Surgical treatment of basket impaction, a rare complication of ERCP. Single centre experience

Basket impaction is a rare complication of Endoscopic Retrograde Cholangiopancreatography (ERCP). This complication is usually treated non- operatively. Surgery is required when non-operative methods fail. In this study, we retrospectively evaluated the results of five patients who underwent surgery for basket impaction between January 2017 and December 2021. The median mean age was 50 (21-82) years. Basket impaction was in the common bile duct in three patients and the pancreatic duct in two. There was no operative complication. Wound infection developed in one patient and evisceration in one in the postoperative period. The length of hospital stay was 10 (7-12) days. The overall morbidity rate was 33.3%. There was no postoperative mortality. Basket impaction can usually be treated with non-operative interventions. Surgical intervention should be preferred last.