkan Torun, Erkan Parlak, Hakan Yıldız, Selçuk Dişibeyaz, Bülent Ödemiş, Yavuz Beyazıt, Nurgül Şaşmaz, Ertuğrul Kayaçetin
Affiliations
Serkan Torun
Department of Gastroenterology, Türkiye Yüksek İhtisas Training and Research Hospital, Ankara, Turkey
Erkan Parlak
Department of Gastroenterology, Sakarya University School of Medicine, Sakarya, Turkey
Hakan Yıldız
Department of Gastroenterology, Türkiye Yüksek İhtisas Hospital, Ankara, Turkey
Selçuk Dişibeyaz
Department of Gastroenterology, Türkiye Yüksek İhtisas Training and Research Hospital, Ankara, Turkey
Bülent Ödemiş
Department of Gastroenterology, Türkiye Yüksek İhtisas Training and Research Hospital, Ankara, Turkey
Yavuz Beyazıt
Department of Gastroenterology, Çanakkale State Hospital, Çanakkale, Turkey
Nurgül Şaşmaz
Department of Gastroenterology, Türkiye Yüksek İhtisas Training and Research Hospital, Ankara, Turkey
Ertuğrul Kayaçetin
Department of Gastroenterology, Ankara Yüksek İhtisas Research and Training Hospital, Ankara, Turkey
Cite this Article
Torun, S., Parlak, E., Yıldız, H., Dişibeyaz, S., Ödemiş, B., Beyazıt, Y., … Kayaçetin, E. (2016). Assessment of the endoscopic retrograde cholangiopancreatography grading system: A prospective study from a tertiary care center. Turkish Journal of Gastroenterology, 27(2), 187–191. https://doi.org/10.5152/tjg.2015.150366
Download Citation
Endnote/Zotero/Mendeley (RIS) BibTeX
Outlines