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- W2894940542 abstract "Introduction: Post-ERCP pancreatitis (PEP) remains the most serious complication after ERCP . PEP was defined as new or worsened abdominal pain together with a serum amylase level at least three times normal at more than 24 h after ERCP and necessitating hospitalization for more than one night. The aim of this study is to detect risk factors for (PEP) and investigate the predictors of its severity. Methods: This is a prospective cohort study of all patients who underwent ERCP between August 2012 and September 2014. Pre-ERCP data, intraoperative data, and post-ERCP data were collected. Results: The study population consisted of 996 patients. Their mean age at presentation was 58.42 (± 14.72) years, and there were 454 male and 442 female patients. PEP occurred in 102 (10.2%) patients; eighty (78.4%) cases were of mild to moderate degree, while severe pancreatitis occurred in 22 (21.6%) patients. No hospital mortality was reported for any of PEP patients during the study duration. Age less than 35 years (P = 0.001, OR = 0.035), narrower common bile duct (CBD) diameter (P = 0.0001) and increased number of pancreatic cannulations (P = 0.0001) were independent risk factors for the occurrence of PEP. Conclusion: PEP is the most frequent and devastating complication after ERCP. PEP is associated with higher morbidity and mortality beside its effect in increasing the consumption of hospital resources. Age less than 35 years, narrower median CBD diameter and increased number of pancreatic cannulations are independent risk factors for the occurrence of PEP." @default.
- W2894940542 created "2018-10-12" @default.
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- W2894940542 date "2018-09-01" @default.
- W2894940542 modified "2023-10-16" @default.
- W2894940542 title "Post-endoscopic retrograde cholangiopancreatography pancreatitis: morbidity and risk factors" @default.
- W2894940542 doi "https://doi.org/10.1016/j.hpb.2018.06.1884" @default.
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