Does patient’s position count during Endoscopic Retrograde Cholangio-pancreatography? Left lateral decubitus versus prone position

Objective: To compare the efficacy and safety of left lateral decubitus versus prone position during endoscopic retrograde cholangio-pancreaticography (ERCP).
 Methods: This prospective single-centre cohort study was carried out at Pak Emirates Military Hospital from January to June 2021. Patients requiring ERCP were subsequently allotted LL or PP group randomly (unequal randomization) except patients with recent abdominal surgery, in-dwelling catheters, raised intra-abdominal pressure, cervical spine abnormalities limb contractures. Qualitative data analysed using frequencies chi square statistics whereas, quantitative mean±SD student T Mann Whitney U-test.
 Results: A total 114 enrolled according inclusion criteria 62(54%) males majority (42%) belonging age 31-45 years. The most common indication choledocholithiasis (36%). Technical success achieved in 109(96%) no statistically significant difference between two groups. time procedure, for deep cannulation, acquiring therapeutic goal complexity level all similar rate inadvertent PD cannulation PEP relatively higher but non-significant through univariate logistic regression analyses only outcome measure that showed significance multiple cannulations group.
 Conclusion: concludes is non-inferior both positions have comparable outcomes differences terms technical rate, complications (specifically PEP), procedure time, required attainment goal, cannulation.
 doi: https://doi.org/10.12669/pjms.39.5.6932
 How cite this: Alam L, Khan RSA, Saeed F, Sher RZA. Does patient’s count Endoscopic Retrograde Cholangiopancreatography? Left position. J Med Sci. 2023;39(5):---------. an Open Access article distributed under Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, reproduction any medium, provided original work properly cited.