Abstract | BACKGROUND: Despite proven clinical benefit, there are no studies that have examined the relationship between pancreatic stent caliber and its impact on PEP [post-endoscopic retrograde cholangiopancreatogram (ERCP) pancreatitis] in high-risk patients. AIM: METHODS: A retrospective review was conducted of ERCP's in patients with SOD from 2002 to 2012 from a prospectively maintained, Institutional Review Board approved database. RESULTS: A total of 243/7659 (3.2%) patients underwent 3Fr or 5Fr pancreatic stent placement following sphincterotomy for manometry-proven SOD. Of these, 133 (54.7%) underwent 3Fr stent placement, while 110 (45.3%) underwent 5Fr stent placement. There was no significant difference between the two groups in terms of baseline characteristics, demographics, and previous cholecystectomy. Cannulation and stent placement success rates were 100% in both groups. There was no significant difference in rates of PEP and overall complications, 12% versus 12.7%; P = 0.89 and 13.5% versus 15.5%; P = 0.54, between the 3Fr and 5Fr cohorts, respectively. There were more mild PEP rates recorded in 5Fr group (93% vs 56% P = 0.0549) that was not statistically significant. CONCLUSIONS: There appears to be no relationship between stent characteristics and the risk or severity of PEP in patients with manometrically proven SOD.
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Authors | Jayapal Ramesh, Hwasoon Kim, Kartika Reddy, Shyam Varadarajulu, C Mel Wilcox |
Journal | Journal of gastroenterology and hepatology
(J Gastroenterol Hepatol)
Vol. 29
Issue 7
Pg. 1563-7
( 2014)
ISSN: 1440-1746 [Electronic] Australia |
PMID | 24617703
(Publication Type: Journal Article)
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Copyright | © 2014 Journal of Gastroenterology and Hepatology Foundation and Wiley Publishing Asia Pty Ltd. |
Topics |
- Adult
- Cholangiopancreatography, Endoscopic Retrograde
(adverse effects)
- Female
- Humans
- Male
- Middle Aged
- Pancreatic Ducts
- Pancreatitis
(epidemiology, etiology, prevention & control)
- Retrospective Studies
- Risk
- Severity of Illness Index
- Sphincter of Oddi
(surgery)
- Sphincter of Oddi Dysfunction
(surgery)
- Stents
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