Very urgent endoscopic retrograde cholangiopancreatography is associated with early

Sugiura, Ryo; Naruse, Hirohito; Yamamoto, Yoshiya; Hatanaka, Kazuteru; Kinoshita, Kenji; Abiko, Satoshi; Miyamoto, Shuichi; Suzuki, Kazuharu; Higashino, Masayuki; Kohya, Risako; Sakamoto, Naoya

Very urgent endoscopic retrograde cholangiopancreatography is associated with early

Sugiura, Ryo; Naruse, Hirohito; Yamamoto, Yoshiya et al.

Revista Espanola de Enfermedades Digestivas: REED, 2022, 114(3), 133-139

Permalink : https://hdl.handle.net/2115/85536

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https://doi.org/10.17235/reed.2021.7995/2021			2

論文情報

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アクセス権	metadata only access
URI	https://hdl.handle.net/2115/85536
タイトル	Very urgent endoscopic retrograde cholangiopancreatography is associated with early
著者	Sugiura, Ryo ; Naruse, Hirohito ; Yamamoto, Yoshiya ; Hatanaka, Kazuteru ; Kinoshita, Kenji ; Abiko, Satoshi ; Miyamoto, Shuichi ; Suzuki, Kazuharu ; Higashino, Masayuki ; Kohya, Risako ; Sakamoto, Naoya
著者名 Sugiura, Ryo
著者名 Naruse, Hirohito
著者名 Yamamoto, Yoshiya
著者名 Hatanaka, Kazuteru
著者名 Kinoshita, Kenji
著者名 Abiko, Satoshi
著者名 Miyamoto, Shuichi
著者名 Suzuki, Kazuharu
著者名 Higashino, Masayuki
著者名 Kohya, Risako
e-Rad_Researcher 10334418 著者名 Sakamoto, Naoya
言語	英語
キーワード	Acute cholangitis
	Endoscopic retrograde cholangiopancreatography
	Length of stay
	Non-severe cholangitis
	Urgent procedure
発行日	2022-03
出版者	Aran Ediciones
収録物名	Revista Espanola de Enfermedades Digestivas: REED
巻(号)	114(3)
ページ	133-139
抄録	Background: endoscopic retrograde cholangiopancreatography (ERCP) is a first-line procedure for biliary drainage in patients with acute cholangitis, and there are no studies focused on very urgent ERCP within several hours of hospital arrival. This study aimed to elucidate the use of very urgent ERCP for non-severe acute cholangitis. Methods: this retrospective observational study included patients with non-severe acute cholangitis who underwent ERCP between April 2011 and June 2020 in our institution. Patients were stratified into three groups based on time to ERCP after hospital arrival: very urgent (<_ 3 hours), urgent (3-24 hours) and elective (> 24 hours). The primary outcome was length of hospital stay (LOS). Results: the study cohort included 291 patients, 168 males (57.7 %), with a median age of 76 (interquartile range, 70-83) years. In all, 47, 196 and 48 patients underwent very urgent, urgent and elective ERCP, respectively. Median LOS in the very urgent, urgent, and elective groups was 12, 14, and 15 days, respectively (Kaplan-Meier method). A shorter LOS was associated with earlier ERCP (log-rank trend test, p = 0.04). The rates of readmission within 30 days of discharge and of adverse events were not significantly different among the three groups. By multivariate analysis, very urgent ERCP was associated with a significantly earlier discharge than urgent and elective ERCP (HR, 0.71, p = 0.04 and HR, 0.47, p < 0.01, respectively). In addition, age >= 75 years, pancreatitis, albumin <_ 2.8 g/dL and two or more ERCP procedures were associated with a significantly longer LOS (HRs < 1, p < 0.05). Conclusions: very urgent ERCP for non-severe acute cholangitis was associated with early discharge.
資源タイプ	学術雑誌論文
出版タイプ	Version of Record
PISSN	1130-0108
関連情報 (isIdenticalTo)	出版社版DOI https://doi.org/10.17235/reed.2021.7995/2021