Abstract:
INTRODUCTION
Endoscopic management of hepatobiliary conditions is becoming increasingly important. This includes the use of endoscopic retrograde pancreatography (ERCP) and endoscopic ultrasound. The objective of this retrospective review was to report on the utilisation and outcomes of Endoscopic Retrograde Cholangiopancreatography. These include the success rate, incidence and risk factors for procedure-related complications and outcomes in Mater Misericordiae Hospital, Nairobi, for the first 122 cases since the introduction of ERCP, from August 2023 to January 2025.
METHODOLOGY
This is a retrospective review of records made before, during and after ERCP procedures between October 2023 and January 2025. Data on the clinical status of patients before the procedure, the procedure conducted, complications and patient treatment outcomes after 48 hours and at two weeks following the procedure were abstracted using a standardised tool. Statistical significance was set at p<0.05 and confidence interval at 95%.
RESULTS
Records for 122 patients were recovered. There was a male-to-female ratio of 1:1.39, where males were 51 and females 71. The mean age was 51.38 years, with the mean age for males as 54.67 years and 49.01 years for females. The procedure success rate was 95%, while reported complications were less than 5%. Biliary duct strictures were the most common condition observed, and most patients with this condition were older than 50 years. The average time taken for the procedures was 64.79 minutes (SD±37.11), with a minimum of 25 minutes and a maximum of 220 minutes.
CONCLUSIONS
These findings report early outcomes from the first 122 Endoscopic Retrograde Cholangiopancreatography (ERCP) procedures conducted at the Mater Misericordiae Hospital in Nairobi, Kenya. A procedural success rate of 95% was achieved, with complication rates reported at under 5%. Biliary duct strictures were the most common indication, particularly among patients over 50 years. The findings reflect safe and effective service initiation at the facility, within the study period.
