Risk of post-ERCP pancreatitis with placement of self-expandable metallic stents

Gastrointestinal Endoscopy
Gregory A CotéRiad R Azar

Abstract

There are conflicting data on the risk of post-ERCP pancreatitis (PEP) related to self-expandable metallic stents (SEMSs). To compare rates of PEP in patients who undergo biliary drainage with SEMSs or polyethylene stents (PSs). Retrospective, cohort study. Tertiary-care medical center. This study involved patients undergoing ERCP for malignant biliary obstruction between January 2005 and October 2008. First-time placement of a SEMS or PS for biliary decompression. Early post-ERCP complications, particularly PEP. We identified 544 eligible patients, 248 SEMSs (102 covered), and 296 PSs. The etiology of malignant biliary obstruction was similar between groups, with 55% from pancreatic cancer. The frequency of PEP was significantly higher in the SEMS group (7.3%) versus the PS group (1.3%) (OR 5.7 [95% CI, 1.9-17.1]). On univariate analysis, patient age of <40 years, a history of PEP, and at least 1 pancreatic duct injection were also significant predictors of PEP, whereas female sex and having pancreatic cancer were not. When significant variables were added to a multiple-predictor regression model, the odds of PEP from SEMS placement increased to 6.8 (95% CI, 2.2, 21.4). However, the frequency of PEP was similar between covered...Continue Reading

References

May 1, 1991·Gastrointestinal Endoscopy·P B CottonN Nickl
Oct 26, 2005·Gastrointestinal Endoscopy·Yousuke NakaiMasao Omata
Mar 17, 2009·Gastrointestinal Endoscopy·Peter B CottonJoseph Romagnuolo
Oct 31, 2009·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Mario TrainaBruno Gridelli

❮ Previous
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Citations

Oct 21, 2011·Surgical Endoscopy·Kazumichi KawakuboKazuhiko Koike
Nov 7, 2013·Current Gastroenterology Reports·Jennifer Maranki, Paul Yeaton
Dec 3, 2014·Gastrointestinal Endoscopy Clinics of North America·Tarun Rustagi, Priya A Jamidar
Dec 3, 2014·Journal of Vascular and Interventional Radiology : JVIR·Auh Whan Park
Jun 1, 2013·Clinical Journal of Gastroenterology·Ichiro Yasuda
Apr 2, 2013·Gastrointestinal Endoscopy Clinics of North America·Bryan Balmadrid, Richard Kozarek
Feb 16, 2013·Gastrointestinal Endoscopy·Patrick R PfauSarah A Rodriguez
Jul 4, 2012·Gastrointestinal Endoscopy Clinics of North America·Hiroyuki IsayamaKazuhiko Koike
Jun 21, 2011·Gastrointestinal Endoscopy Clinics of North America·Jeffrey H Lee
Apr 28, 2011·Gastrointestinal Endoscopy·Douglas G Adler, Todd H Baron
Apr 9, 2016·Gastroenterology Research and Practice·He-Kun YinHarry Hua-Xiang Xia
Mar 5, 2015·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Dennis Yang, Peter V Draganov
Jun 15, 2011·Journal of Hepato-biliary-pancreatic Sciences·Hiroyuki IsayamaKazuhiko Koike
May 3, 2013·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Takao ItoiKentaro Ishii
May 3, 2013·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Naoki OkanoKen Ito
May 3, 2013·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Takao ItoiAtsushi Sofuni
Mar 19, 2014·Journal of Gastroenterology and Hepatology·Yousuke NakaiKazuhiko Koike
Aug 6, 2013·Journal of Hepato-biliary-pancreatic Sciences·Shuya ShimizuTakashi Joh
Jun 29, 2016·Current Treatment Options in Gastroenterology·Martin L Freeman
Aug 24, 2016·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Yousuke NakaiKazuhiko Koike
Aug 9, 2016·Gastrointestinal Endoscopy·Yojiro SakumaUNKNOWN Kyoto Pancreatobiliary Study Group
Oct 26, 2016·Current Gastroenterology Reports·Hiroyuki IsayamaKazuhiko Koike
Aug 25, 2017·Journal of Pediatric Gastroenterology and Nutrition·Jacob A MarkRobert E Kramer
May 9, 2012·Korean Journal of Radiology : Official Journal of the Korean Radiological Society·Nonthalee PausawasadiRungsun Rerknimitr
Aug 21, 2013·The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi·Choong Heon RyuSung Koo Lee
Jun 5, 2014·The American Journal of Gastroenterology·Mustafa A Arain, Martin L Freeman
Dec 6, 2019·Journal of Gastroenterology and Hepatology·Yousuke NakaiBenedict Devereaux
Apr 16, 2014·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Panagiotis KatsinelosJannis Kountouras
Dec 14, 2011·Expert Review of Gastroenterology & Hepatology·Sathya Jaganmohan, Jeffrey H Lee
Mar 28, 2012·Current Opinion in Gastroenterology·Matthew E Feurer, Douglas G Adler
Oct 20, 2018·The American Journal of Gastroenterology·Marco SpadacciniAlessandro Repici

❮ Previous
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