Endoscopic retrograde cholangiopancreatography during pregnancy without radiation

Basit Öğe Kaydı
dc.authoridOzkan, Orhan Veli/0000-0002-2862-294X
dc.contributor.authorAkcakaya, Adem
dc.contributor.authorOzkan, Orhan Veli
dc.contributor.authorOkan, Ismail
dc.contributor.authorKocaman, Orhan
dc.contributor.authorSahin, Mustafa
dc.date.accessioned2024-09-18T20:08:22Z
dc.date.available2024-09-18T20:08:22Z
dc.date.issued2009
dc.departmentHatay Mustafa Kemal Üniversitesien_US
dc.description.abstractAim: To present our experience with pregnant patients who underwent endoscopic retrograde cholangiopancreatography (ERCP) without using radiation, and to evaluate the acceptability of this alternative therapeutic pathway for ERCP during pregnancy. METHODS: Between 2000 and 2008, six pregnant women underwent seven ERCP procedures. ERCP was performed under mild sedoanalgesia induced with pethidine HCI and midazolam. The bile duct was cannulated with a guidewire through the papilla. A catheter was slid over the guidewire and bile aspiration and/or visualization of the bile oozing around the guidewire was used to confirm correct cannulation. Following sphincterotomy, the bile duct was cleared by balloon sweeping. When indicated, stents were placed. Confirmation of successful biliary cannulation and stone extraction was made by laboratory, radiological and clinical improvement. Neither fluoroscopy nor spot radiography was used during the procedure. RESULTS: The mean age of the patients was 28 years (range, 21-33 years). The mean gestational age for the fetus was 23 wk (range, 14-34 wk). Five patients underwent ERCP because of choledocholithiasis and/or choledocholithiasis-induced acute cholangitis. In one case, a stone was extracted after precut papillotomy with a needle-knife, since the stone was impacted. One patient had ERCP because of persistent biliary fistula after hepatic hydatid disease surgery. Following sphincterotomy, scoleces were removed from the common bile duct. Two weeks later, because of the absence of fistula closure, repeat ERCP was performed and a stent was placed. The fistula was closed after stent placement. Neither post-ERCP complications nor premature birth or abortion was seen. CONCLUSION: Non-radiation ERCP in experienced hands can be performed during pregnancy. Stent placement should be considered in cases for which complete common bile duct clearance is dubious because of a lack of visualization of the biliary tree. (C) 2009 The WJG Press and Baishideng. All rights reserved.en_US
dc.identifier.doi10.3748/wjg.15.3649
dc.identifier.endpage3652en_US
dc.identifier.issn1007-9327
dc.identifier.issn2219-2840
dc.identifier.issue29en_US
dc.identifier.pmid19653343en_US
dc.identifier.scopus2-s2.0-70349564810en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage3649en_US
dc.identifier.urihttps://doi.org/10.3748/wjg.15.3649
dc.identifier.urihttps://hdl.handle.net/20.500.12483/8794
dc.identifier.volume15en_US
dc.identifier.wosWOS:000268821300010en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherBaishideng Publishing Group Incen_US
dc.relation.ispartofWorld Journal of Gastroenterologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectCholangitisen_US
dc.subjectCholedocholithiasisen_US
dc.subjectEndoscopic retrograde cholangiopancreatographyen_US
dc.subjectJaundiceen_US
dc.subjectPregnancyen_US
dc.titleEndoscopic retrograde cholangiopancreatography during pregnancy without radiationen_US
dc.typeArticleen_US

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