后ERCP胆囊炎:发病率,特征和结果从一个潜在的多中心胆管内镜注册表
Rishad Khan1, Hana Osman2, Sangmin Lee2
1Division of Gastroenterology, University of Toronto, Toronto, Ontario, Canada.
Gastrointestinal endoscopy
|December 13, 2023
概括
后ERCP胆囊炎是罕见的,影响0.38%的患者. 本研究详细介绍了其发生率和结果,并提供了有关ERCP相关程序风险的见解.
科学领域:
- 胃肠病学 胃肠病学
- 内镜逆行胆瘤胆瘤学 (ERCP) 是一种内镜.
- 胆道疾病 胆道疾病
背景情况:
- 后ERCP胆囊炎的发病率,风险因素和结果需要进一步阐明.
- 使用了具有标准化后续的前性多中心注册表.
研究的目的:
- 为了描述ERCP后胆囊炎的病例.
- 确定与这种并发症相关的风险因素和结果.
主要方法:
- 从7个患者和程序详细信息中心收集的数据.
- 经ERCP后胆囊炎使用基于Delphi的标准和因果归因来定义.
- 预期数据收集与30天的随访.
主要成果:
- 在4428名患者中发现了17例病例 (0.38%的发病率).
- 在覆盖金属支架的ERCP中发生率更高 (1.50%).
- 症状出现在ERCP后的中位数为5天;管理有所不同.
结论:
- 对ERCP后胆囊炎的发病率估计对于风险评估至关重要.
- 结果可以为有关ERCP程序的临床决策提供信息.
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