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Publication Type
Journal Article
Author, Analytic
Cawich, Shamir O.; Arthurs, Milton; Plummer, Joseph; Harding, Hyacinth; Crandon, Ivor W.; Williams, Eric
Author Affiliation, Ana.
n/a
Article Title
Validating endoscopic retrograde cholangiopancreatography in Jamaica: A retrospective audit
Medium Designator
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Connective Phrase
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Journal Title
The Internet Journal of Surgery
Translated Title
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Reprint Status
Refereed
Date of Publication
2008
Volume ID
16
Issue ID
1
Page(s)
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Language
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Connective Phrase
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Location/URL
http:; www.ispub.com/journal/the-internet-journal-of-surgery/volume-16-number-1/validating-endoscopic-retrograde-cholangiopancreatography-in-jamaica-a-retrospective-audit.html
ISSN
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Notes
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Abstract
During the first 36 months after its introduction to Jamaica, ERCP was performed with relatively high overall morbidity and poor therapeutic success. We sought to evaluate outcomes after eight years of experience with ERCP at a tertiary level hospital in Jamaica. All consecutive patients who had ERCP performed between March 1999 and March 2007 were identified from an operative log. Their hospital records were retrospectively analyzed. There were 369 procedures performed over the study period, but the final analysis was performed on 301 patients who met the inclusion criteria. There were 79 males and 222 females, with a mean age of 45.0 years (SD +/-18.6; range 14-94). There has been a reduction in the incidence of post-ERCP pancreatitis (5.3% vs. 10%) and overall morbidity (24/301; 7.97% vs. 12.5%). The commoner complications included pancreatitis (16/301; 5.32%), ascending cholangitis (8/301; 2.66%), perforation (0) and hemorrhage (0). There were 4/301 (1.33%) deaths directly resulting from an ERCP complication (ascending cholangitis in 3; multiple organ failure from severe pancreatitis in 1). There has also been improvement in the success of stone clearance from the common bile ducts (55/72; 76.39%) and biliary stenting (32/36; 88.89%). Currently, local endoscopists are performing ERCP with acceptable morbidity and mortality compared to international standards.....
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