The Relation between Post-Endoscopic Retrograde Cholangiopancreatography Pancreatitis and Different Cannulation Techniques: The Experience of a High-Volume Center from North-Eastern Romania.
| Title: | The Relation between Post-Endoscopic Retrograde Cholangiopancreatography Pancreatitis and Different Cannulation Techniques: The Experience of a High-Volume Center from North-Eastern Romania. |
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| Authors: | Chiriac, Stefan1,2 (AUTHOR) stanciucarol@yahoo.com, Sfarti, Catalin Victor1,2 (AUTHOR) cvsfarti@gmail.com, Stanciu, Carol2 (AUTHOR), Cojocariu, Camelia1,2 (AUTHOR) cvsfarti@gmail.com, Zenovia, Sebastian1,2 (AUTHOR) ancatrifan@yahoo.com, Nastasa, Robert1,2 (AUTHOR), Trifan, Anca1,2 (AUTHOR) |
| Source: | Life (2075-1729). Jun2023, Vol. 13 Issue 6, p1410. 12p. |
| Subject Terms: | *CATHETERIZATION, *ENDOSCOPIC retrograde cholangiopancreatography, *PANCREATITIS, *DATABASES |
| Geographic Terms: | ROMANIA, ERLANGEN (Germany) |
| Abstract: | Background: Despite numerous advances that have aimed to increase the safety of endoscopic retrograde cholangiopancreatography (ERCP), post-ERCP pancreatitis (PEP) still remains a major issue. We aimed to assess the rate of PEP as well as the relation to the cannulation techniques in our unit, a high-volume center in north-eastern Romania. Methods: ERCPs performed in our unit from March to August 2022 were retrospectively included. Data concerning demographic information, presence of difficult cannulation, the technique used for cannulation, as well as immediate complications, were gathered from the electronic database. Results: 233 ERCPs were included. PEP was diagnosed in 23 (9.9%) of cases. Precut sphincterotomy (PS), transpancreatic sphincterotomy (TPBS), and a combination of TPBS and PS were performed in 6.4%, 10.3%, and 1.7% of cases, respectively, while an Erlangen precut papillotomy was performed in one case. Both in patients with PS and TPBS the rate of PEP was 20%. When the two techniques were associated, the rate of PEP was 25%. TPBS and PS represented risk factors for PEP (OR 1.211 for a CI of 0.946–1.551, p = 0.041, and OR 1.124 for a CI of 0.928–1.361, p = 0.088, respectively). No PEP-associated deaths were found. Conclusions: Both PS and TPBS presented a similar risk of PEP. [ABSTRACT FROM AUTHOR] |
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| Items | – Name: Title Label: Title Group: Ti Data: The Relation between Post-Endoscopic Retrograde Cholangiopancreatography Pancreatitis and Different Cannulation Techniques: The Experience of a High-Volume Center from North-Eastern Romania. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Chiriac%2C+Stefan%22">Chiriac, Stefan</searchLink><relatesTo>1,2</relatesTo> (AUTHOR)<i> stanciucarol@yahoo.com</i><br /><searchLink fieldCode="AR" term="%22Sfarti%2C+Catalin+Victor%22">Sfarti, Catalin Victor</searchLink><relatesTo>1,2</relatesTo> (AUTHOR)<i> cvsfarti@gmail.com</i><br /><searchLink fieldCode="AR" term="%22Stanciu%2C+Carol%22">Stanciu, Carol</searchLink><relatesTo>2</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Cojocariu%2C+Camelia%22">Cojocariu, Camelia</searchLink><relatesTo>1,2</relatesTo> (AUTHOR)<i> cvsfarti@gmail.com</i><br /><searchLink fieldCode="AR" term="%22Zenovia%2C+Sebastian%22">Zenovia, Sebastian</searchLink><relatesTo>1,2</relatesTo> (AUTHOR)<i> ancatrifan@yahoo.com</i><br /><searchLink fieldCode="AR" term="%22Nastasa%2C+Robert%22">Nastasa, Robert</searchLink><relatesTo>1,2</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Trifan%2C+Anca%22">Trifan, Anca</searchLink><relatesTo>1,2</relatesTo> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Life+%282075-1729%29%22">Life (2075-1729)</searchLink>. Jun2023, Vol. 13 Issue 6, p1410. 12p. – Name: Subject Label: Subject Terms Group: Su Data: *<searchLink fieldCode="DE" term="%22CATHETERIZATION%22">CATHETERIZATION</searchLink><br />*<searchLink fieldCode="DE" term="%22ENDOSCOPIC+retrograde+cholangiopancreatography%22">ENDOSCOPIC retrograde cholangiopancreatography</searchLink><br />*<searchLink fieldCode="DE" term="%22PANCREATITIS%22">PANCREATITIS</searchLink><br />*<searchLink fieldCode="DE" term="%22DATABASES%22">DATABASES</searchLink> – Name: SubjectGeographic Label: Geographic Terms Group: Su Data: <searchLink fieldCode="DE" term="%22ROMANIA%22">ROMANIA</searchLink><br /><searchLink fieldCode="DE" term="%22ERLANGEN+%28Germany%29%22">ERLANGEN (Germany)</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Background: Despite numerous advances that have aimed to increase the safety of endoscopic retrograde cholangiopancreatography (ERCP), post-ERCP pancreatitis (PEP) still remains a major issue. We aimed to assess the rate of PEP as well as the relation to the cannulation techniques in our unit, a high-volume center in north-eastern Romania. Methods: ERCPs performed in our unit from March to August 2022 were retrospectively included. Data concerning demographic information, presence of difficult cannulation, the technique used for cannulation, as well as immediate complications, were gathered from the electronic database. Results: 233 ERCPs were included. PEP was diagnosed in 23 (9.9%) of cases. Precut sphincterotomy (PS), transpancreatic sphincterotomy (TPBS), and a combination of TPBS and PS were performed in 6.4%, 10.3%, and 1.7% of cases, respectively, while an Erlangen precut papillotomy was performed in one case. Both in patients with PS and TPBS the rate of PEP was 20%. When the two techniques were associated, the rate of PEP was 25%. TPBS and PS represented risk factors for PEP (OR 1.211 for a CI of 0.946–1.551, p = 0.041, and OR 1.124 for a CI of 0.928–1.361, p = 0.088, respectively). No PEP-associated deaths were found. Conclusions: Both PS and TPBS presented a similar risk of PEP. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Life (2075-1729) is the property of MDPI and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.3390/life13061410 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 12 StartPage: 1410 Subjects: – SubjectFull: ROMANIA Type: general – SubjectFull: ERLANGEN (Germany) Type: general – SubjectFull: CATHETERIZATION Type: general – SubjectFull: ENDOSCOPIC retrograde cholangiopancreatography Type: general – SubjectFull: PANCREATITIS Type: general – SubjectFull: DATABASES Type: general Titles: – TitleFull: The Relation between Post-Endoscopic Retrograde Cholangiopancreatography Pancreatitis and Different Cannulation Techniques: The Experience of a High-Volume Center from North-Eastern Romania. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Chiriac, Stefan – PersonEntity: Name: NameFull: Sfarti, Catalin Victor – PersonEntity: Name: NameFull: Stanciu, Carol – PersonEntity: Name: NameFull: Cojocariu, Camelia – PersonEntity: Name: NameFull: Zenovia, Sebastian – PersonEntity: Name: NameFull: Nastasa, Robert – PersonEntity: Name: NameFull: Trifan, Anca IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 06 Text: Jun2023 Type: published Y: 2023 Identifiers: – Type: issn-print Value: 20751729 Numbering: – Type: volume Value: 13 – Type: issue Value: 6 Titles: – TitleFull: Life (2075-1729) Type: main |
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