Tsujung Yang, Achint Patel, Rishita Pujari, Vincent P Okine, Lakshmi G Chirumamilla, Geethu Jnaneswaran, Athul Raj, Keji L Kwajok, Ruchir Goswami, Prakashkumar Maiyani, Maheshkumar Desai, Hardikkumar Shah, Matthew Grossman
{"title":"肝移植患者的内镜逆行胆管胰管造影结果。","authors":"Tsujung Yang, Achint Patel, Rishita Pujari, Vincent P Okine, Lakshmi G Chirumamilla, Geethu Jnaneswaran, Athul Raj, Keji L Kwajok, Ruchir Goswami, Prakashkumar Maiyani, Maheshkumar Desai, Hardikkumar Shah, Matthew Grossman","doi":"10.5114/ceh.2022.119246","DOIUrl":null,"url":null,"abstract":"<p><strong>Aim of the study: </strong>Biliary complications are the leading causes of morbidity and mortality after liver transplant (LT). However, national data on endoscopic retrograde cholangiopancreatography (ERCP) usage and outcomes in LT patients are lacking. Our study aims to identify the trends, outcomes, and predictors of ERCP and related complications in this patient subgroup.</p><p><strong>Material and methods: </strong>We derived our study cohort from the Nationwide Inpatient Sample (NIS) of the Healthcare Cost and Utilization Project (HCUP) between 2007 and 2017. LT patients were identified using ICD-9/10CM diagnosis codes and patients who underwent ERCP were identified by ICD-9/10-CM procedure codes. We utilized the Cochrane-Armitage trend test and multivariate logistic regression to analyze temporal trends, outcomes, and predictors.</p><p><strong>Results: </strong>A total of 372,814 hospitalizations occurred in LT patients between 2007 and 2017. ERCP was performed in 2.05% (<i>n</i> = 7632) of all hospitalizations. There was a rise in ERCP procedures from 1.96% (<i>n</i> = 477) in 2007 to 2.05% (<i>n</i> = 845) in 2017. Among LT patients who underwent ERCP, the in-hospital mortality rate was 1% (<i>n</i> = 73) and 8% (<i>n</i> = 607) were discharged to facilities. Mean length of hospital stay was 7 ±0.3 days. Septicemia was the most common periprocedural complication (18.3%, <i>n</i> = 1399) followed by post-ERCP pancreatitis (8.8%, <i>n</i> = 674).</p><p><strong>Conclusions: </strong>There has been an increase in ERCP procedures over the past decade among LT patients. Our study highlights the periprocedural complications and outcomes of ERCP in LT patients from a nationally representative dataset.</p>","PeriodicalId":10281,"journal":{"name":"Clinical and Experimental Hepatology","volume":"8 3","pages":"226-232"},"PeriodicalIF":1.5000,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b0/fa/CEH-8-47756.PMC9850314.pdf","citationCount":"1","resultStr":"{\"title\":\"Outcomes of endoscopic retrograde cholangio-pancreatography in patients with liver transplant.\",\"authors\":\"Tsujung Yang, Achint Patel, Rishita Pujari, Vincent P Okine, Lakshmi G Chirumamilla, Geethu Jnaneswaran, Athul Raj, Keji L Kwajok, Ruchir Goswami, Prakashkumar Maiyani, Maheshkumar Desai, Hardikkumar Shah, Matthew Grossman\",\"doi\":\"10.5114/ceh.2022.119246\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Aim of the study: </strong>Biliary complications are the leading causes of morbidity and mortality after liver transplant (LT). However, national data on endoscopic retrograde cholangiopancreatography (ERCP) usage and outcomes in LT patients are lacking. Our study aims to identify the trends, outcomes, and predictors of ERCP and related complications in this patient subgroup.</p><p><strong>Material and methods: </strong>We derived our study cohort from the Nationwide Inpatient Sample (NIS) of the Healthcare Cost and Utilization Project (HCUP) between 2007 and 2017. LT patients were identified using ICD-9/10CM diagnosis codes and patients who underwent ERCP were identified by ICD-9/10-CM procedure codes. We utilized the Cochrane-Armitage trend test and multivariate logistic regression to analyze temporal trends, outcomes, and predictors.</p><p><strong>Results: </strong>A total of 372,814 hospitalizations occurred in LT patients between 2007 and 2017. ERCP was performed in 2.05% (<i>n</i> = 7632) of all hospitalizations. There was a rise in ERCP procedures from 1.96% (<i>n</i> = 477) in 2007 to 2.05% (<i>n</i> = 845) in 2017. Among LT patients who underwent ERCP, the in-hospital mortality rate was 1% (<i>n</i> = 73) and 8% (<i>n</i> = 607) were discharged to facilities. Mean length of hospital stay was 7 ±0.3 days. Septicemia was the most common periprocedural complication (18.3%, <i>n</i> = 1399) followed by post-ERCP pancreatitis (8.8%, <i>n</i> = 674).</p><p><strong>Conclusions: </strong>There has been an increase in ERCP procedures over the past decade among LT patients. Our study highlights the periprocedural complications and outcomes of ERCP in LT patients from a nationally representative dataset.</p>\",\"PeriodicalId\":10281,\"journal\":{\"name\":\"Clinical and Experimental Hepatology\",\"volume\":\"8 3\",\"pages\":\"226-232\"},\"PeriodicalIF\":1.5000,\"publicationDate\":\"2022-09-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b0/fa/CEH-8-47756.PMC9850314.pdf\",\"citationCount\":\"1\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Clinical and Experimental Hepatology\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.5114/ceh.2022.119246\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"GASTROENTEROLOGY & HEPATOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical and Experimental Hepatology","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.5114/ceh.2022.119246","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"GASTROENTEROLOGY & HEPATOLOGY","Score":null,"Total":0}
Outcomes of endoscopic retrograde cholangio-pancreatography in patients with liver transplant.
Aim of the study: Biliary complications are the leading causes of morbidity and mortality after liver transplant (LT). However, national data on endoscopic retrograde cholangiopancreatography (ERCP) usage and outcomes in LT patients are lacking. Our study aims to identify the trends, outcomes, and predictors of ERCP and related complications in this patient subgroup.
Material and methods: We derived our study cohort from the Nationwide Inpatient Sample (NIS) of the Healthcare Cost and Utilization Project (HCUP) between 2007 and 2017. LT patients were identified using ICD-9/10CM diagnosis codes and patients who underwent ERCP were identified by ICD-9/10-CM procedure codes. We utilized the Cochrane-Armitage trend test and multivariate logistic regression to analyze temporal trends, outcomes, and predictors.
Results: A total of 372,814 hospitalizations occurred in LT patients between 2007 and 2017. ERCP was performed in 2.05% (n = 7632) of all hospitalizations. There was a rise in ERCP procedures from 1.96% (n = 477) in 2007 to 2.05% (n = 845) in 2017. Among LT patients who underwent ERCP, the in-hospital mortality rate was 1% (n = 73) and 8% (n = 607) were discharged to facilities. Mean length of hospital stay was 7 ±0.3 days. Septicemia was the most common periprocedural complication (18.3%, n = 1399) followed by post-ERCP pancreatitis (8.8%, n = 674).
Conclusions: There has been an increase in ERCP procedures over the past decade among LT patients. Our study highlights the periprocedural complications and outcomes of ERCP in LT patients from a nationally representative dataset.
期刊介绍：
Clinical and Experimental Hepatology – quarterly of the Polish Association for Study of Liver – is a scientific and educational, peer-reviewed journal publishing original and review papers describing clinical and basic investigations in the field of hepatology.
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