Practice of Endoscopic Retrograde Cholangiopancreatograghy in Kenyatta National Hospital

Abstract

Background: Endoscopic Retrograde Cholangiopancreatography has been a major evolution in the field of Gastroenterology for the management of pancreato – biliary disorders. It is now used primarily as a therapeutic tool due to the advent of less invasive imaging modalities. ERCPs have been done in Kenya for the last two decades, however, we do not have comprehensive published data for the same. Objectives: The primary objectives of this study are to describe the indications, findings, interventions performed and complications of ERCP done in Kenyatta National Hospital Endoscopy Unit and to document which pre-procedural imaging was done prior to the ERCP procedure. Study Design: Audit of Endoscopic Retrograde Cholangiopancreatography done at the Kenyatta National Hospital Endoscopy Unit. Setting: The study will be carried out in the Endoscopy Unit of Kenyatta National Hospital. Methodology and study period: All ERCPs performed between August, 2014 and December, 2019 fulfilling the inclusion criteria will be included in the study. Patient information will be retrieved from patient files and recorded in specified study pro – forma. Population: All ERCPs performed on patients at the KNH endoscopy Unit between August,2014 and December,2019 Data Management: Data will be entered and managed in Microsoft Access data base. At the end of data entry cleaning will be performed and the data exported into SPSS version 23.0 statistical software for analysis. Descriptive statistics will be used for demographic and clinical characteristics. ERCP indications, findings, interventions and complications will be summarized and presented as percentages with 95% confidence intervals. In addition, pre-procedural imaging done before ERCP procedure will be determined and presented as proportions of the studied population.