Surgical treatment of basket impaction, a rare complication of ERCP. Single centre experience

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Karabulut K., Gören İ.

Journal of Experimental and Clinical Medicine (Turkey), vol.39, no.3, pp.814-816, 2022 (Scopus) identifier

  • Publication Type: Article / Article
  • Volume: 39 Issue: 3
  • Publication Date: 2022
  • Doi Number: 10.52142/omujecm.39.3.42
  • Journal Name: Journal of Experimental and Clinical Medicine (Turkey)
  • Journal Indexes: Scopus, Academic Search Premier, EMBASE
  • Page Numbers: pp.814-816
  • Keywords: basket, biliary stone, endoscopic retrograde cholangiopancreatography, impaction, pancreatic stone, surgery
  • Ondokuz Mayıs University Affiliated: Yes

Abstract

Basket impaction is a rare complication of Endoscopic Retrograde Cholangiopancreatography (ERCP). This complication is usually treated nonoperatively. Surgery is required when non-operative methods fail. In this study, we retrospectively evaluated the results of five patients who underwent surgery for basket impaction between January 2017 and December 2021. The median mean age was 50 (21-82) years. Basket impaction was in the common bile duct in three patients and the pancreatic duct in two. There was no operative complication. Wound infection developed in one patient and evisceration in one in the postoperative period. The length of hospital stay was 10 (7-12) days. The overall morbidity rate was 33.3%. There was no postoperative mortality. Basket impaction can usually be treated with non-operative interventions. Surgical intervention should be preferred last.