National trends of endoscopic retrograde cholangiopancreatography utilization and outcomes in decompensated cirrhosis

Mehta, Dhruv; Poojary, Priti; Saha, Aparna; Kaur, Supreet; Patel, Shanti; Chawla, Lavneet; Kumar, Arun; Simoes, Priya; Busayavalasa, Deepthi; Nadkarni, Girish N.; Sanaka, Madhusudhan R.

doi:10.1007/s00464-018-6290-1

Cited by 6 publications

(5 citation statements)

References 27 publications

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“…Over the past decade, we have found that ERCP utilization has been increasing among LT patients, which is in accordance with a similar nationwide study by Solanki et al [12]. A similar trend was observed in a study of decompensated cirrhosis patients [13]. A study of all patient populations from 1988 to 2002 noted a similar dramatic increase in ERCP utilization as well [14].…”

Section: Discussionsupporting

confidence: 89%

Outcomes of endoscopic retrograde cholangio-pancreatography in patients with liver transplant

Yang¹,

Patel²,

Pujari³

et al. 2022

ceh

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Aim of the study: Biliary complications are the leading causes of morbidity and mortality after liver transplant (LT). However, national data on endoscopic retrograde cholangiopancreatography (ERCP) usage and outcomes in LT patients are lacking. Our study aims to identify the trends, outcomes, and predictors of ERCP and related complications in this patient subgroup. Material and methods: We derived our study cohort from the Nationwide Inpatient Sample (NIS) of the Healthcare Cost and Utilization Project (HCUP) between 2007 and 2017. LT patients were identified using ICD-9/10-CM diagnosis codes and patients who underwent ERCP were identified by ICD-9/10-CM procedure codes. We utilized the Cochrane-Armitage trend test and multivariate logistic regression to analyze temporal trends, outcomes, and predictors. Results: A total of 372,814 hospitalizations occurred in LT patients between 2007 and 2017. ERCP was performed in 2.05% (n = 7632) of all hospitalizations. There was a rise in ERCP procedures from 1.96% (n = 477) in 2007 to 2.05% (n = 845) in 2017. Among LT patients who underwent ERCP, the in-hospital mortality rate was 1% (n = 73) and 8% (n = 607) were discharged to facilities. Mean length of hospital stay was 7 ±0.3 days. Septicemia was the most common periprocedural complication (18.3%, n = 1399) followed by post-ERCP pancreatitis (8.8%, n = 674). Conclusions: There has been an increase in ERCP procedures over the past decade among LT patients. Our study highlights the periprocedural complications and outcomes of ERCP in LT patients from a nationally representative dataset.

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Section: Discussionsupporting

confidence: 89%

Outcomes of endoscopic retrograde cholangio-pancreatography in patients with liver transplant

Yang¹,

Patel²,

Pujari³

et al. 2022

ceh

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“…In our analysis, we observed a decreasing trend of ERCP utilization overall in patients with acute pancreatitis from 2003 to 2014. Mehta et al have previously done a similar study, which showed a similar decreased overall trend of diagnostic utilization of ERCP, but the study specifically looked at utilization of ERCP in decompensated cirrhosis where it showed an increasing trend [6]. A recent population-based study by Somashekar et al showed an increased prevalence of acute pancreatitis hospitalization (2002)(2003)(2004)(2005)(2006)(2007)(2008)(2009)(2010)(2011)(2012).…”

Section: Discussionmentioning

confidence: 89%

Trend and Predictors of the Utilization of Endoscopic Retrograde Cholangiopancreatography in Acute Pancreatitis Hospitalizations

Sharma

Rakholiya

Madapu

et al. 2020

Cureus

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“…However, because it is invasive, ERCP still has certain risks, such as pancreatitis, which is the most common complication of ERCP. [ 8 , 9 ] Cirrhosis is a common gastroenterological disease. Cirrhosis patients often have ascites, portal hypertension, gastric fundus esophageal varices, hypoproteinemia, coagulation dysfunction, and other problems.…”

Section: Discussionmentioning

confidence: 99%

“…With the progress in surgical techniques, its effectiveness and safety have become increasingly high. However, because it is invasive, ERCP still has certain risks, such as pancreatitis, which is the most common complication of ERCP [8,9] . Cirrhosis is a common gastroenterological disease.…”

Section: Discussionmentioning

confidence: 99%

Analysis of risk factors associated with endoscopic retrograde cholangiopancreatography for patients with liver cirrhosis: a multicenter, retrospective, clinical study

et al. 2022

Chinese Medical Journal

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Background: Endoscopic retrograde cholangiopancreatography (ERCP) is the endoscopic modality of choice for the treatment of biliary and pancreatic diseases. However, patients with cirrhosis, particularly those with decompensated cirrhosis, are believed to be at increased risk for complications associated with ERCP. There is a paucity of literature describing the outcomes of ERCP for patients with cirrhosis. This study aimed to investigate the outcomes of ERCP for cirrhosis patients, especially adverse events, and evaluated its safety and efficacy. Methods: We performed a multicenter, retrospective study of all patients at

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National trends of endoscopic retrograde cholangiopancreatography utilization and outcomes in decompensated cirrhosis

Cited by 6 publications

References 27 publications

Outcomes of endoscopic retrograde cholangio-pancreatography in patients with liver transplant

Outcomes of endoscopic retrograde cholangio-pancreatography in patients with liver transplant

Trend and Predictors of the Utilization of Endoscopic Retrograde Cholangiopancreatography in Acute Pancreatitis Hospitalizations

Analysis of risk factors associated with endoscopic retrograde cholangiopancreatography for patients with liver cirrhosis: a multicenter, retrospective, clinical study

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