Risk factors for post-ERCP complications.

IF 1.5 4区医学 Q2 MEDICINE, GENERAL & INTERNAL Bratislava Medical Journal-Bratislavske Lekarske Listy Pub Date : 2024-01-01 DOI:10.4149/BLL_2024_85

Veronika Roskovicova, Jana Katuchova, Natalia Madarova, Marek Lenart, Milos Kicka, Tomas Gajdzik, Milos Knazovicky, Eduard Veseliny, Jozef Radonak

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Abstract

Background: In the 21st century, endoscopic retrograde cholangiopancreatography (ERCP) has emerged as a diagnostic and therapeutic method for diseases of the pancreaticobiliary duct system. However, like any other diagnostic and therapeutic method, ERCP carries the risk of unwanted complications.

Material and methods: We retrospectively followed patients who underwent ERCP examinations from January 2013 to April 2023. We focused on early post-ERCP complications and their risk factors, prevention, treatment, and mortality.

Results: A total of 4,814 patients were recorded, of which 175 patients had early post-ERCP complications, including acute pancreatitis, acute cholangitis, perforation, and bleeding. We focused on the statistical significance of risk factors such as BMI, repeated ERCP, bleeding disorders, and repeated pancreatitis or cholangitis.

Conclusion: Ensuring proper preparation and appropriate indication for ERCP examination can significantly mitigate the risk of post-ERCP complications. Additionally, early diagnosis and prompt treatment of any post-ERCP complications are essential strategies for reducing mortality associated with these conditions (Tab. 3, Fig. 3, Ref. 32). Text in PDF www.elis.sk Keywords: post-ERCP complication, risk factor, BMI, prevention.

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ERCP术后并发症的风险因素。

背景：在 21 世纪，内镜逆行胰胆管造影术（ERCP）已成为胰胆管系统疾病的诊断和治疗方法。然而，与其他诊断和治疗方法一样，ERCP 也有可能引起不必要的并发症：我们对 2013 年 1 月至 2023 年 4 月期间接受 ERCP 检查的患者进行了回顾性随访。我们重点研究了ERCP术后早期并发症及其风险因素、预防、治疗和死亡率：共记录了 4,814 例患者，其中 175 例患者出现了 ERCP 术后早期并发症，包括急性胰腺炎、急性胆管炎、穿孔和出血。我们重点研究了体重指数、重复ERCP、出血性疾病、重复胰腺炎或胆管炎等风险因素的统计学意义：结论：确保ERCP检查准备充分、适应症恰当，可大大降低ERCP术后并发症的风险。此外，早期诊断和及时治疗ERCP术后并发症是降低这些疾病相关死亡率的重要策略（表3，图3，参考文献32）。Text in PDF www.elis.sk 关键词：ERCP 术后并发症、风险因素、体重指数、预防。

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来源期刊

Bratislava Medical Journal-Bratislavske Lekarske Listy 医学-医学：内科

CiteScore

2.60

自引率

0.00%

发文量

185

审稿时长

3-8 weeks

期刊介绍： The international biomedical journal - Bratislava Medical Journal – Bratislavske lekarske listy (Bratisl Lek Listy/Bratisl Med J) publishes peer-reviewed articles on all aspects of biomedical sciences, including experimental investigations with clear clinical relevance, original clinical studies and review articles.