The Prevalence of the Results of ERCP and Comparison with Primary Diagnose

Document Type : Original Article (s)

Authors

1 Associate Professor, Department of Internal Medicine, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.

2 Medical Student, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

Abstract

Background: ERCP is very useful Method in diagnose and treatment of jaundice and obscure abdominal pain. In this study patients who had hospitalised due to jaundice and obscure abdominal pain and very different examination had been performed for them, were studied for terminal diagnose using ERCP.Methods: Patients’ records of 100 patients who ERCP had been done for them during 1382-1389 were investigated. All available information including history, lab data and physical exams as well as paraclinical findings at the time of ERCP were collected.Finding: Our findings indicates that 47% were diagnosed as stone, 27% as normal, 9% as cholangiocarcinoma, 4% as adenocarcinoma of papilla, 6% cancer of head of  pancreas and 7% as other. Among those who primary diagnosis was cholestatic jaundice, 51% stone, 15.8% cholangiocarcinoma, 12.2% normal, 5.2% adenocarcinoma of papilla, b.7% cancer of head of  pancreas and 7% others were diagnosed using ERCP. This figures for patient with primary diagnosis of right upper quadrane pain was 66.7% normal, 25% stone and 8.3% pancreatic cancer.Conclusion: It seems that stone is the most common cause of jaundice and obscure abdominal pain. The most prevalent final diagnosis for those with primary diagnosis of cholestatic jaundice was stone and cholangiocarcinoma afterwards.

Keywords

References

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Journal of Isfahan Medical School
Volume 28, Issue 119 - Serial Number 119
November and December 2011
Pages 1390-1395

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History

  • Receive Date: 19 March 2011
  • Revise Date: 01 November 2024
  • Accept Date: 06 April 2022

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