{"id":2474,"date":"2018-01-30T13:07:00","date_gmt":"2018-01-30T15:07:00","guid":{"rendered":"https:\/\/revistaabcd.org.br\/?p=2474"},"modified":"2022-05-18T13:16:38","modified_gmt":"2022-05-18T16:16:38","slug":"ercp-performance-in-a-tertiary-brazilian-center-focus-on-new-risk-factors-complications-and-quality-indicators","status":"publish","type":"post","link":"https:\/\/revistaabcd.org.br\/pt-br\/ercp-performance-in-a-tertiary-brazilian-center-focus-on-new-risk-factors-complications-and-quality-indicators\/","title":{"rendered":"ERCP PERFORMANCE IN A TERTIARY BRAZILIAN CENTER: FOCUS ON NEW RISK FACTORS, COMPLICATIONS AND QUALITY INDICATORS"},"content":{"rendered":"

Background:<\/h2>\n\n\n\n

ERCP can lead to complications, which can be prevented by the recognition of risk factors.<\/p>\n\n\n\n

Aim:<\/h2>\n\n\n\n

To identify these risk factors, with quality evaluation.<\/p>\n\n\n\n

Methods:<\/h2>\n\n\n\n

Retrospective study in a Brazilian hospital in 194 patients, excluding surgically altered anatomy.<\/p>\n\n\n\n

Results:<\/h2>\n\n\n\n

211 ERCPs were performed: 97.6% were therapeutic, 83.4% were started by trainees, with deep cannulation rate of 89.6%. Precut was needed in 16.6% of the ERCPs and classic sphincterotomy in 67.3%, with 75.4% of ductal clearance at single session and 8.0% of technical failure. Inacessible papillas ocurred in 2.5% of cases. There were 2.5% of late complications and 16% of early complications. Multivariate analysis identified six predictors for early complications: fistulotomy precut (OR=3.4, p=0.010), difficult cannulation (OR=21.5, p=0.002), attending\u2019s procedural time (OR=2.4, p=0.020), choledocholithiasis (adjusted OR=1.8, p=0.015), cannulation time (adjusted OR=3.2, p=0.018) and ERCP duration (adjusted OR=2.7, p=0.041).<\/p>\n\n\n\n

Conclusion:<\/h2>\n\n\n\n

Six risk factors for post-ERCP complications were identified. ERCP duration and cannulation time are suggested as new potential quality indicators.<\/p>","protected":false},"excerpt":{"rendered":"

Background: ERCP can lead to complications, which can be prevented by the recognition of risk factors. Aim: To identify these risk factors, with quality evaluation. Methods: Retrospective study in a Brazilian hospital in 194 patients, excluding surgically altered anatomy. Results: 211 ERCPs were performed: 97.6% were therapeutic, 83.4% were started by trainees, with deep cannulation […]<\/p>","protected":false},"author":4,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[9],"tags":[169,629,658,30,657,412],"class_list":["post-2474","post","type-post","status-publish","format-standard","hentry","category-original-article","tag-endoscopy","tag-gastrointestinal","tag-healthcare","tag-postoperative-complications","tag-qualityindicators","tag-risk-factors"],"acf":[],"modified_by":null,"_links":{"self":[{"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/posts\/2474"}],"collection":[{"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/comments?post=2474"}],"version-history":[{"count":0,"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/posts\/2474\/revisions"}],"wp:attachment":[{"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/media?parent=2474"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/categories?post=2474"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/tags?post=2474"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}