Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Effectiveness of ERCP in cholangitis: a community-based study.

A Chak1, G S Cooper, L E Lloyd

  • 1Divisions of Gastroenterology, University Hospitals of Cleveland and MetroHealth Medical Center, Case Western Reserve University, Cleveland, Ohio 44106-1736, USA.

Gastrointestinal Endoscopy
|October 7, 2000
PubMed
Summary

Early endoscopic retrograde cholangiopancreatography (ERCP) significantly shortens hospital stays for cholangitis patients. This study highlights ERCP

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Can fruit and vegetable aggregation systems better balance improved producer livelihoods with more equitable distribution?

World development·2021
Same author

Genome-Scale Analysis Identifies Novel Transcript-Variants in Esophageal Adenocarcinoma.

Cellular and molecular gastroenterology and hepatology·2020
Same author

Corrigendum to "National Trends in Orthopaedic Surgery Resident Adult Case Logs" J Surg Educ. 2019 May - Jun;76(3):893-897.

Journal of surgical education·2019
Same author

A biomarker panel predicts progression of Barrett's esophagus to esophageal adenocarcinoma.

Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus·2018
Same author

Association of sporadic and familial Barrett's esophagus with breast cancer.

Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus·2018
Same author

Elevated C-reactive protein and self-reported disease activity in systemic lupus erythematosus.

Lupus·2014

Area of Science:

  • Gastroenterology and Hepatology
  • Interventional Endoscopy
  • Biliary Tract Diseases

Background:

  • The efficacy of endoscopic retrograde cholangiopancreatography (ERCP) in treating cholangitis is established, but its effectiveness in unselected patient populations requires further investigation.
  • This study addresses the need to evaluate the clinical impact of ERCP, both overall and early intervention, in patients primarily diagnosed with cholangitis.

Purpose of the Study:

  • To investigate the clinical impact of ERCP performed at any time during hospitalization for cholangitis.
  • To assess the specific effectiveness of early ERCP (within 24 hours of admission) in managing cholangitis patients.

Main Methods:

  • Retrospective analysis of 116 patients admitted with International Classification of Diseases (ICD)-9 diagnoses consistent with cholangitis across eight hospitals.

Related Experiment Videos

  • Data collected included clinical characteristics, ERCP findings, and patient outcomes.
  • Multivariate analysis was employed to adjust for confounding factors such as illness severity, cholangitis etiology, and hospital type, examining the association of ERCP with length of stay.

    • Main Results:

    • ERCP was performed in 71 patients, with 80% receiving endoscopic therapy.
    • While ERCP overall did not alter hospital stay, it was associated with a shorter stay compared to other invasive biliary procedures (median 5 vs. 9.5 days).
    • Early ERCP (within 24 hours) resulted in a significantly shorter hospital stay (median 4 vs. 7 days) and a 34% reduction in severity-adjusted length of stay compared to delayed ERCP.

    Conclusions:

    • Early ERCP demonstrates a significant benefit in reducing hospital length of stay for patients admitted with cholangitis.
    • The findings suggest that timely ERCP is an effective strategy for optimizing patient management and resource utilization in cholangitis cases.