Table 2. Details of ERCP performed (n=38).
| Variable | All ERCPs (n=38) | ERCPs without complications (n=34) | ERCPs with complications (n=4) | p-value | ||
|---|---|---|---|---|---|---|
| Age range of patients at the time of procedure (yr) | ||||||
| 2–5 | 4 (10.5) | 4 (11.8) | 0 (0.0) | 0.913 | ||
| 6–10 | 8 (21.1) | 8 (23.5) | 0 (0.0) | 0.755 | ||
| 10–18 | 26 (68.4) | 22 (64.7) | 4 (100.0) | 0.559 | ||
| Median age of patients at the time of procedure (yr) | 12 (2–17) | 11 (2–17) | 16 (13–17) | 0.06 | ||
| Median weight at the time of procedure (kg) | 44 (8–68) | 42 (8–68) | 53 (38–56) | 0.292 | ||
| Indications | ||||||
| Biliary | ||||||
| Biliary obstruction | 18 (47.3) | 15 (44.1) | 3 (75.0) | 0.713 | ||
| Traumatic bile duct leak | 2 (5.3) | 2 (58.8) | 0 (0.0) | 0.969 | ||
| Pancreatic | ||||||
| Acute recurrent pancreatitis | 13 (34.2) | 12 (35.3) | 1 (25.0) | 0.982 | ||
| Related to prior procedure | ||||||
| Final removal of biliary or pancreatic stent | 5 (13.1) | 5 (14.7) | 0 (0.0) | 0.878 | ||
| Complexity of ERCP procedure according to the AGSE score | ||||||
| Level 1 (deep cannulation of duct of interest, biliary stent removal/exchange) | 9 (23.7) | 9 (26.5) | 0 (0.0) | 0.708 | ||
| Level 2 (biliary stone extraction <10 mm, treatment of extrahepatic strictures, and placement of prophylactic pancreatic stents) | 9 (23.7) | 7 (20.6) | 2 (50.0) | 0.634 | ||
| Level 3 (biliary stone extraction >10 mm, treatment of pancreatic strictures and stones <5 mm, and treatment of acute or recurrent pancreatitis) | 18 (47.3) | 16 (47.1) | 2 (50.0) | 0.999 | ||
| Level 4 (removal of internally migrated pancreatic stents, impacted or >5 mm pancreatic stones, and pseudocyst drainage) | 2 (5.3) | 2 (5.9) | 0 (0.0) | 0.969 | ||
| Received prophylactic rectal diclofenac (n=32) | 23 (71.9) | 20 (58.8) | 3 (75.0) | 0.942 | ||
| Mean duration of procedure (min) | 47.3±27.5 | 45.3±27.0 | 77.5±17.7 | 0.110 | ||
| Cannulation success of procedure | 36 (94.7)* | 33 (97.1) | 3 (75.0) | 0.322 | ||
| Technical success | 36 (94.7)* | 33 (97.1) | 3 (75.0) | 0.322 | ||
| Median length of stay post procedure (d) | 3 (0–26) | 3 (0–10) | 4.5 (1–26) | 0.004 | ||
| ERCP-related complications | ||||||
| Post-ERCP cholangitis | 1 | - | See first column | NA | ||
| Post-sphincterotomy bleed | 1† | |||||
| Post-ERCP pancreatitis | 2† | |||||
| Perforation of pancreatic duct side branch | 1 | |||||
Values are presented as number (%), median (range), or mean±standard deviation. ERCP: endoscopic retrograde cholangiopancreatography, NA: not available.
*Failed to cannulate pancreatic duct and bypass pancreatic stricture on both ERCP attempts in the same patient (17-year old male patient).
†Complications of post-sphincterotomy bleed and post-ERCP pancreatitis occurred in the same patient in one ERCP procedure.