[ Facteurs prédictifs de complications de la cholangio-pancréatographie rétrograde endoscopique dans le traitement de la lithiase biliaire ]
Volume 31, Issue 1, November 2020, Pages 52–55
S. Ouahid1, I. Radouane2, Sanaa Berrag3, F. Nejjari4, T. Addioui5, Mouna Tamzaourte6, and Aziz Aourarh7
1 Service de Gastroentérologie clinique, Hôpital Militaire d’Instructions Mohammed V, Rabat, Morocco
2 Service de Gastroentérologie clinique, Hôpital Militaire d’Instructions Mohammed V, Rabat, Morocco
3 Department of Gastroenterology, Military Hospital Mohammed V, Rabat, Morocco
4 Service de Gastroentérologie clinique, Hôpital Militaire d’Instructions Mohammed V, Rabat, Morocco
5 Service de Gastroentérologie clinique, Hôpital Militaire d’Instructions Mohammed V, Rabat, Morocco
6 Department of Gastroenterology, Military Hospital Mohammed V, Rabat, Morocco
7 Department of Gastroenterology, Military Hospital Mohammed V, Rabat, Morocco
Original language: French
Copyright © 2020 ISSR Journals. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Retrograde endoscopic cholangiopancreatography (ERCP) retains a prominent place in the therapeutic management of bilio-pancreatic pathologies, in particular lithiasis disease. Its complications are now well known and are dominated by acute pancreatitis. The aim of our work is to assess the frequency and predictors of complications of ERCP.We retrospectively included all consecutive patients who received an ERCP, between January 2018 and April 2019 in the gastroenterology I Department of the Military Instruction Hospital Mohamed V in Rabat, for a lithiasis pathology. Clinical, biological and endoscopic data were collected from patient records.Statistical analysis was performed by Spss20 software using the binary logistic regression model in univariate and multivariate analyzes. The associated factors studied are: age, sex, history of ERCP, taking NSAIDs before the gesture, catheterization of the pancreatic duct and the number of passages in the Wirsung, the achievement of a pre-cut and the total duration of the procedure.
Author Keywords: ERCP, post-ERCP pancreatitis, risk factors, sphincterotomy, complications.
Volume 31, Issue 1, November 2020, Pages 52–55
S. Ouahid1, I. Radouane2, Sanaa Berrag3, F. Nejjari4, T. Addioui5, Mouna Tamzaourte6, and Aziz Aourarh7
1 Service de Gastroentérologie clinique, Hôpital Militaire d’Instructions Mohammed V, Rabat, Morocco
2 Service de Gastroentérologie clinique, Hôpital Militaire d’Instructions Mohammed V, Rabat, Morocco
3 Department of Gastroenterology, Military Hospital Mohammed V, Rabat, Morocco
4 Service de Gastroentérologie clinique, Hôpital Militaire d’Instructions Mohammed V, Rabat, Morocco
5 Service de Gastroentérologie clinique, Hôpital Militaire d’Instructions Mohammed V, Rabat, Morocco
6 Department of Gastroenterology, Military Hospital Mohammed V, Rabat, Morocco
7 Department of Gastroenterology, Military Hospital Mohammed V, Rabat, Morocco
Original language: French
Copyright © 2020 ISSR Journals. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Retrograde endoscopic cholangiopancreatography (ERCP) retains a prominent place in the therapeutic management of bilio-pancreatic pathologies, in particular lithiasis disease. Its complications are now well known and are dominated by acute pancreatitis. The aim of our work is to assess the frequency and predictors of complications of ERCP.We retrospectively included all consecutive patients who received an ERCP, between January 2018 and April 2019 in the gastroenterology I Department of the Military Instruction Hospital Mohamed V in Rabat, for a lithiasis pathology. Clinical, biological and endoscopic data were collected from patient records.Statistical analysis was performed by Spss20 software using the binary logistic regression model in univariate and multivariate analyzes. The associated factors studied are: age, sex, history of ERCP, taking NSAIDs before the gesture, catheterization of the pancreatic duct and the number of passages in the Wirsung, the achievement of a pre-cut and the total duration of the procedure.
Author Keywords: ERCP, post-ERCP pancreatitis, risk factors, sphincterotomy, complications.
Abstract: (french)
La cholangio-pancréatographie rétrograde par voie endoscopique (CPRE) garde une place prépondérante dans la prise en charge thérapeutique des pathologies bilio-pancréatiques notamment la maladie lithiasique. Ses complications sont désormais bien connues et sont dominées par la pancréatite aiguë. Le but de notre travail est d’évaluer la fréquence et les facteurs prédictifs de complications de la CPRE. Nous avons inclus rétrospectivement tous les patients consécutifs ayant bénéficié d'une CPRE, entre janvier 2018 et avril 2019 au service de gastroentérologie I de l’HMIMV de Rabat, pour une pathologie lithiasique. Les données cliniques, biologiques et endoscopiques ont été recueillies à partir des dossiers patients. L’analyse statistique a été réalisée par le logiciel Spss20 en utilisant le modèle de régression logistique binaire en analyses unie variée et multi variée. Les facteurs associés étudiés sont: l’âge, le sexe, l’antécédent de CPRE, prise des AINS avant le geste, le cathétérisme du canal pancréatique et le nombre de passage dans le Wirsung, la réalisation d'une pré-coupe et la durée totale de la procédure.
Author Keywords: CPRE, pancréatite post CPRE, facteurs de risques, sphinctérotomie, complications.
How to Cite this Article
S. Ouahid, I. Radouane, Sanaa Berrag, F. Nejjari, T. Addioui, Mouna Tamzaourte, and Aziz Aourarh, “Predictive factors of complications of endoscopic retrograde cholangio-pancreatography in the treatment of cholelithiasis,” International Journal of Innovation and Applied Studies, vol. 31, no. 1, pp. 52–55, November 2020.
