Original articleClinical endoscopySafety and utility of ERCP during pregnancy
Section snippets
Patients
This retrospective study was conducted over a 6-year period (September 2000 to September 2006) in the endoscopy unit at PMH. Through computerized diagnostic codes entered on discharge, we identified all consecutive pregnant patients who underwent ERCP and the annual birthing data during the same study period. A computerized database was established in 2000 at PMH. The patient history, hospital course, ERCP complications and outcomes, delivery, and fetal outcomes were retrieved through chart
Study patients
During the study period, 68 ERCPs were performed in 65 pregnant women with 45.6% (31/68) of the ERCPs performed during the third trimester of pregnancy (Table 1). At PMH, the annual numbers of births were as follows: 16,504 (2001), 15,677 (2002), 15,549 (2003), 16,223 (2004), 15,972 (2005), and 16,307 (2006), and there were 96,232 deliveries during the study period (Fig. 1). The calculated rate of ERCP in pregnancy is one per 1415 births. Patients of Hispanic ethnicity composed 85% (55/65) of
Discussion
In this report, we have detailed our experience with ERCP in pregnancy since 2000. The rate of ERCP in pregnancy in current series (1/1415 deliveries) appears to be higher than that reported in some studies. This may be a result of more aggressive use of therapeutic ERCP in pregnancy, such as to perform biliary sphincterotomy. Other explanations include an increased incidence of gallstones and choledocholithiasis in our patient populations or more aggressive disease. In some reports, biliary
Acknowledgments
We thank Dr Kenneth Leveno for his review of the manuscript and the PMH staff who contributed to the care of these patients.
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DISCLOSURE: All authors disclosed no financial relationships relevant to this publication.
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