Risk factors for therapeutic ERCP-related complications: an analysis of 2,715 cases performed by a single endoscopist

Autor: Panagiotis, Katsinelos, Georgia, Lazaraki, Grigoris, Chatzimavroudis, Stergios, Gkagkalis, Ioannis, Vasiliadis, Apostolos, Papaeuthimiou, Sotiris, Terzoudis, Ioannis, Pilpilidis, Christos, Zavos, Jannis, Kountouras
Rok vydání: 2013
Předmět:
Zdroj: Annals of Gastroenterology
ISSN: 1108-7471
Popis: Background Endoscopic retrograde cholangiopancreatography (ERCP) is now the exclusive endoscopic therapeutic modality for biliary as well as pancreatic diseases. The aim of the present study was to investigate patient- and procedure-related risk factors for post-ERCP complications in a large-scale study of procedures performed by a single experienced endoscopist. Methods This is a retrospective cohort study which included a total of 2,715 therapeutic ERCPs enrolled in the final analysis. Potential important patient- and procedure-related risk factors for overall post-ERCP complications, pancreatitis and post-endoscopic sphincterotomy (ES) bleeding were investigated by univariate and multivariate analyses. Results Following the first therapeutic ERCP, 327 patients suffered complications; pancreatitis was observed in 132 (4.9%) patients, hemorrhage in 122 (4.5%) patients, cholangitis in 63 (2.3%) patients, perforation in 3 (0.11%) patients, and basket impaction in 7 (0.26%) patients. History of acute pancreatitis was more common in patients with post-ERCP complications (P
Databáze: OpenAIRE