Risk Factors for Post Endoscopic Retrograde Cholangiopancreatography Cholangitis
Boonsinsukh, T.; Viriyaroj, V.; Yodying, H.
Journal of the Medical Association of Thailand 99(Suppl 8): S166-S170
2016
ISSN/ISBN: 0125-2208 PMID: 29906028 Document Number: 17508
Cholangitis is the one of complications in post endoscopic retrograde cholangiopancreatography (post- The aim of the study was to determine the contributing risk factors for post-ERCP cholangitis. The medical records of patients who underwent ERCP from January 2013 to December 2015 were 227 patients enrolled where 204 (89.9%) of them were receiving therapeutic procedure. 156 (68.7%) patients were performed by high experience endoscopists (performing >50 ERCPs per year). The success rate was 87.7%. Post-ERCP cholangitis occurred in 20 (8.8%) patients as a result of therapeutic procedures. By univariate analysis, 8 variables were identified. They were male sex, age >60 year, no epigastric pain, albumin <2.5 gm/dL, bile duct cancer, common bile duct stones, change and remove bile duct stent. Multivariate analysis showed that age >60 year, albumin <2.5 gm/dL and remove bile duct stent were significantly associated with post-ERCP cholangitis. Age >60 year, albumin <2.5 gm/dL and remove bile duct stent are three major risk factors for post-ERCP