The number of wire placement in the pancreatic duct and metal biliary stent as risk factors for post‐endoscopic retrograde cholangiopancreatography pancreatitis

• DOI: 10.1111/jgh.14957
• Publication Date: 2019-12-12T14:58:43Z
• Authors: Seung Hwan Shin; Hoonsub So; Sunghee Cho; Nayoung Kim; Gwang Ho Baik; Sung Koo Lee; Do Hyun Park
• Keywords: Cholangiopancreatography, Endoscopic Retrograde; Male; Incidence; Pancreatic Ducts; Middle Aged; Catheterization; 3. Good health; 03 medical and health sciences; 0302 clinical medicine; Pancreatitis; Metals; Risk Factors; Humans; Female; Stents; Retrospective Studies

Many post-ERCP pancreatitis (PEP) risk factors, including pancreatic duct cannulation, have been identified; however, whether the number of repeated and unintentional wire placements (WPs) in during wire-guided cannulation affects PEP is unknown. We aimed to identify effects WP other potential factors on incidence.We retrospectively analyzed 877 patients who underwent endoscopic retrograde cholangiopancreatography (ERCP). examined patient-related procedure-related incidence by univariable multivariable logistic regression analyses.Thirty-four (3.9%) had PEP. Univariable analysis revealed younger age, malignant common bile or ampulla Vater stricture, two more episodes WPs duct, metal biliary stent as for Following analysis, remained final model. did not increase significantly case a one episode (4.0%) compared with no (2.7%). However, 8.0% three 14.3%.A were associated increased undergoing ERCP. As considerably incidence. This suggests that preventive measures alternative procedures might be considered such cases after