TY - JOUR T1 - Comparison of the results of early and elective endoscopic retrograde cholangiopancreatography in patients with mild cholangitis TT - Hafif kolanjitli hastalarda erken ve elektif endoskopik retrograd kolanjiyopankreatografi sonuçlarının karşılaştırılması AU - Cankurtaran, Rasim Eren AU - Ersoy, Osman PY - 2024 DA - April Y2 - 2024 DO - 10.47582/jompac.1433605 JF - Journal of Medicine and Palliative Care JO - J Med Palliat Care / JOMPAC / Jompac PB - MediHealth Academy Yayıncılık WT - DergiPark SN - 2717-7505 SP - 112 EP - 117 VL - 5 IS - 2 LA - en AB - Aims: The optimal duration of endoscopic retrograde cholangiopancreatography (ERCP) in patients with mild cholangitis and when it should be performed is unclear. This study aimed to compare the results of patients with mild cholangitis who underwent early and elective ERCP.Methods: This study was designed as a retrospective study to compare the results of elective (time from admission to ERCP>72 h) and early (time from admission to ERCP≤72 h) ERCP in patients with mild cholangitis according to the Tocyo 18 (TC18) guideline. The study included patients with naive papillae and mild cholangitis who underwent ERCP between February 2019 and 2023 at a single tertiary center’s gastroenterology clinic.Results: A total of 432 mild cholangitis patients were included in our study. The mean age and ASA score of the elective ERCP group was slightly higher than the other group (respectively, p=0.039 and p=0.025). No significant difference was found between the two groups in terms of technical and clinical success, mortality, ERCP-related adverse events, organ failure and intensive care unit admission. Length of hospital stay (LHS) was significantly (p KW - ERCP KW - mild cholangitis KW - mortality KW - pancreatitis N2 - Amaçlar:Hafif kolanjitli hastalarda endoskopik retrograd kolanjiyopankretografinin (ERCP) optimal süresi ve ne zaman yapılması gerektiği belirsizdir. Bu çalışmanın amacı, erken ve elektif ERCP yapılan hafif kolanjitli hastaların sonuçlarını karşılaştırmaktır.Yöntemler:Bu çalışma, Tocyo 18 (TC18) kılavuzuna göre hafif kolanjitli hastalarda elektif (başvurudan ERCP'ye kadar geçen süre>72 saat) ve erken (başvurudan ERCP'ye kadar geçen süre≤72 saat) ERCP sonuçlarını karşılaştırmak için retrospektif bir çalışma olarak tasarlanmıştır. Çalışmaya, Şubat 2019 ile 2023 tarihleri arasında tek bir üçüncü basamak merkezin gastroenteroloji kliniğinde ERCP yapılan naif papilla ve hafif kolanjit hastaları dahil edilmiştir.Sonuçlar:Çalışmamıza toplam 432 hafif kolanjit hastası dahil edildi. Elektif ERCP grubunun ortalama yaşı ve ASA skoru diğer gruptan biraz daha yüksekti (sırasıyla, p=0.039 ve p=0.025). İki grup arasında teknik ve klinik başarı, mortalite, ERCP ile ilişkili advers olaylar, organ yetmezliği ve yoğun bakım ünitesine yatış açısından anlamlı bir fark bulunmadı. Hastanede kalış süresi (LHS) elektif grupta erken gruba kıyasla anlamlı olarak (p CR - 1. Attasaranya S, Fogel EL, Lehman GA. Choledocholithiasis, ascending cholangitis, and gallstone pancreatitis. Med Clin North Am. 2008;92(4):925-960. doi: 10.1016/j.mcna.2008.03.001 CR - 2. Kimura Y, Takada T, Kawarada Y, et al. Definitions, pathophysiology, and epidemiology of acute cholangitis and cholecystitis: Tokyo Guidelines. J Hepato-Biliary-Pancreatic Surg. 2007;14(1):15-26. doi: 10.1007/s00534-006-1152-y. CR - 3. Tinusz B, Szapary L, Paladi B, et al. Short-course antibiotic treatment is not inferior to a long-course one in acute cholangitis: a systematic review. 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Surgic Laparosc Endosc Percutaneous Techn. 2022;32(6):764. doi: 10.1097/SLE.0000000000001110 UR - https://doi.org/10.47582/jompac.1433605 L1 - http://dergipark.org.tr/tr/download/article-file/3714479 ER -