RESULT OF TREATMENT COMMON BILE DUCT STONE BY ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY IN KALASIN HOSPITAL

Abstract

     This study aimed to study the outcomes and complication of commom bile duct stone patients who were treated with endoscopic retrograde cholangiopancreatography in kalasin hospital A retrospective analysis of patients with diagnosed commom bile duct stone in Kalasin hospital who were treated with endoscopic retrograde cholangiopancreatography from October 2017 until September 2022

     Results:  The study consisted of 146 patients with an average age of 63.9 years, received a total of 181 treatments, classified as 64 emergency patients, ( 43.84%) 82 elective patients (56.16%), with 86  (58.90%) Unsuccessful, 60 cases, (41. 10%). The factor affecting the success of the treatment was the size of the stones. The average stone diameter was 1.39±0.05 cm, which was less than the failure group with an average diameter of 1.47±0.08 cm. The muddy stone type had the highest success rate accounted for 47.67% and the procedure in CRE +Ballon extraction group had the highest treatment success rate was 86.67%  followed by the Lithotripsy + Balloon extraction method for 75%, CRE + Balloon extraction+ Tripsy was 66.67 % and Balloon extraction was 64.08% respectively. Complications of ERCP The rate of pancreatitis and cholangitis were 8.90%. perferation 0.68 %  and the mortality rate representing was 1.36 %. The success rate of ERCP in Kalasin Hospital There is still a moderate success rate. The success rate depends on the characteristics of the patient and the skill of the surgeon.