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Iatrogenic pancreatitis in patients with IPMN after ERCP: incidence and predictive signs
Background and aims The prevalence of intraductal papillary mucinous neoplasm (IPMN) has recently increased, and endoscopic retrograde cholangiopancreatography (ERCP) is a major diagnostic modality for IPMN. The aim of our study was to determine the prevalence rate of iatrogenic pancreatitis in the...
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| Published in: | Abdominal imaging 2014-10, Vol.39 (5), p.949-954 |
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| cites | cdi_FETCH-LOGICAL-c475t-de22ded6733f0028249d2395eb84a8b94600c725cc21536c25b6a81a509e95473 |
| container_end_page | 954 |
| container_issue | 5 |
| container_start_page | 949 |
| container_title | Abdominal imaging |
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| creator | Jung, Min Kyu Jang, Yun-Jin Cho, Chang Min Kim, Gab Chul Cho, Seung Hyun Lee, Dakeun Ryeom, Hun Kyu Shin, Kyung Min |
| description | Background and aims
The prevalence of intraductal papillary mucinous neoplasm (IPMN) has recently increased, and endoscopic retrograde cholangiopancreatography (ERCP) is a major diagnostic modality for IPMN. The aim of our study was to determine the prevalence rate of iatrogenic pancreatitis in the patients with IPMN and the predictive signs on pre-procedural images and endoscopic procedures.
Patients and methods
At a single center, patients who underwent ERCP between September 2001 and December 2010 were included in this study. The presence of iatrogenic pancreatitis was evaluated and the difference of prevalence in the patients with/without IPMN was determined. Then, a review of cross-sectional images was performed.
Results
The prevalence rate of iatrogenic pancreatitis in the patients with IPMN was 20% and that in the patients with other pancreatic cystic lesions was 14%. Mural nodules on images and filling defects on ERCP were more highly detected in the patients without iatrogenic pancreatitis (
p
= 0.040 and
p
= 0.027, respectively). In the multivariate analysis, the presence of filling defects correlated with a decreased incidence of iatrogenic pancreatitis (odds ratio = 0.119 and
p
= 0.047).
Conclusion
In this study, the prevalence rate of ERCP-induced pancreatitis in the patients with IPMN was 21%, and the presence of filling defects was associated with a decreased incidence of iatrogenic pancreatitis. |
| doi_str_mv | 10.1007/s00261-014-0122-0 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1566853670</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1566853670</sourcerecordid><originalsourceid>FETCH-LOGICAL-c475t-de22ded6733f0028249d2395eb84a8b94600c725cc21536c25b6a81a509e95473</originalsourceid><addsrcrecordid>eNqNkdFLWzEUxsOY2Or8A_Yigb34cvUkN7m58W2UOgvOydhgbyHNPa0pbW5NUmX__VKrIsLAh5Ac8jvfyZePkM8MThmAOksAvGEVMFEW5xV8IEMm6nKQoD-SIWjBq1ZzOSAHKS0AoK2V3icDLhTIplFD8mdic-znGLyjaxtcRJt99on6UOrsMeREH3y-pZOb79fUzjJGOv45ujkvhPMdBofUho6uI3beZX-PNPl5SJ_I3swuEx497Yfk98X41-iyuvrxbTL6elU5oWSuOuS8w65RdT0rbloudMdrLXHaCttOtWgAnOLSOc5k3Tgup41tmS0GUUuh6kNystNdx_5ugymblU8Ol0sbsN8kw4rPtnQqeA9a67aATUG_vEEX_SaGYuSRKj_J9HY221Eu9ilFnJl19Csb_xoGZpuQ2SVkSkJmm5DZPuL4SXkzXWH30vEcSQH4DkjlKswxvhr9X9V_-HSYbg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1563000197</pqid></control><display><type>article</type><title>Iatrogenic pancreatitis in patients with IPMN after ERCP: incidence and predictive signs</title><source>Alma/SFX Local Collection</source><creator>Jung, Min Kyu ; Jang, Yun-Jin ; Cho, Chang Min ; Kim, Gab Chul ; Cho, Seung Hyun ; Lee, Dakeun ; Ryeom, Hun Kyu ; Shin, Kyung Min</creator><creatorcontrib>Jung, Min Kyu ; Jang, Yun-Jin ; Cho, Chang Min ; Kim, Gab Chul ; Cho, Seung Hyun ; Lee, Dakeun ; Ryeom, Hun Kyu ; Shin, Kyung Min</creatorcontrib><description>Background and aims
The prevalence of intraductal papillary mucinous neoplasm (IPMN) has recently increased, and endoscopic retrograde cholangiopancreatography (ERCP) is a major diagnostic modality for IPMN. The aim of our study was to determine the prevalence rate of iatrogenic pancreatitis in the patients with IPMN and the predictive signs on pre-procedural images and endoscopic procedures.
Patients and methods
At a single center, patients who underwent ERCP between September 2001 and December 2010 were included in this study. The presence of iatrogenic pancreatitis was evaluated and the difference of prevalence in the patients with/without IPMN was determined. Then, a review of cross-sectional images was performed.
Results
The prevalence rate of iatrogenic pancreatitis in the patients with IPMN was 20% and that in the patients with other pancreatic cystic lesions was 14%. Mural nodules on images and filling defects on ERCP were more highly detected in the patients without iatrogenic pancreatitis (
p
= 0.040 and
p
= 0.027, respectively). In the multivariate analysis, the presence of filling defects correlated with a decreased incidence of iatrogenic pancreatitis (odds ratio = 0.119 and
p
= 0.047).
Conclusion
In this study, the prevalence rate of ERCP-induced pancreatitis in the patients with IPMN was 21%, and the presence of filling defects was associated with a decreased incidence of iatrogenic pancreatitis.</description><identifier>ISSN: 0942-8925</identifier><identifier>ISSN: 2366-004X</identifier><identifier>EISSN: 1432-0509</identifier><identifier>EISSN: 2366-0058</identifier><identifier>DOI: 10.1007/s00261-014-0122-0</identifier><identifier>PMID: 24705667</identifier><language>eng</language><publisher>Boston: Springer US</publisher><subject>Adenocarcinoma, Mucinous - diagnostic imaging ; Adenocarcinoma, Mucinous - epidemiology ; Adult ; Aged ; Aged, 80 and over ; Carcinoma, Pancreatic Ductal - diagnostic imaging ; Carcinoma, Pancreatic Ductal - epidemiology ; Cholangiopancreatography, Endoscopic Retrograde - methods ; Female ; Gastroenterology ; Hepatology ; Humans ; Iatrogenic Disease - epidemiology ; Imaging ; Incidence ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Pancreatic Ducts - diagnostic imaging ; Pancreatic Neoplasms - diagnostic imaging ; Pancreatic Neoplasms - epidemiology ; Pancreatitis - diagnostic imaging ; Pancreatitis - epidemiology ; Predictive Value of Tests ; Prevalence ; Radiology</subject><ispartof>Abdominal imaging, 2014-10, Vol.39 (5), p.949-954</ispartof><rights>Springer Science+Business Media New York 2014</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c475t-de22ded6733f0028249d2395eb84a8b94600c725cc21536c25b6a81a509e95473</citedby><cites>FETCH-LOGICAL-c475t-de22ded6733f0028249d2395eb84a8b94600c725cc21536c25b6a81a509e95473</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,786,790,27957,27958</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24705667$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jung, Min Kyu</creatorcontrib><creatorcontrib>Jang, Yun-Jin</creatorcontrib><creatorcontrib>Cho, Chang Min</creatorcontrib><creatorcontrib>Kim, Gab Chul</creatorcontrib><creatorcontrib>Cho, Seung Hyun</creatorcontrib><creatorcontrib>Lee, Dakeun</creatorcontrib><creatorcontrib>Ryeom, Hun Kyu</creatorcontrib><creatorcontrib>Shin, Kyung Min</creatorcontrib><title>Iatrogenic pancreatitis in patients with IPMN after ERCP: incidence and predictive signs</title><title>Abdominal imaging</title><addtitle>Abdom Imaging</addtitle><addtitle>Abdom Imaging</addtitle><description>Background and aims
The prevalence of intraductal papillary mucinous neoplasm (IPMN) has recently increased, and endoscopic retrograde cholangiopancreatography (ERCP) is a major diagnostic modality for IPMN. The aim of our study was to determine the prevalence rate of iatrogenic pancreatitis in the patients with IPMN and the predictive signs on pre-procedural images and endoscopic procedures.
Patients and methods
At a single center, patients who underwent ERCP between September 2001 and December 2010 were included in this study. The presence of iatrogenic pancreatitis was evaluated and the difference of prevalence in the patients with/without IPMN was determined. Then, a review of cross-sectional images was performed.
Results
The prevalence rate of iatrogenic pancreatitis in the patients with IPMN was 20% and that in the patients with other pancreatic cystic lesions was 14%. Mural nodules on images and filling defects on ERCP were more highly detected in the patients without iatrogenic pancreatitis (
p
= 0.040 and
p
= 0.027, respectively). In the multivariate analysis, the presence of filling defects correlated with a decreased incidence of iatrogenic pancreatitis (odds ratio = 0.119 and
p
= 0.047).
Conclusion
In this study, the prevalence rate of ERCP-induced pancreatitis in the patients with IPMN was 21%, and the presence of filling defects was associated with a decreased incidence of iatrogenic pancreatitis.</description><subject>Adenocarcinoma, Mucinous - diagnostic imaging</subject><subject>Adenocarcinoma, Mucinous - epidemiology</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Carcinoma, Pancreatic Ductal - diagnostic imaging</subject><subject>Carcinoma, Pancreatic Ductal - epidemiology</subject><subject>Cholangiopancreatography, Endoscopic Retrograde - methods</subject><subject>Female</subject><subject>Gastroenterology</subject><subject>Hepatology</subject><subject>Humans</subject><subject>Iatrogenic Disease - epidemiology</subject><subject>Imaging</subject><subject>Incidence</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Pancreatic Ducts - diagnostic imaging</subject><subject>Pancreatic Neoplasms - diagnostic imaging</subject><subject>Pancreatic Neoplasms - epidemiology</subject><subject>Pancreatitis - diagnostic imaging</subject><subject>Pancreatitis - epidemiology</subject><subject>Predictive Value of Tests</subject><subject>Prevalence</subject><subject>Radiology</subject><issn>0942-8925</issn><issn>2366-004X</issn><issn>1432-0509</issn><issn>2366-0058</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><recordid>eNqNkdFLWzEUxsOY2Or8A_Yigb34cvUkN7m58W2UOgvOydhgbyHNPa0pbW5NUmX__VKrIsLAh5Ac8jvfyZePkM8MThmAOksAvGEVMFEW5xV8IEMm6nKQoD-SIWjBq1ZzOSAHKS0AoK2V3icDLhTIplFD8mdic-znGLyjaxtcRJt99on6UOrsMeREH3y-pZOb79fUzjJGOv45ujkvhPMdBofUho6uI3beZX-PNPl5SJ_I3swuEx497Yfk98X41-iyuvrxbTL6elU5oWSuOuS8w65RdT0rbloudMdrLXHaCttOtWgAnOLSOc5k3Tgup41tmS0GUUuh6kNystNdx_5ugymblU8Ol0sbsN8kw4rPtnQqeA9a67aATUG_vEEX_SaGYuSRKj_J9HY221Eu9ilFnJl19Csb_xoGZpuQ2SVkSkJmm5DZPuL4SXkzXWH30vEcSQH4DkjlKswxvhr9X9V_-HSYbg</recordid><startdate>20141001</startdate><enddate>20141001</enddate><creator>Jung, Min Kyu</creator><creator>Jang, Yun-Jin</creator><creator>Cho, Chang Min</creator><creator>Kim, Gab Chul</creator><creator>Cho, Seung Hyun</creator><creator>Lee, Dakeun</creator><creator>Ryeom, Hun Kyu</creator><creator>Shin, Kyung Min</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>JQ2</scope><scope>K7-</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>M7Z</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>7QO</scope></search><sort><creationdate>20141001</creationdate><title>Iatrogenic pancreatitis in patients with IPMN after ERCP: incidence and predictive signs</title><author>Jung, Min Kyu ; Jang, Yun-Jin ; Cho, Chang Min ; Kim, Gab Chul ; Cho, Seung Hyun ; Lee, Dakeun ; Ryeom, Hun Kyu ; Shin, Kyung Min</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c475t-de22ded6733f0028249d2395eb84a8b94600c725cc21536c25b6a81a509e95473</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adenocarcinoma, Mucinous - diagnostic imaging</topic><topic>Adenocarcinoma, Mucinous - epidemiology</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Carcinoma, Pancreatic Ductal - diagnostic imaging</topic><topic>Carcinoma, Pancreatic Ductal - epidemiology</topic><topic>Cholangiopancreatography, Endoscopic Retrograde - methods</topic><topic>Female</topic><topic>Gastroenterology</topic><topic>Hepatology</topic><topic>Humans</topic><topic>Iatrogenic Disease - epidemiology</topic><topic>Imaging</topic><topic>Incidence</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Pancreatic Ducts - diagnostic imaging</topic><topic>Pancreatic Neoplasms - diagnostic imaging</topic><topic>Pancreatic Neoplasms - epidemiology</topic><topic>Pancreatitis - diagnostic imaging</topic><topic>Pancreatitis - epidemiology</topic><topic>Predictive Value of Tests</topic><topic>Prevalence</topic><topic>Radiology</topic><toplevel>online_resources</toplevel><creatorcontrib>Jung, Min Kyu</creatorcontrib><creatorcontrib>Jang, Yun-Jin</creatorcontrib><creatorcontrib>Cho, Chang Min</creatorcontrib><creatorcontrib>Kim, Gab Chul</creatorcontrib><creatorcontrib>Cho, Seung Hyun</creatorcontrib><creatorcontrib>Lee, Dakeun</creatorcontrib><creatorcontrib>Ryeom, Hun Kyu</creatorcontrib><creatorcontrib>Shin, Kyung Min</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Nursing and Allied Health Journals</collection><collection>Health & Medical Collection (Proquest)</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>Advanced Technologies & Aerospace Database (1962 - 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Academic</collection><collection>Biotechnology Research Abstracts</collection><jtitle>Abdominal imaging</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jung, Min Kyu</au><au>Jang, Yun-Jin</au><au>Cho, Chang Min</au><au>Kim, Gab Chul</au><au>Cho, Seung Hyun</au><au>Lee, Dakeun</au><au>Ryeom, Hun Kyu</au><au>Shin, Kyung Min</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Iatrogenic pancreatitis in patients with IPMN after ERCP: incidence and predictive signs</atitle><jtitle>Abdominal imaging</jtitle><stitle>Abdom Imaging</stitle><addtitle>Abdom Imaging</addtitle><date>2014-10-01</date><risdate>2014</risdate><volume>39</volume><issue>5</issue><spage>949</spage><epage>954</epage><pages>949-954</pages><issn>0942-8925</issn><issn>2366-004X</issn><eissn>1432-0509</eissn><eissn>2366-0058</eissn><notes>ObjectType-Article-1</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-2</notes><notes>content type line 23</notes><notes>ObjectType-Article-2</notes><notes>ObjectType-Feature-1</notes><abstract>Background and aims
The prevalence of intraductal papillary mucinous neoplasm (IPMN) has recently increased, and endoscopic retrograde cholangiopancreatography (ERCP) is a major diagnostic modality for IPMN. The aim of our study was to determine the prevalence rate of iatrogenic pancreatitis in the patients with IPMN and the predictive signs on pre-procedural images and endoscopic procedures.
Patients and methods
At a single center, patients who underwent ERCP between September 2001 and December 2010 were included in this study. The presence of iatrogenic pancreatitis was evaluated and the difference of prevalence in the patients with/without IPMN was determined. Then, a review of cross-sectional images was performed.
Results
The prevalence rate of iatrogenic pancreatitis in the patients with IPMN was 20% and that in the patients with other pancreatic cystic lesions was 14%. Mural nodules on images and filling defects on ERCP were more highly detected in the patients without iatrogenic pancreatitis (
p
= 0.040 and
p
= 0.027, respectively). In the multivariate analysis, the presence of filling defects correlated with a decreased incidence of iatrogenic pancreatitis (odds ratio = 0.119 and
p
= 0.047).
Conclusion
In this study, the prevalence rate of ERCP-induced pancreatitis in the patients with IPMN was 21%, and the presence of filling defects was associated with a decreased incidence of iatrogenic pancreatitis.</abstract><cop>Boston</cop><pub>Springer US</pub><pmid>24705667</pmid><doi>10.1007/s00261-014-0122-0</doi><tpages>6</tpages></addata></record> |
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| ispartof | Abdominal imaging, 2014-10, Vol.39 (5), p.949-954 |
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| source | Alma/SFX Local Collection |
| subjects | Adenocarcinoma, Mucinous - diagnostic imaging Adenocarcinoma, Mucinous - epidemiology Adult Aged Aged, 80 and over Carcinoma, Pancreatic Ductal - diagnostic imaging Carcinoma, Pancreatic Ductal - epidemiology Cholangiopancreatography, Endoscopic Retrograde - methods Female Gastroenterology Hepatology Humans Iatrogenic Disease - epidemiology Imaging Incidence Male Medicine Medicine & Public Health Middle Aged Pancreatic Ducts - diagnostic imaging Pancreatic Neoplasms - diagnostic imaging Pancreatic Neoplasms - epidemiology Pancreatitis - diagnostic imaging Pancreatitis - epidemiology Predictive Value of Tests Prevalence Radiology |
| title | Iatrogenic pancreatitis in patients with IPMN after ERCP: incidence and predictive signs |
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