Post-ERCP biliary complications in patients with biliary type sphincter of Oddi dysfunction

Abstract Sphincter of Oddi dysfunction (SOD) has a high risk of post-ERCP pancreatitis. Cholangitis, colicky pain, and jaundice from cholestasis also occur after ERCP. However, these post-ERCP biliary complications have not been sufficiently evaluated in SOD. Thus, the risk factors and post-ERCP bil...

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Autores principales:	Hiroyuki Miyatani, Hirosato Mashima, Masanari Sekine, Satohiro Matsumoto
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2018
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/61ce9dcda45a4ce4969ecf315382cda9
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spelling	oai:doaj.org-article:61ce9dcda45a4ce4969ecf315382cda92021-12-02T15:07:45ZPost-ERCP biliary complications in patients with biliary type sphincter of Oddi dysfunction10.1038/s41598-018-28309-w2045-2322https://doaj.org/article/61ce9dcda45a4ce4969ecf315382cda92018-07-01T00:00:00Zhttps://doi.org/10.1038/s41598-018-28309-whttps://doaj.org/toc/2045-2322Abstract Sphincter of Oddi dysfunction (SOD) has a high risk of post-ERCP pancreatitis. Cholangitis, colicky pain, and jaundice from cholestasis also occur after ERCP. However, these post-ERCP biliary complications have not been sufficiently evaluated in SOD. Thus, the risk factors and post-ERCP biliary complications in biliary-type SOD were evaluated. From December 1996 to January 2017, 72 patients with suspected biliary-type SOD were selected, and 60 patients who underwent ERCP were included in this study. The incidence of biliary complications compared to control group and factors associated with post-ERCP cholangitis were investigated. More frequent biliary complications, including biliary pain and abnormal liver function, occurred in SOD group than in control group, especially in type I SOD patients. Post-ERCP cholangitis occurred significantly more often with bile duct diameter ≥12 mm (26%, 5/19) than with bile duct diameter <11 mm (2.4%, 1/41; p = 0.016). Age ≥75 years was also a risk factor for post-ERCP cholangitis (p = 0.013). Multivariate analysis confirmed that bile duct diameter ≥12 mm was a significant risk factor for post-ERCP cholangitis. Post-ERCP biliary complications occurred frequently in biliary-type SOD, especially type I. Biliary diameter ≥12 mm was an important risk factor for post-ERCP cholangitis.Hiroyuki MiyataniHirosato MashimaMasanari SekineSatohiro MatsumotoNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 8, Iss 1, Pp 1-6 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Hiroyuki Miyatani Hirosato Mashima Masanari Sekine Satohiro Matsumoto Post-ERCP biliary complications in patients with biliary type sphincter of Oddi dysfunction
description	Abstract Sphincter of Oddi dysfunction (SOD) has a high risk of post-ERCP pancreatitis. Cholangitis, colicky pain, and jaundice from cholestasis also occur after ERCP. However, these post-ERCP biliary complications have not been sufficiently evaluated in SOD. Thus, the risk factors and post-ERCP biliary complications in biliary-type SOD were evaluated. From December 1996 to January 2017, 72 patients with suspected biliary-type SOD were selected, and 60 patients who underwent ERCP were included in this study. The incidence of biliary complications compared to control group and factors associated with post-ERCP cholangitis were investigated. More frequent biliary complications, including biliary pain and abnormal liver function, occurred in SOD group than in control group, especially in type I SOD patients. Post-ERCP cholangitis occurred significantly more often with bile duct diameter ≥12 mm (26%, 5/19) than with bile duct diameter <11 mm (2.4%, 1/41; p = 0.016). Age ≥75 years was also a risk factor for post-ERCP cholangitis (p = 0.013). Multivariate analysis confirmed that bile duct diameter ≥12 mm was a significant risk factor for post-ERCP cholangitis. Post-ERCP biliary complications occurred frequently in biliary-type SOD, especially type I. Biliary diameter ≥12 mm was an important risk factor for post-ERCP cholangitis.
format	article
author	Hiroyuki Miyatani Hirosato Mashima Masanari Sekine Satohiro Matsumoto
author_facet	Hiroyuki Miyatani Hirosato Mashima Masanari Sekine Satohiro Matsumoto
author_sort	Hiroyuki Miyatani
title	Post-ERCP biliary complications in patients with biliary type sphincter of Oddi dysfunction
title_short	Post-ERCP biliary complications in patients with biliary type sphincter of Oddi dysfunction
title_full	Post-ERCP biliary complications in patients with biliary type sphincter of Oddi dysfunction
title_fullStr	Post-ERCP biliary complications in patients with biliary type sphincter of Oddi dysfunction
title_full_unstemmed	Post-ERCP biliary complications in patients with biliary type sphincter of Oddi dysfunction
title_sort	post-ercp biliary complications in patients with biliary type sphincter of oddi dysfunction
publisher	Nature Portfolio
publishDate	2018
url	https://doaj.org/article/61ce9dcda45a4ce4969ecf315382cda9
work_keys_str_mv	AT hiroyukimiyatani postercpbiliarycomplicationsinpatientswithbiliarytypesphincterofoddidysfunction AT hirosatomashima postercpbiliarycomplicationsinpatientswithbiliarytypesphincterofoddidysfunction AT masanarisekine postercpbiliarycomplicationsinpatientswithbiliarytypesphincterofoddidysfunction AT satohiromatsumoto postercpbiliarycomplicationsinpatientswithbiliarytypesphincterofoddidysfunction
_version_	1718388389089116160

Post-ERCP biliary complications in patients with biliary type sphincter of Oddi dysfunction

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