Prevalence and Risk Factors of Gallbladder Polyp in Healthy Population

A), and 66 on separate days (group B), within a median time from EUS to ERCP of 7 days (range 2-210).Group A was significantly younger than group B (59.9±17.4vs 67.7±15.6,p<0.01, respectively).No difference was noted between groups A and B as for gender ratio-47.5%Vs 50% men respectively, gallbladder status-22% Vs 33% post-cholecystectomy respectively , common bile duct diameter and presence of peri-ampullary diverticulum (table 1).Indications for EUS were similar in groups A and B: abdominal pain and elevate liver function tests (LFT's)-48.4% Vs 44.2% respectively, cholangitis-10.9%each, acute pancreatitis-11.1% Vs 9.8% respectively.As for ERCP complications, no difference was noted between groups A and B: Pancreatitis-0% Vs 6.1%, respectively, all mild but one who died, post sphincterotomy bleeding-11.9%Vs 7.6% respectively, all minor, managed with balloon pressure or Adrenalin injection.Repeat cannulation of pancreatic duct-8.5% Vs 6.1% respectively.One patient in each group required surgical stone extraction, and two patients in group B needed 2 ERCP sessions to extract the stones.7.5% patients in group B developed acute cholangitis while awaiting ERCP (80 % of them up to 21 days between EUS and ERCP) compared to none in group A. Conclusion: Same day ERCP and EUS for EUS documented choledocholithiasis eliminates the risk of stone passage and associated complications, especially cholangitis.It does not increase procedural risk and may lower treatment cost.Table 1-groups characteristics