If you suffer from type-2 diabetes mellitus, your ERCP is likely to have a better outcome

Abstract

Editorial dealing with the protective action on biliary sphincterotomy complications given by type 2 diabetes mellitus.

Post-ERCP pancreatitis in patients with type 2 diabetes mellitus

“…Because patients with chronic pancreatitis (CP) are at high risk for the development of DM, it is an important issue with significant implications for clinical practice. 2 de Miguel-Yanes et al 3 described a decreased rate of PEP and lower in-hospital mortality after endoscopic biliary sphincterotomy in people with type 2 DM in Spain, which is consistent with our study; the reduced incidence of PEP in CP patients was correlated with the prevalence of DM. 4 Despite the similar conclusion, we would like to point out 2 major differences: the included patients and the definition of DM.…”

Predictive factors of postendoscopic retrograde cholangiopancreatography pancreatitis for biliary complications in living-donor liver transplantation recipients

“…On the other hand, other studies found that the incidence of post-ERCP pancreatitis decreases in diabetic patients. This was explained by the presence of chronic pancreatitis and intrinsic gland fibrosis in diabetic patients which act as a protective factor against the development of pancreatitis [16,17]. On the other hand, we did not find any significant correlation between the development of post-ERCP pancreatitis and systemic hypertension among our patients, however, we found that systemic hypertension was higher in patients with post-ERCP pancreatitis.…”