ISSN 0303-5212
 
2026, Vol: 51, Issue: 2
51 / 2Current Issue Online FirstArchiveAims and ScopeAbstracting & IndexingMost Accessed ArticlesMost Downloaded ArticlesMost Cited Articles
Required files to be uploaded

Author_Certificate-old
Bank Reciept

Original Research 


Endoscopic management of post-cholecystectomy complications: Experience of Endoscopic Retrograde Cholangioprancreaticography (ERCP) at a tertiary care referral center

Arif Amir Nawaz, Shahid Sarwar, Khubaib Shahid, Waqas Iqbal, Atiqa Batul M, Salwa Hussain, Zarmeena Aly.


Abstract
Objectives
To study the the short and long term role of ERCP in management of patients with post-cholecystectomy complications.
Patients and Methods
Patients with post-cholecystectomy complications including abdominal distension, fever, and jaundice were included. All underwent ERCP followed by therapeutic intervention, as was indicated. They were followed for up to six months to assess the effectiveness of intervention, any procedure related complication and morbidity/ mortality.
Results
Total of 59 patients with female to male ratio 3.92 (47/12) were included with majority in 20-60 years age group. Jaundice, abdominal pain and abdominal distension were major symptoms. Predominant post-cholecystectomy complications included were choloedocholithiasis in 16 (27%), Biliary leak in 16 (27%), biliary stricture in 11 (19%) patients and CBD ligation in 9 (15%) patients. Endoscopic CBD stone extraction was possible in 14/16 patients (88%) of choledocholithiasis, while sphincterotomy with or without stenting was done in 13(81%) patients with biliary leak. Dilatation and stenting was possible in 6/11(55%) patients with biliary channel stricture while none of the 9 patients with CBD ligation was amenable to endoscopic therapy. Long-term follow-up in 25 patients revealed highly successful outcome of endoscopic therapy.
Conclusion
Retained CBD stones, biliary leaks, biliary strictures and CBD ligation were predominant post-cholecystectomy complications and ERCP was an effective mode of treatment for them with good long term outcome except for complete CBD ligation and to some extent CBD strictures. (Rawal Med J 2011;36:79-82).

Key words: Biliary fistula, biliary stricture, ERCP, post-cholecystectomy.


 
ARTICLE TOOLS
Abstract
PDF Fulltext
How to cite this articleHow to cite this article
Citation Tools
Related Records
 Articles by Arif Amir Nawaz
Articles by Shahid Sarwar
Articles by Khubaib Shahid
Articles by Waqas Iqbal
Articles by Atiqa Batul M
Articles by Salwa Hussain
Articles by Zarmeena Aly
on Google
on Google Scholar

How to Cite this Article
Pubmed Style

Nawaz AA, Sarwar S, Shahid K, Iqbal W, M AB, Hussain S, Aly Z. Endoscopic management of post-cholecystectomy complications: Experience of Endoscopic Retrograde Cholangioprancreaticography (ERCP) at a tertiary care referral center . RMJ. 2011; 36(2): 79-82.

Web Style

Nawaz AA, Sarwar S, Shahid K, Iqbal W, M AB, Hussain S, Aly Z. Endoscopic management of post-cholecystectomy complications: Experience of Endoscopic Retrograde Cholangioprancreaticography (ERCP) at a tertiary care referral center . https://www.rmj.org.pk/?mno=7878 [Access: June 27, 2026].

AMA (American Medical Association) Style

Nawaz AA, Sarwar S, Shahid K, Iqbal W, M AB, Hussain S, Aly Z. Endoscopic management of post-cholecystectomy complications: Experience of Endoscopic Retrograde Cholangioprancreaticography (ERCP) at a tertiary care referral center . RMJ. 2011; 36(2): 79-82.


Vancouver/ICMJE Style

Nawaz AA, Sarwar S, Shahid K, Iqbal W, M AB, Hussain S, Aly Z. Endoscopic management of post-cholecystectomy complications: Experience of Endoscopic Retrograde Cholangioprancreaticography (ERCP) at a tertiary care referral center . RMJ. (2011), [cited June 27, 2026]; 36(2): 79-82.


Harvard Style

Nawaz, A. A., Sarwar, . S., Shahid, . K., Iqbal, . W., M, . A. B., Hussain, . S. & Aly, . Z. (2011) Endoscopic management of post-cholecystectomy complications: Experience of Endoscopic Retrograde Cholangioprancreaticography (ERCP) at a tertiary care referral center . RMJ, 36 (2), 79-82.


Turabian Style

Nawaz, Arif Amir, Shahid Sarwar, Khubaib Shahid, Waqas Iqbal, Atiqa Batul M, Salwa Hussain, and Zarmeena Aly. 2011. Endoscopic management of post-cholecystectomy complications: Experience of Endoscopic Retrograde Cholangioprancreaticography (ERCP) at a tertiary care referral center . Rawal Medical Journal, 36 (2), 79-82.


Chicago Style

Nawaz, Arif Amir, Shahid Sarwar, Khubaib Shahid, Waqas Iqbal, Atiqa Batul M, Salwa Hussain, and Zarmeena Aly. "Endoscopic management of post-cholecystectomy complications: Experience of Endoscopic Retrograde Cholangioprancreaticography (ERCP) at a tertiary care referral center ." Rawal Medical Journal 36 (2011), 79-82.


MLA (The Modern Language Association) Style

Nawaz, Arif Amir, Shahid Sarwar, Khubaib Shahid, Waqas Iqbal, Atiqa Batul M, Salwa Hussain, and Zarmeena Aly. "Endoscopic management of post-cholecystectomy complications: Experience of Endoscopic Retrograde Cholangioprancreaticography (ERCP) at a tertiary care referral center ." Rawal Medical Journal 36.2 (2011), 79-82. Print.


APA (American Psychological Association) Style

Nawaz, A. A., Sarwar, . S., Shahid, . K., Iqbal, . W., M, . A. B., Hussain, . S. & Aly, . Z. (2011) Endoscopic management of post-cholecystectomy complications: Experience of Endoscopic Retrograde Cholangioprancreaticography (ERCP) at a tertiary care referral center . Rawal Medical Journal, 36 (2), 79-82.


Author LoginReviewer LoginEditorial PoliciesConflict of Interest PolicyPlagiarism PolicyAdvertising Policy

About Rawal Medical Journal

Publication, subscription and Editorial office PMA House G/220-B Liaquat Road, Rawalpindi. Phone: 051-555-9812, Fax: 051-553-7088 Email: drnkhokhar@ya ... Read more.



For best results, please use Internet Explorer or Google Chrome.

Contact Information