Yıl 2021, Cilt 5 , Sayı 1, Sayfalar 70 - 74 2021-01-01

Comparison of the procedure results of ectopic papillae encountered during ERCP procedure with the procedure results of papillae with normal localization

Emre BALLI [1] , Tamer AKAY [2] , Sezgin YILMAZ [3]


Background/Aim: In Endoscopic retrograde cholangiopancreatography (ERCP), Ampulla of Vater is found on the posteromedial wall of the second part of the duodenum. However, ectopic expansion of the common bile duct to the 3rd or 4th part of the duodenum or the proximal stomach, pylorus, or bulb was reported in the literature. This study primarily aims to investigate the risk of complications in patients with ectopic papillae and evaluate the applicability of endoscopic sphincterotomy in these patients. Methods: In this a case-control study, the data of 3,048 patients who underwent ERCP procedure in the ERCP unit of our clinic between January 2013 and December 2018 were retrospectively analyzed, and 30 patients with ectopic bulbar papillae and 30 randomly selected patients with normally localized papillae were compared in terms of age, gender, duration of the procedure, post-procedural biochemical tests, cannulation success, precision rate, postprocedural pancreatitis complications and the need for analgesics. Power analysis was performed with the G*power 3.1.9.7 package program (1-B = 0.95, alpha = 0.05). With a power of 0.954, the sample size to be reached was thirty-three for each group. Results: The rate of pancreatitis complications was higher in patients with ectopic bulbar papillae (50%) compared to those without (16.7%) (P=0.006). Even though the rate of pre-cut was higher in patients with ectopic bulbar papillae (33.3%) compared to patients with normally localized papillae (13.3%), this difference was not statistically significant (P=0.063). Cannulation success in patients with ectopic bulbar papillae (83.3%) was insignificantly lower than in patients with normally localized papillae (90.0%) (P=0.353). The need for both narcotic and non-steroidal anti-inflammatory analgesics was higher in patients with ectopic bulbar papillae (P<0.001, P=0.005, respectively). Conclusions: It should be kept in mind that ectopic biliary drainage may be found in an alternative location when no papillae are observed in the expected anatomical region. The complication risks, including pancreatitis, are increased in the intervention of ectopic papillae. Novel studies showing that endoscopic sphincterotomy and pre-cut are successfully used in patients with ectopic papillae are needed.
Endoscopy, Endoscopic Retrograde Cholangiopancreatography (ERCP), Ectopic papilla, Pancreatitis
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Birincil Dil en
Konular Cerrahi
Bölüm Araştırma makalesi
Yazarlar

Orcid: 0000-0002-3201-9756
Yazar: Emre BALLI
Kurum: Department of General Surgery, Sorgun State Hospital, Yozgat, Turkey
Ülke: Turkey


Orcid: 0000-0001-8137-3658
Yazar: Tamer AKAY (Sorumlu Yazar)
Kurum: Department of General Surgery, Bandirma State Hospital, Balikesir, Turkey
Ülke: Turkey


Orcid: 0000-0003-0213-3758
Yazar: Sezgin YILMAZ
Kurum: Afyon Health Sciences University Medical Faculty Hospital
Ülke: Turkey


Tarihler

Yayımlanma Tarihi : 1 Ocak 2021

Bibtex @araştırma makalesi { josam843063, journal = {Journal of Surgery and Medicine}, issn = {}, eissn = {2602-2079}, address = {jsurgmed@gmail.com}, publisher = {Fatih BAŞAK}, year = {2021}, volume = {5}, pages = {70 - 74}, doi = {10.28982/josam.843063}, title = {Comparison of the procedure results of ectopic papillae encountered during ERCP procedure with the procedure results of papillae with normal localization}, key = {cite}, author = {Ballı, Emre and Akay, Tamer and Yılmaz, Sezgin} }
APA Ballı, E , Akay, T , Yılmaz, S . (2021). Comparison of the procedure results of ectopic papillae encountered during ERCP procedure with the procedure results of papillae with normal localization . Journal of Surgery and Medicine , 5 (1) , 70-74 . DOI: 10.28982/josam.843063
MLA Ballı, E , Akay, T , Yılmaz, S . "Comparison of the procedure results of ectopic papillae encountered during ERCP procedure with the procedure results of papillae with normal localization" . Journal of Surgery and Medicine 5 (2021 ): 70-74 <http://jsurgmed.com/tr/pub/issue/59430/843063>
Chicago Ballı, E , Akay, T , Yılmaz, S . "Comparison of the procedure results of ectopic papillae encountered during ERCP procedure with the procedure results of papillae with normal localization". Journal of Surgery and Medicine 5 (2021 ): 70-74
RIS TY - JOUR T1 - Comparison of the procedure results of ectopic papillae encountered during ERCP procedure with the procedure results of papillae with normal localization AU - Emre Ballı , Tamer Akay , Sezgin Yılmaz Y1 - 2021 PY - 2021 N1 - doi: 10.28982/josam.843063 DO - 10.28982/josam.843063 T2 - Journal of Surgery and Medicine JF - Journal JO - JOR SP - 70 EP - 74 VL - 5 IS - 1 SN - -2602-2079 M3 - doi: 10.28982/josam.843063 UR - https://doi.org/10.28982/josam.843063 Y2 - 2021 ER -
EndNote %0 Journal of Surgery and Medicine Comparison of the procedure results of ectopic papillae encountered during ERCP procedure with the procedure results of papillae with normal localization %A Emre Ballı , Tamer Akay , Sezgin Yılmaz %T Comparison of the procedure results of ectopic papillae encountered during ERCP procedure with the procedure results of papillae with normal localization %D 2021 %J Journal of Surgery and Medicine %P -2602-2079 %V 5 %N 1 %R doi: 10.28982/josam.843063 %U 10.28982/josam.843063
ISNAD Ballı, Emre , Akay, Tamer , Yılmaz, Sezgin . "Comparison of the procedure results of ectopic papillae encountered during ERCP procedure with the procedure results of papillae with normal localization". Journal of Surgery and Medicine 5 / 1 (Ocak 2021): 70-74 . https://doi.org/10.28982/josam.843063
AMA Ballı E , Akay T , Yılmaz S . Comparison of the procedure results of ectopic papillae encountered during ERCP procedure with the procedure results of papillae with normal localization. J Surg Med. 2021; 5(1): 70-74.
Vancouver Ballı E , Akay T , Yılmaz S . Comparison of the procedure results of ectopic papillae encountered during ERCP procedure with the procedure results of papillae with normal localization. Journal of Surgery and Medicine. 2021; 5(1): 70-74.
IEEE E. Ballı , T. Akay ve S. Yılmaz , "Comparison of the procedure results of ectopic papillae encountered during ERCP procedure with the procedure results of papillae with normal localization", Journal of Surgery and Medicine, c. 5, sayı. 1, ss. 70-74, Oca. 2021, doi:10.28982/josam.843063