Intubation;Difficult Clinical Trial
Official title:
If Different Types of Periampullary Diverticula Affect ERCP Cannulation?
To study the influence of different types of periampullary diverticulum(PAD) on ERCP difficult cannulation and postoperative complications.
Periampullary diverticula (PAD) are extraluminal out-pouching of the duodenum mucosa often
occurring within a radius of 2-3 cm from the ampulla of Vater or hepatopancreatic ampulla.
More PAD cases have been identified over recent years, and it's generally believed that up to
27% of elderly cases may have PAD. Several classifications of PAD have been proposed, and the
most commonly used distinguishes intraluminal and extraluminal diverticula. Recent studies
suggest that PAD is a risk factor for the development of bile duct diseases, and it may cause
endoscopic retrograde cholangiopancreatography (ERCP) procedures to fail, but some other
studies have come to the opposite conclusion.
During ERCP procedures, the investigators found that different types of PAD seem to have some
differences in the size of the diverticulum, difficulty in intubation, and complications. The
investigators plan to this retrospectively study collecting 4 years of cases to evaluate the
clinical features of different types of PAD in terms of difficult cannulation and
complications.
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