ArticleSaudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association
Does restricting fluid volume impact post-ERCP pancreatitis in patient with heart disease?
Article in Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Fluid resuscitation in the early management of acute pancreatitis: a five-year retrospective observational study.World journal of emergency medicine · 2026Article
- Prognostic value of inflammatory biochemical markers (IL-8, PCT, CRP) for cardiovascular disease in patients with pancreatitis.Journal of medical biochemistry · 2026Article
- A risk score model for post-endoscopic retrograde cholangiopancreatography complications in elderly patients with choledocholithiasis.Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association · 2025Article
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15 authors.
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Abstract
methodsTwo hundred and forty seven of 480 patients with naïve papilla undergoing therapeutic ERCP between April 2013 and March 2018 were enrolled for the study. The following patient characteristics were investigated: age, sex, body mass index, previous diseases (heart disease, renal failure, cerebrovascular disorders, coexisting malignancy and pulmonary disease), history of PEP, common bile duct diameter, diverticula and volume of fluid infused 24 hours after the procedure. All ERCP cases had naïve papilla and had undergone treatment.
resultsThe incidence of PEP was 8.5%. Significant differences were observed in the volume of fluid infused between patients without and with a history of heart disease (1,380 vs. 1,755 mL). The mean volume of the infused fluid was significantly lower in the PEP than non-PEP group (1,483 vs. 1,688 mL, P = 0.02). Moreover, PEP incidence differed according to a fluid infusion cutoff of 1,000 mL (7 vs. 11 cases of PEP in those with ≦1,000 mL and >1,000 mL fluid volume, respectively, P < 0.001).
conclusionRestricted fluid volume was a newly identified risk factor for PEP, particularly in patients with heart and renal diseases as comorbidities.
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