ArticleSurgical endoscopy2026
Fusion prediction model for post-ERCP pancreatitis under NSAIDs prophylaxis.
Article in Surgical endoscopy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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8 authors.
Funding
Abstract
backgroundEndoscopic retrograde cholangiopancreatography (ERCP) is a common procedure for treating biliary and pancreatic disorders; however, it is associated with significant complications, notably post-ERCP pancreatitis (PEP), which has an incidence ranging from 3.5 to 9.7%.
objectiveThis study aims to develop machine learning-based predictive models for PEP in patients receiving prophylactic non-steroidal anti-inflammatory drugs (NSAIDs).
methodsWe retrospectively analyzed the data from 991 patients who underwent ERCP between January 2018 and February 2024. A mixed sampling technique was employed to address data imbalance. Predictive models were constructed using logistic regression, light gradient boosting machine, multi-layer perceptron, random forest, and extreme gradient boosting. The top-performing models were combined to enhance predictive accuracy. Model evaluation was conducted using a prospective cohort of 124 patients as an independent internal test set.
resultsAmong the patients, 57 (5.75%) developed PEP. The models identified significant pre-procedure and post-procedure risk factors. The fusion model demonstrated an area under the curve of 0.84 for pre-procedure predictions and 0.86 for post-procedure predictions. High specificity and negative predictive values were noted, indicating potential clinical utility.
conclusionThis study presents a novel fusion model for predicting PEP in NSAID-treated patients, offering improved tools for risk stratification and clinical decision-making. Future research should focus on multi-center validation and the integration of additional predictive factors to enhance model robustness and applicability.
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