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| Main Authors: | , , , , , |
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| Format: | Artículo Open Access |
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Wiley
2024
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| Online Access: | https://onlinelibrary.wiley.com/doi/10.1111/ctr.15399 |
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| _version_ | 1867015326567235584 |
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| author | Kimia Ghambari David M. de Jong Marco J. Bruno Wojciech G. Polak Lydi M. J. W. van Driel Caroline M. den Hoed |
| author_facet | Kimia Ghambari David M. de Jong Marco J. Bruno Wojciech G. Polak Lydi M. J. W. van Driel Caroline M. den Hoed Kimia Ghambari David M. de Jong Marco J. Bruno Wojciech G. Polak Lydi M. J. W. van Driel Caroline M. den Hoed |
| collection | Wiley Open Access |
| contents | Risks of Post‐Endoscopic Retrograde Cholangiopancreatography Pancreatitis After Liver Transplantation Kimia Ghambari David M. de Jong Marco J. Bruno Wojciech G. Polak Lydi M. J. W. van Driel Caroline M. den Hoed Clinical Transplantation ABSTRACTBiliary complications are common after liver transplantation (LT). Endoscopic retrograde cholangiopancreatography (ERCP) is the preferred method to treat biliary complications. Nevertheless, ERCP is not without complications and may have a greater complication rate in the LT population. Knowledge of the prevalence, severity, and possible risk factors for post‐ERCP pancreatitis (PEP) in LT recipients is limited. Therefore, this study aims to determine the incidence and severity of PEP and identify potential risk factors in LT recipients. This retrospective cohort included patients ≥18 years who underwent ≥1 ERCP procedures after LT between January 2010 and October 2021. Two hundred thirty‐two patients were included, who underwent 260 LTs and 1125 ERCPs. PEP occurred after 23 ERCP procedures (2%) with subsequent mortality in three (13%). Multivariate logistic regression identified wire cannulation of the pancreatic duct as a significant risk factor for PEP (OR, 3.21). The complication rate of PEP after LT in this study was shown to be low and is lower compared to patients without a history of LT. Nevertheless, the mortality rate of this group of patients was notably higher. 10.1111/ctr.15399 http://creativecommons.org/licenses/by-nc/4.0/ |
| doi_str_mv | 10.1111/ctr.15399 |
| format | Artículo Open Access |
| id | wiley_oa_10_1111_ctr_15399 |
| institution | Wiley Open Access |
| license_str_mv | http://creativecommons.org/licenses/by-nc/4.0/ |
| publishDate | 2024 |
| publisher | Wiley |
| record_format | wiley_oa |
| spellingShingle | Risks of Post‐Endoscopic Retrograde Cholangiopancreatography Pancreatitis After Liver Transplantation Kimia Ghambari David M. de Jong Marco J. Bruno Wojciech G. Polak Lydi M. J. W. van Driel Caroline M. den Hoed Clinical Transplantation Risks of Post‐Endoscopic Retrograde Cholangiopancreatography Pancreatitis After Liver Transplantation Kimia Ghambari David M. de Jong Marco J. Bruno Wojciech G. Polak Lydi M. J. W. van Driel Caroline M. den Hoed Clinical Transplantation ABSTRACTBiliary complications are common after liver transplantation (LT). Endoscopic retrograde cholangiopancreatography (ERCP) is the preferred method to treat biliary complications. Nevertheless, ERCP is not without complications and may have a greater complication rate in the LT population. Knowledge of the prevalence, severity, and possible risk factors for post‐ERCP pancreatitis (PEP) in LT recipients is limited. Therefore, this study aims to determine the incidence and severity of PEP and identify potential risk factors in LT recipients. This retrospective cohort included patients ≥18 years who underwent ≥1 ERCP procedures after LT between January 2010 and October 2021. Two hundred thirty‐two patients were included, who underwent 260 LTs and 1125 ERCPs. PEP occurred after 23 ERCP procedures (2%) with subsequent mortality in three (13%). Multivariate logistic regression identified wire cannulation of the pancreatic duct as a significant risk factor for PEP (OR, 3.21). The complication rate of PEP after LT in this study was shown to be low and is lower compared to patients without a history of LT. Nevertheless, the mortality rate of this group of patients was notably higher. 10.1111/ctr.15399 http://creativecommons.org/licenses/by-nc/4.0/ |
| title | Risks of Post‐Endoscopic Retrograde Cholangiopancreatography Pancreatitis After Liver Transplantation |
| topic | Clinical Transplantation |
| url | https://onlinelibrary.wiley.com/doi/10.1111/ctr.15399 |