Outcome of Carbon Dioxide Versus Air Insufflations During Endoscopic Retrograde Cholangiopancreatography (ERCP)

Asian Institute of Gastroenterology, India500 enrolled

Overview

To assess the safety and efficacy of CO2 insufflations during ERCP 1. Primary objective: To assess the patient's symptoms, abdominal pain and abdominal distension post procedure (ERCP) in the study group. 2. Secondary objective: Endoscopist: * To assess the adequacy of bowel distension for adequate luminal visualization * To assess the peristaltic movement during the ERCP Anesthetist: * To measure the PCO2 level in patient post procedure. * To assess the amount of sedation required during the procedure. * To assess saturation and vital signs through out the procedure. * To assess requirement of buscopan.

mentioned in complete

Study Type

OBSERVATIONAL

Enrollment

500

Conditions

Obstructive Jaundice

Eligibility

Sex: ALLMin age: 18 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * All consecutive adult patients referred for ERCP to AIG Hyderabad Exclusion Criteria: * Age \< 18 years old excluded from the study. * Patients with COPD. * Patients with poor ejection fractions and decompensated heart failure. * Patients with acute illness that require emergency ERCP and not fit for pre procedure and post procedure assessments. * Patients with recent endoscopic procedure within 24 hours. * Patient with history of recent surgery within 7 days of duration. * Pregnant patients. * Patients not keen to give consent for the study.

Locations (1)

Outcomes

Primary Outcomes

Patient comfort post ERCP

the pain score measures using Visual Analog scale (VAs - 1 to 10 cm scale )

Time frame: 1 hour

Secondary Outcomes

Abdominal distention prior and post ERCP

The abdominal girth was measured prior to patient shifted to ERCP table. The immdiately post ERCP the abdominal girth measured. A fixed point is marked at the umblical regiem to maintain the site of abdominal girth.

Time frame: 5 minutes