Comparison of the results of early and elective endoscopic retrograde cholangiopancreatography in patients with mild cholangitis

Rasim Eren Cankurtaran; Osman Ersoy

Makale detayları

Comparison of the results of early and elective endoscopic retrograde cholangiopancreatography in patients with mild cholangitis

Yazarlar:

Rasim Eren Cankurtaran | Osman Ersoy

Yayıncı:

MediHealth Academy Yayıncılık

Ana Başlıklar:

Gastroenteroloji ve Hepatoloji

Dergi:

Journal of Medicine and Palliative Care Vol.5 Issue 2, pp.112-117

Belge Tipi:

Makale

Yayın Tarihi:

4/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001316666

pISSN:

2717-7505

Anahtar kelimeler:

Özet:

 Aims: The optimal duration of endoscopic retrograde cholangiopancreatography ERCP in patients with mild cholangitis and when it should be performed is unclear. This study aimed to compare the results of patients with mild cholangitis who underwent early and elective ERCP. Methods: This study was designed as a retrospective study to compare the results of elective time from admission to ERCP72 h and early time from admission to ERCP72 h ERCP in patients with mild cholangitis according to the Tocyo 18 TC18 guideline. The study included patients with naive papillae and mild cholangitis who underwent ERCP between February 2019 and 2023 at a single tertiary centers gastroenterology clinic. Results: A total of 432 mild cholangitis patients were included in our study. The mean age and ASA score of the elective ERCP group was slightly higher than the other group respectively, p0.039 and p0.025. No significant difference was found between the two groups in terms of technical and clinical success, mortality, ERCP-related adverse events, organ failure and intensive care unit admission. Length of hospital stay LHS was significantly p0.001 higher in the elective group compared to the early group. Conclusion: Our study showed that in patients with mild cholangitis with uncertain optimal ERCP time, ERCP in the early or elective period had no significant effect on mortality and other adverse outcomes, but ERCP in the early period shortened the patients LHS duration.

 Aims: The optimal duration of endoscopic retrograde cholangiopancreatography ERCP in patients with mild cholangitis and when it should be performed is unclear. This study aimed to compare the results of patients with mild cholangitis who underwent early and elective ERCP. Methods: This study was designed as a retrospective study to compare the results of elective time from admission to ERCP72 h and early time from admission to ERCP72 h ERCP in patients with mild cholangitis according to the Tocyo 18 TC18 guideline. The study included patients with naive papillae and mild cholangitis who underwent ERCP between February 2019 and 2023 at a single tertiary centers gastroenterology clinic. Results: A total of 432 mild cholangitis patients were included in our study. The mean age and ASA score of the elective ERCP group was slightly higher than the other group respectively, p0.039 and p0.025. No significant difference was found between the two groups in terms of technical and clinical success, mortality, ERCP-related adverse events, organ failure and intensive care unit admission. Length of hospital stay LHS was significantly p0.001 higher in the elective group compared to the early group. Conclusion: Our study showed that in patients with mild cholangitis with uncertain optimal ERCP time, ERCP in the early or elective period had no significant effect on mortality and other adverse outcomes, but ERCP in the early period shortened the patients LHS duration.

 Aims: The optimal duration of endoscopic retrograde cholangiopancreatography ERCP in patients with mild cholangitis and when it should be performed is unclear. This study aimed to compare the results of patients with mild cholangitis who underwent early and elective ERCP. Methods: This study was designed as a retrospective study to compare the results of elective time from admission to ERCP72 h and early time from admission to ERCP72 h ERCP in patients with mild cholangitis according to the Tocyo 18 TC18 guideline. The study included patients with naive papillae and mild cholangitis who underwent ERCP between February 2019 and 2023 at a single tertiary centers gastroenterology clinic. Results: A total of 432 mild cholangitis patients were included in our study. The mean age and ASA score of the elective ERCP group was slightly higher than the other group respectively, p0.039 and p0.025. No significant difference was found between the two groups in terms of technical and clinical success, mortality, ERCP-related adverse events, organ failure and intensive care unit admission. Length of hospital stay LHS was significantly p0.001 higher in the elective group compared to the early group. Conclusion: Our study showed that in patients with mild cholangitis with uncertain optimal ERCP time, ERCP in the early or elective period had no significant effect on mortality and other adverse outcomes, but ERCP in the early period shortened the patients LHS duration.

 Amaçlar: Hafif kolanjitli hastalarda endoskopik retrograd kolanjiyopankretografinin ERCP optimal süresi ve ne zaman yapılması gerektiği belirsizdir. Bu çalışmanın amacı, erken ve elektif ERCP yapılan hafif kolanjitli hastaların sonuçlarını karşılaştırmaktır. Yöntemler: Bu çalışma, Tocyo 18 TC18 kılavuzuna göre hafif kolanjitli hastalarda elektif başvurudan ERCPye kadar geçen süre72 saat ve erken başvurudan ERCPye kadar geçen süre72 saat ERCP sonuçlarını karşılaştırmak için retrospektif bir çalışma olarak tasarlanmıştır. Çalışmaya, Şubat 2019 ile 2023 tarihleri arasında tek bir üçüncü basamak merkezin gastroenteroloji kliniğinde ERCP yapılan naif papilla ve hafif kolanjit hastaları dahil edilmiştir. Sonuçlar: Çalışmamıza toplam 432 hafif kolanjit hastası dahil edildi. Elektif ERCP grubunun ortalama yaşı ve ASA skoru diğer gruptan biraz daha yüksekti sırasıyla, p0.039 ve p0.025. İki grup arasında teknik ve klinik başarı, mortalite, ERCP ile ilişkili advers olaylar, organ yetmezliği ve yoğun bakım ünitesine yatış açısından anlamlı bir fark bulunmadı. Hastanede kalış süresi LHS elektif grupta erken gruba kıyasla anlamlı olarak p0.001 daha yüksekti. Sonuç: Çalışmamız, optimal ERCP zamanı belirsiz olan hafif kolanjitli hastalarda, erken veya elektif dönemde ERCPnin mortalite ve diğer olumsuz sonuçlar üzerinde anlamlı bir etkisi olmadığını, ancak erken dönemde ERCPnin hastaların LHS süresini kısalttığını göstermiştir.

Makale detayları

Comparison of the results of early and elective endoscopic retrograde cholangiopancreatography in patients with mild cholangitis

Yazarlar:

Rasim Eren Cankurtaran | Osman Ersoy

Yayıncı:

MediHealth Academy Yayıncılık

Ana Başlıklar:

Gastroenteroloji ve Hepatoloji

Dergi:

Journal of Medicine and Palliative Care Vol.5 Issue 2, pp.112-117

Belge Tipi:

Makale

Yayın Tarihi:

4/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001316666

pISSN:

2717-7505

ERCP

mild cholangitis

mortality

pancreatitisERCP

Hafif kolanjit

mortalite

pankreatit

Sayı

Makale detayları

Yazarlar: Rasim Eren Cankurtaran | Osman Ersoy

Yayıncı: MediHealth Academy Yayıncılık

Ana Başlıklar: Gastroenteroloji ve Hepatoloji

Dergi: Journal of Medicine and Palliative Care Vol.5 Issue 2, pp.112-117

Belge Tipi: Makale

Yayın Tarihi: 4/2024

Belge Dili: İngilizce

Document ID (Org No.): 2001316666

pISSN: 2717-7505

Sayı

Yazarlar:

Rasim Eren Cankurtaran | Osman Ersoy

Yayıncı:

MediHealth Academy Yayıncılık

Ana Başlıklar:

Gastroenteroloji ve Hepatoloji

Dergi:

Journal of Medicine and Palliative Care Vol.5 Issue 2, pp.112-117

Belge Tipi:

Makale

Yayın Tarihi:

4/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001316666

pISSN:

2717-7505