| Item type |
学術雑誌論文 / Journal Article(1) |
| 公開日 |
2022-05-06 |
| タイトル |
|
|
タイトル |
DILATED MAIN PANCREATIC DUCT CAN BE A NEGATIVE PREDICTOR OF PANCREATITIS RELATED TO BILIARY SEMS INSERTION ACROSS THE PAPILLA |
|
言語 |
en |
| 言語 |
|
|
言語 |
eng |
| キーワード |
|
|
主題 |
Post-ERCP pancreatitis (PEP) |
| キーワード |
|
|
主題 |
self-expandable metallic stent (SEMS) |
| 資源タイプ |
|
|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
|
資源タイプ |
journal article |
| その他のタイトル |
|
|
その他のタイトル |
Predictors of PEP related to SEMS |
| 著者 |
Umemura, Masahiro
Shimura, Eri
Asai, Yusuke
Tsuji, Atsushi
Nishino, Masafumi
Takahashi, Yurimi
Sasada, Yuzo
Saida, Yasuhiko
Kawata, Kazuhito
Sugimoto, Ken
Yamada, Takanori
|
| 書誌情報 |
Scandinavian Journal of Gastroenterology
巻 56,
号 7,
p. 865-869,
発行日 2021-07-03
|
| 出版者 |
|
|
出版者 |
Taylor & Francis |
| 権利 |
|
|
権利情報 |
This is an Accepted Manuscript of an article published by Taylor & Francis in Scandinavian Journal of Gastroenterology on 3/07/2021, available online: http://www.tandfonline.com/10.1080/00365521.2021.1922747. |
| 抄録 |
|
|
内容記述タイプ |
Abstract |
|
内容記述 |
Objectives: Post-ERCP pancreatitis (PEP) after self-expandable metallic stent (SEMS) insertion across the papilla of Vater is an important adverse event that affects the patient’s quality of life (QOL). We examined the predictive factors of PEP after SEMS insertion to treat obstructive jaundice due to malignancy.
Methods: Ninety patients who underwent biliary SEMS insertion for biliary obstruction due to malignancy at Iwata City Hospital between 2010 and 2018 were reviewed. We evaluated the relationship between the incidence of PEP after biliary SEMS insertion and clinical factors. We measured the thickness of the pancreatic parenchyma and diameter of the main pancreatic duct (MPD) at the left side of the corpus vertebrae.
Results: Mild and severe PEP were diagnosed in 10 (11.1%) and 1 (1.1%) patients, respectively. Only the thickness of the pancreatic parenchyma and diameter of MPD significantly differed between the PEP and non-PEP groups. The incidence of PEP among patients whose thickness of the pancreatic parenchyma at the left side of the corpus vertebrae was less than 9.5 mm (0%) on computed tomography was lower than that in patients whose thickness was 9.5 mm or greater (34.4%). Similarly, a wider (5 mm or more) diameter of MPD (4.3%) reduced the incidence of PEP compared with a narrower diameter (40.0%). Logistic regression analysis revealed that the probability of PEP decreases 3.91-times for every 1-mm increase in MPD diameter (95% CI 1.23-12.4, p=0.02).
Conclusion: Based on our study, a dilated MPD is a negative predictive factor of pancreatitis related to biliary SEMS insertion. |
| ISSN |
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収録物識別子タイプ |
ISSN |
|
収録物識別子 |
0036-5521 |
| EISSN |
|
|
収録物識別子タイプ |
ISSN |
|
収録物識別子 |
1502-7708 |
| PubMed番号 |
|
|
関連タイプ |
isVersionOf |
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|
識別子タイプ |
PMID |
|
|
関連識別子 |
34000970 |
| 出版社DOI |
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|
関連タイプ |
isVersionOf |
|
|
識別子タイプ |
DOI |
|
|
関連識別子 |
10.1080/00365521.2021.1922747 |
| 著者版フラグ |
|
|
出版タイプ |
AM |
|
出版タイプResource |
http://purl.org/coar/version/c_ab4af688f83e57aa |
SJG-56-865.pdf (490.5 kB)
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