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Risk Factors for Post-Endoscopic Retrograde Pancreatography Pancreatitis: A Retrospective Chart Review in a Regional Hospital in Japan

発表形態:
原著論文
主要業績:
主要業績
単著・共著:
共著
発表年月:
2020年09月
DOI:
10.1159/000501309
会議属性:
指定なし
査読:
有り
リンク情報:

日本語フィールド

著者:
○Takuya Shimamura, Koichi Miyahara, Ayako Takamori, Hidenori Hidaka, Yoichiro Ito, Shun Fujimoto, Hironobu Takedomi, Nanae Tsuruoka, Yasuhisa Sakata, Yuichiro Eguchi, Koichi Node, Takahiro Noda, Kazuma Fujimoto
題名:
Risk Factors for Post-Endoscopic Retrograde Pancreatography Pancreatitis: A Retrospective Chart Review in a Regional Hospital in Japan
発表情報:
Digestion 巻: 101 号: 5 ページ: 557-562 (Epub 2019 Sep 5.)
キーワード:
概要:
Background: Endoscopic retrograde pancreatography (ERCP) is sometimes complicated by post-ERCP pancreatitis (PEP), which is a severe adverse effect. Objective: The present study was performed to (i) evaluate the risk factors for PEP and (ii) compare the risk of PEP after ERCP performed in the off hours versus regular hours. Methods: This retrospective study included 374 patients who underwent ERCP from January 2013 to December 2017. Among these patients, 38 (10.2%) developed PEP. The potential risk factors for PEP were evaluated by multivariate regression analysis, and the risk of PEP was compared between ERCP performed during regular hours and off hours. Results: The independent risk factors for PEP were a relatively younger age (<75 years; p = 0.024), female sex (p = 0.002), a history of pancreatitis (p = 0.044), and performance of pancreatography (p = 0.010). Use of a diclofenac suppository and performance of pancreatic stenting were not preventive for PEP after ERCP. The complication rate of PEP did not differ between ERCP performed during the off hours versus regular hours. Conclusions: A relatively younger age (<75 years), female sex, a history of pancreatitis, and performance of pancreatography were potential risk factors for PEP, whereas the risk of PEP was not different between ERCP performed during the off hours versus regular hours.
抄録:

英語フィールド

Author:
○Takuya Shimamura, Koichi Miyahara, Ayako Takamori, Hidenori Hidaka, Yoichiro Ito, Shun Fujimoto, Hironobu Takedomi, Nanae Tsuruoka, Yasuhisa Sakata, Yuichiro Eguchi, Koichi Node, Takahiro Noda, Kazuma Fujimoto
Title:
Risk Factors for Post-Endoscopic Retrograde Pancreatography Pancreatitis: A Retrospective Chart Review in a Regional Hospital in Japan
Announcement information:
Digestion Vol: 101 Issue: 5 Page: 557-562 (Epub 2019 Sep 5.)
An abstract:
Background: Endoscopic retrograde pancreatography (ERCP) is sometimes complicated by post-ERCP pancreatitis (PEP), which is a severe adverse effect. Objective: The present study was performed to (i) evaluate the risk factors for PEP and (ii) compare the risk of PEP after ERCP performed in the off hours versus regular hours. Methods: This retrospective study included 374 patients who underwent ERCP from January 2013 to December 2017. Among these patients, 38 (10.2%) developed PEP. The potential risk factors for PEP were evaluated by multivariate regression analysis, and the risk of PEP was compared between ERCP performed during regular hours and off hours. Results: The independent risk factors for PEP were a relatively younger age (<75 years; p = 0.024), female sex (p = 0.002), a history of pancreatitis (p = 0.044), and performance of pancreatography (p = 0.010). Use of a diclofenac suppository and performance of pancreatic stenting were not preventive for PEP after ERCP. The complication rate of PEP did not differ between ERCP performed during the off hours versus regular hours. Conclusions: A relatively younger age (<75 years), female sex, a history of pancreatitis, and performance of pancreatography were potential risk factors for PEP, whereas the risk of PEP was not different between ERCP performed during the off hours versus regular hours.


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