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Korean J Pancreas Biliary Tract > Volume 2(2):1997 > Article
The Korean Journal of Pancreas and Biliary Tract 1997;2(2):148-154.
외래환자에서 내시경적 역행성 담췌관조영술 시술의 안정성
엄중식, 김창덕, 이홍식, 김광희, 이정환, 진윤태, 이상우, 류호상, 현진해
고려대학교 의과대학 내과학교실
Safety of Endoscopic Retrograde Cholangiopancreatography in Outpatients
Joong Sik Aum, Chang Duck Kim, Hong Sik Lee, Kwang Hee Kim, Jung Whan Lee, Yoon Tae Jeen, Sang Woo Lee, Ho Sang Ryu, Jin Hai Hyun
Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea
Corresponding author:  Chang Duck Kim,
ERCP is an important diagnostic and therapeutic method in biliary and pancreatic diseases. Patients have been routinely admitted for prevention of potential complications after ERCP. Recently, development in endoscopic technique and instruments has improved successful procedure with few complications, so outpatient ERCP is considerable under certain conditions. We evaluated the safety of diagnostic ERCP in outpatients.
500 cases who had been undergone outpatient ERCP between June, 1994 and August, 1996 were retrospectively investigated. Patients were selected by ASA (American society of anesthesiologists) classification-class I and II. And then, comparison of success rate and complications between outpatient and inpatient ERCP group(1244 cases, from January, 1987 to August 1991) was done.
The success rate of cannulation in outpatient group and inpatient group was 89.8% (n=449) and 91.5% (n=1138), respectively. The complication rate was 1.0% in outpatient group and 2.2% in inpatient group. There was no significant statistical difference in the success rate and the complication rate between outpatient and inpatient group. There is no procedure-related mortality.
A policy of selected diagnostic ERCP in outpatient appears to be safe.
Keywords: ERCP, Outpatient
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