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Silviera, M.L., Seamon, M.J., Porshinsky, B., Prosciak, M.P., Doraiswamy, V.A., Wang, C.F., Lorenzo, M., Truitt, M., Biboa, J., Jarvis, A.M., Narula, V.K., Steinberg, S.M. and Stawicki, S.P. (2009) Complications Related to Endoscopic Retrograde Cholangiopancreatography: A Comprehensive Clinical Review. Journal of Gastrointestinal and Liver Diseases, 18, 73-82.

has been cited by the following article:

• TITLE: Effect of Post-ERCP Pancreatitis on Perioperative Factors of Pancreaticoduodenectomy

  AUTHORS: Teijiro Hirashita, Toshifumi Matsumoto, Koichi Izumi, Masahiko Ikebe, Tokujiro Yano, Yoichi Muto, Susumu Matsuo

  KEYWORDS: Endoscopic Retrograde Cholangiopancreatography, Post-ERCP Pancreatitis, Pancreaticoduodenectomy

  JOURNAL NAME: Surgical Science, Vol.6 No.2, February 9, 2015

  ABSTRACT: Background:Endoscopic retrograde cholangiopancreatography (ERCP) is commonly performed for biliary drainage and examination of the biliary and pancreatic duct before pancreaticoduodenectomy (PD). The influence of preoperative post-ERCP pancreatitis on PD is unknown. The aim of this study was to evaluate the relation between post-ERCP pancreatitis before PD and surgical outcomes of PD. Methods: We examined 38 patients who underwent PD. The relations between post-ERCP pancreatitis before PD and perioperative factors of PD such as patient characteristics, operative findings, and postoperative course were evaluated with univariate and multivariate analyses. Results: Post-ERCP pancreatitis was observed in 12 (37.5%) of the 38 patients. Univariate analyses showed operative procedure (P= 0.034), operation time (P= 0.004), blood loss (P= 0.031), C-reactive protein (P= 0.043), and delayed gastric emptying (P= 0.035) to be significantly associated with post-ERCP pancreatitis. Multivariate analyses showed operation time (OR, 1.017;95%CI, 1.000 - 1.034;P= 0.049) and delayed gastric emptying (OR, 18.72; 95%CI, 1.139 - 307.6;P= 0.040) to be significantly associated with post-ERCP pancreatitis. Conclusions: Post-ERCP pancreatitis was associated with prolonged operation time and delayed gastric emptying in patients undergoing PD.