Study for the risk factor of post-ERCP pancreatitis

• Ukita Takeo

  Department of Internal Medicine, Division of Gastroenterology, Toho University, Ohashi Medical Center

• Tada Tomoko

  Department of Internal Medicine, Division of Gastroenterology, Toho University, Ohashi Medical Center

• Ikeda Masaki

  Department of Internal Medicine, Division of Gastroenterology, Toho University, Ohashi Medical Center

• Shigoka Hiroaki

  Department of Internal Medicine, Division of Gastroenterology, Toho University, Ohashi Medical Center

• Endo Takuro

  Department of Internal Medicine, Division of Gastroenterology, Toho University, Ohashi Medical Center

• Omuta Shigefumi

  Department of Internal Medicine, Division of Gastroenterology, Toho University, Ohashi Medical Center

• Maetani Iruru

  Department of Internal Medicine, Division of Gastroenterology, Toho University, Ohashi Medical Center

Bibliographic Information

Other Title

• ERCP後膵炎の危険因子に関する検討

Abstract

Any consensus has not been established in Japan regarding risk factors for post-ERCP pancreatitis. Therefore, to evaluate factors that stimulate the papilla, total operation time, was studied along with other factors previously reported. Among patients who underwent ERCP between August,2003 and May,2006,629 patients (average age of 65.5 years old and male: female ratio of 1.4: 1.0) were studied. The total incidence rate of post-ERCP pancreatitis was 4.1%. The patients were divided into two groups and compared: 1) those that“developed”and 2) those that“did not develop”pancreatitis. No differences were detected in the two groups for age, male: female ratio, common bile duct diameter, and main pancreatic duct diameter. The following parameters were significantly greater in the“developed”group: operation time: 47.5 vs.29.4 minutes; and imaging rate of pancreatic duct: 85.2% vs.63.5%. The time until deep insertion showed a longer tendency in the“developed”group: 17.4vs.8.7 minutes. These data suggest that operation time and imaging rate of the pancreatic duct are risk factors for post-ERCP pancreatitis.

Journal

• Tando

  Tando 21 (5), 617-622, 2007

  Japan Biliary Association

Keywords

• post-ERCP pancreatitis
• endoscopy
• complication

Details

• CRID: 1390282680442274688
• NII Article ID: 10021276108
• NII Book ID: AN10062001
• DOI: 10.11210/tando1987.21.5_617
• ISSN: 09140077
• Web Site: https://search.jamas.or.jp/link/ui/2008159605
• Text Lang: ja
• Data Source:
  • JaLC
  • CiNii Articles
• Abstract License Flag: Disallowed