Evidence map›Paper›PMID 24714755›Full record

ArticleAnnals of gastroenterology2014

Risk factors for therapeutic ERCP-related complications: an analysis of 2,715 cases performed by a single endoscopist.

Panagiotis Katsinelos, Georgia Lazaraki, Grigoris Chatzimavroudis, Stergios Gkagkalis, Ioannis Vasiliadis, Apostolos Papaeuthimiou, Sotiris Terzoudis, Ioannis Pilpilidis, Christos Zavos, Jannis Kountouras

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Annals of gastroenterology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02983331 (Patients With Mortality After Endoscopic Retrograde Cholangiopancreatography), which is not on this map. Cited by 44 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 2 pooled it
4.6field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02983331 completednot on this mapstarted 2016, after this paper: background citation

Patients With Mortality After Endoscopic Retrograde Cholangiopancreatography

TypeobservationalSponsorGulsah KaraorenRan2016 to 2016Enrolled1,471ConditionsCholangiopancreatography, Endoscopic Retrograde, Mortality, Deep SedationArmscomplications during procedure
3 · Its place in the literature

Who cites it

44 citing papers in PubMed, 2 syntheses or guidelines pooled it, 92 citations in OpenAlex.

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  20. The effect of using nitroderm TTS in ERCP on precut, selective cannulation, and bleeding.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2023
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 2 countries.

Panagiotis KatsinelosDepartment of Endoscopy and Motility Unit, G. Gennimatas General Hospital (Panagiotis Katsinelos, Georgia Lazaraki, Grigoris Chatzimavroudis, Stergios Gkagkalis, Ioannis Vasiliadis, Apostolos Papaeuthimiou, Sotiris Terzoudis, Ioannis Pilpilidis).
Georgia LazarakiDepartment of Endoscopy and Motility Unit, G. Gennimatas General Hospital (Panagiotis Katsinelos, Georgia Lazaraki, Grigoris Chatzimavroudis, Stergios Gkagkalis, Ioannis Vasiliadis, Apostolos Papaeuthimiou, Sotiris Terzoudis, Ioannis Pilpilidis).
Grigoris ChatzimavroudisDepartment of Endoscopy and Motility Unit, G. Gennimatas General Hospital (Panagiotis Katsinelos, Georgia Lazaraki, Grigoris Chatzimavroudis, Stergios Gkagkalis, Ioannis Vasiliadis, Apostolos Papaeuthimiou, Sotiris Terzoudis, Ioannis Pilpilidis).
Stergios GkagkalisDepartment of Endoscopy and Motility Unit, G. Gennimatas General Hospital (Panagiotis Katsinelos, Georgia Lazaraki, Grigoris Chatzimavroudis, Stergios Gkagkalis, Ioannis Vasiliadis, Apostolos Papaeuthimiou, Sotiris Terzoudis, Ioannis Pilpilidis).
Ioannis VasiliadisDepartment of Endoscopy and Motility Unit, G. Gennimatas General Hospital (Panagiotis Katsinelos, Georgia Lazaraki, Grigoris Chatzimavroudis, Stergios Gkagkalis, Ioannis Vasiliadis, Apostolos Papaeuthimiou, Sotiris Terzoudis, Ioannis Pilpilidis).
Apostolos PapaeuthimiouDepartment of Endoscopy and Motility Unit, G. Gennimatas General Hospital (Panagiotis Katsinelos, Georgia Lazaraki, Grigoris Chatzimavroudis, Stergios Gkagkalis, Ioannis Vasiliadis, Apostolos Papaeuthimiou, Sotiris Terzoudis, Ioannis Pilpilidis).
Sotiris TerzoudisDepartment of Endoscopy and Motility Unit, G. Gennimatas General Hospital (Panagiotis Katsinelos, Georgia Lazaraki, Grigoris Chatzimavroudis, Stergios Gkagkalis, Ioannis Vasiliadis, Apostolos Papaeuthimiou, Sotiris Terzoudis, Ioannis Pilpilidis).
Ioannis PilpilidisDepartment of Endoscopy and Motility Unit, G. Gennimatas General Hospital (Panagiotis Katsinelos, Georgia Lazaraki, Grigoris Chatzimavroudis, Stergios Gkagkalis, Ioannis Vasiliadis, Apostolos Papaeuthimiou, Sotiris Terzoudis, Ioannis Pilpilidis).
Christos ZavosDepartment of Medicine, Second Medical Clinic, Aristotle University of Thessaloniki, Ippokration Hospital (Christos Zavos, Jannis Kountouras), Thessaloniki, Greece.
Jannis KountourasDepartment of Medicine, Second Medical Clinic, Aristotle University of Thessaloniki, Ippokration Hospital (Christos Zavos, Jannis Kountouras), Thessaloniki, Greece.
Ellis Hospital · USAristotle University of Thessaloniki · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEndoscopic retrograde cholangiopancreatography (ERCP) is now the exclusive endoscopic therapeutic modality for biliary as well as pancreatic diseases. The aim of the present study was to investigate patient- and procedure-related risk factors for post-ERCP complications in a large-scale study of procedures performed by a single experienced endoscopist.

methodsThis is a retrospective cohort study which included a total of 2,715 therapeutic ERCPs enrolled in the final analysis. Potential important patient- and procedure-related risk factors for overall post-ERCP complications, pancreatitis and post-endoscopic sphincterotomy (ES) bleeding were investigated by univariate and multivariate analyses.

resultsFollowing the first therapeutic ERCP, 327 patients suffered complications; pancreatitis was observed in 132 (4.9%) patients, hemorrhage in 122 (4.5%) patients, cholangitis in 63 (2.3%) patients, perforation in 3 (0.11%) patients, and basket impaction in 7 (0.26%) patients. History of acute pancreatitis was more common in patients with post-ERCP complications (P<0.001). Female gender, young age (<40 years), periampullary diverticulum, suspected sphincter of Oddi dysfunction, metal stent placement, opacification of main pancreatic duct and suprapapillary fistulotomy were not found to be risk factors for overall post-ERCP complications and post-ERCP pancreatitis (PEP). Multivariate analysis showed a history of acute pancreatitis, difficult cannulation, needle-knife papillotomy, transpancreatic sphincterotomy, opacification of first and second class pancreatic ductules and acinarization as independent risk factors for overall complications and PEP, whereas antiplatelet and anticoagulation drug use were not found to be independent risk factors for post-ES bleeding.

conclusionsThe results of this study demonstrate that the endoscopist's experience reduces patient- and procedure-related risk factors for post-ERCP complications.

Indexed as

post-endoscopic sphincterotomy bleedingPost-ERCP complicationspost-ERCP pancreatitisrisk factors

Identifiers

PMID24714755
PMCPMC3959534
OpenAlexW2118936985

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.