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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 440 - 445 (6page)
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초록· 키워드
오류제보하기
Purpose: Patients with liver cirrhosis are considered to be at risk for additional adverse events during endoscopic retrogradecholangiopancreatography (ERCP). The present study was designed as a propensity-score matched analysis to investigate whethercirrhotic liver increases the risk of bleeding complications in patients undergoing ERCP. Materials and Methods: In total, 8554 patients who underwent ERCP from January 2005 to December 2015 were retrospectivelyanalyzed. To adjust for the imbalance between patients with and those without liver cirrhosis, 1:3 propensity score matching wasperformed according to age and sex. Results: Liver cirrhosis was identified in 264 (3.1%) patients. After propensity score matching, a total of 768 patients were includedin each of the cirrhotic (n=192) and non-cirrhotic groups (n=576). Post-procedure bleeding (10.9% vs. 4.7%, p=0.003) was morefrequently observed in patients with liver cirrhosis than in those without. In multivariate analyses, liver cirrhosis was identified asan independent risk factor associated with post-ERCP bleeding (p=0.003) after further adjustment for prothrombin time, antiplatelet/coagulant, duration of ERCP, and stent insertion. Child-Pugh (CP) class C was found to be associated with an increased incidenceof post-ERCP bleeding in patients with cirrhosis (odds ratio 6.144, 95% confidence interval 1.320–28.606; p=0.021). Conclusion: The incidence of post-ERCP bleeding in patients with liver cirrhosis was higher than that in patients without livercirrhosis. In particular, CP class C cirrhosis was significantly associated with post-ERCP bleeding.
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등록된 정보가 없습니다.
참고문헌 (24)
참고문헌 신청
Adler DG / 2005 / ASGE guideline : the role of ERCP in diseases of the biliary tract and the pancreas / Gastrointest Endosc 62:1~8
Sakai Y / 2012 / Current situation of endoscopic treatment for common bile duct stones / Hepatogastroenterology 59:1712~1716
Tulassay Z / 1997 / Complications of endoscopic biliary sphincterotomy / N Engl J Med 336:336~963
ASGE Standards of Practice Committee / 2012 / Complications of ERCP / Gastrointest Endosc 75:467~473
Andriulli A / 2007 / Incidence rates of post-ERCP complications : a systematic survey of prospective studies / Am J Gastroenterol 102:1781~1788
Sakai Y / 2012 / Current situation of endoscopic treatment for common bile duct stones / Hepatogastroenterology 59:1712~1716
Tulassay Z / 1997 / Complications of endoscopic biliary sphincterotomy / N Engl J Med 336:336~963
ASGE Standards of Practice Committee / 2012 / Complications of ERCP / Gastrointest Endosc 75:467~473
Andriulli A / 2007 / Incidence rates of post-ERCP complications : a systematic survey of prospective studies / Am J Gastroenterol 102:1781~1788
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