Abstract
Prediction of ERCP Success Using the ASGE Grading System in Adults who underwent ERCP: A Retrospective Cohort Study
Ramon Paolo Abiera, MD1 and Franz Jeryl Liangco, MD1; Nicole Allyson Chua, MD2; Ryge Molina, MD2; Leonico Gonzales, MD2; Ismael A. Lapus Jr., MD, FPCP, FPSG, FPSDE1,
1Department of Internal Medicine, Cardinal Santos Medical Center
2Section of Gastroenterology, Cardinal Santos Medical Center
Background: Endoscopic Retrograde Pancreatography (ERCP) has developed over the years as both a diagnostic and therapeutic procedure. The American Society for Gastrointestinal Endoscopy (ASGE) has developed a grading system for ERCP in predicting the cannulation success and perforation rates in ERCP. Our study aims to assess whether using the ASGE grading system can be utilized to help in predicting development of post-ERCP complications in the local setting.
Methodology: This is a single center, retrospective cohort study that was conducted at Cardinal Santos Medical Center in San Juan, Metro Manila, Philippines. Patients that underwent ERCP between January 2021 and September 2022 were included. Procedural difficulty was graded according to the grading system proposed by the ASGE workshop. Technical success rates and complications were recorded.
Results: A total of 196 patients who underwent ERCP were included in this study. Patients were divided based on their ASGE grade. 63 cases were grade 1 (33%), 85 cases were grade 2 (44%), 42 cases were grade 3 (22%), and 2 cases were grade 4 (1%). Complications were recorded in 13% of all cases with post-ERCP pancreatitis (7.3%) and bleeding (5.2%) being the more common ones. No statistically significant difference was noted between the groups with regard to complications.
Conclusion: The ASGE grading system is a useful tool in predicting the success rate of ERCP, however, it might not be recommended to be applied in our local setting. It is also not recommended in predicting post-ERCP complications based on our study.
Keywords: Endoscopic Retrograde Pancreatography, American Society for Gastrointestinal Endoscopy, Post-ERCP Complications
Important Dates to Remember
| JRRE Activities 2023-2024 |
Proposed Dates |
|---|---|
| Resumption of face-to-face Evidence-Based Medicine Workshop Venue to be announced once finalized. |
July 21, 2023 (Friday), 1-5pm |
| Monthly Critical Appraisal of Topics Conferences to be gaciliated by Research Coordinators per Institution | Monthly Critical Appraisal of Topics Conferences per Institution |
| CAT Plenary/Liver Con Dates: September 23, 2023 December 16, 2023 March 2024 (During the JAC) Resumption of face-to-face Quarterly Critical Appraisal of Topics facilitated by the JRRE |
2 Clinical scenarios and articles are to be sent to institutions each on August 2023, November 2023, and February 2024; |
| Hybrid Research Workshop 4 week asynchronous via Moodle, followed by a 1 day on-site Onsite Workshop Research Protocol Presentation for Level I GI Fellows-In-Training - Research Protocol Presentation: August 12, 2023 - Research Forums of the Tripartite Societies |
Week 1: July 15-21, 2023 Week 2: July 22-28, 2023 Week 3: July 29-August 4, 2023 Week 4: August 5-11, 2023 |
| Research Manuscript Workshop for level II GI Fellows-In-Training | January 6, 2024 |