JOMPAC
Journal of Medicine and Palliative Care

Journal of Medicine and Palliative Care (JOMPAC) is an open access scientific journal with independent, unbiased, and double-blind review under international guidelines. The purpose of JOMPAC is to contribute to the literature by publishing articles on health sciences and medicine.

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Original Article
Comparison of the results of early and elective endoscopic retrograde cholangiopancreatography in patients with mild cholangitis
Abstract
Aims: The optimal duration of endoscopic retrograde cholangiopancreatography (ERCP) in patients with mild cholangitis and when it should be performed is unclear. This study aimed to compare the results of patients with mild cholangitis who underwent early and elective ERCP.
Methods: This study was designed as a retrospective study to compare the results of elective (time from admission to ERCP>72 h) and early (time from admission to ERCP?72 h) ERCP in patients with mild cholangitis according to the Tocyo 18 (TC18) guideline. The study included patients with naive papillae and mild cholangitis who underwent ERCP between February 2019 and 2023 at a single tertiary center’s gastroenterology clinic.
Results: A total of 432 mild cholangitis patients were included in our study. The mean age and ASA score of the elective ERCP group was slightly higher than the other group (respectively, p=0.039 and p=0.025). No significant difference was found between the two groups in terms of technical and clinical success, mortality, ERCP-related adverse events, organ failure and intensive care unit admission. Length of hospital stay (LHS) was significantly (p<0.001) higher in the elective group compared to the early group.
Conclusion: Our study showed that in patients with mild cholangitis with uncertain optimal ERCP time, ERCP in the early or elective period had no significant effect on mortality and other adverse outcomes, but ERCP in the early period shortened the patients’ LHS duration.

Keywords : ERCP, mild cholangitis, mortality, pancreatitis

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Article available in :
Volume 5, Issue 2, 2024
Page : 112-117
https://doi.org/10.47582/jompac.1433605
Article Information
Received : 08 Şub 2024
Accepted : 03 Nis 2024
Published : 30 Nis 2024
Corresponding Author :

Rasim Eren Cankurtaran: Department of Gastroenterology, Faculty of Medicine, Ankara Yıldırım Beyazit University, Ankara, Turkey

[email protected]
Citation : Cankurtaran RE, Ersoy O. Comparison of the results of early and elective endoscopic retrograde cholangiopancreatography in patients with mild cholangitis. J Med Palliat Care. 2024;5(2):112-117.

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