What is the risk of diagnostic endoscopic retrograde cholangiopancreatography before cholecystectomy

摘要: Many surgeons prefer to perform endoscopic retrograde cholangiopancreatography (ERCP) before cholecystectomy, specifically in patients at significant risk of having biliary pathology. However, a preoperative diagnostic ERCP, without the use an ultrasound or magnetic cholangiopancreatoscopy, remains controversial. This is result either performing unnecessary procedure and/or development post-ERCP pancreatitis (PEP). We performed retrospective review all surgeon-performed ERCPs our institution between July 2011 and May 2013. was done examine who had pericholecystectomy ERCP. 550 during this time period, 169 which were procedures. divided (Diagnostic group) from those known pathology intervention (Therapeutic group). As result, 34 (20.1%) placed Diagnostic group 135 (79.9%) Therapeutic group. Of patients, four (11.8%) developed PEP. Fifteen (44.1%) procedures, two PEP (2.9%). group, 18 (13.4%) Five 11 procedures Based on low incidence complications, ERCP has acceptable rate when highly selected cholecystectomy compared with undergoing therapeutic more aggressive imaging should be adopted given number performed.