Safety and Efficacy of Endoscopic Retrograde Cholangiopancreatography in Nonagenarians: A Systematic Review and Meta-Analysis

Iqbal, Umair; Anwar, Hafsa; Khan, Muhammad Ali; Weissman, Simcha; Kothari, Shivangi; Kothari, Truptesh; Confer, Bradley; Khara, Harshit S.

doi:10.1007/s10620-021-06950-2

Cited by 2 publications

(2 citation statements)

References 32 publications

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“…A study has reported that the gallbladder aids digestion and improves lipid metabolism ( 20 ), and thus its removal may have an impact on the metabolic balance of the body. In recent years, with the rapid development of minimally invasive treatment technology, ERCP biliary lithotomy has received great attention from gastroenterologists and gradually replaced traditional open lithotripsy as it is minimally invasive and less costly, involves less physiological interference and pain to patients, and it clearly shows the bile duct site and bile duct stone pattern ( 21 , 22 ). However, precisely because ERCP is an emerging technique, patients lack knowledge and understanding of it compared to traditional open surgery, and some patients are prone to negative emotions.…”

Section: Discussionmentioning

confidence: 99%

Cohort analysis of relevant factors for negative emotions during the perioperative period in choledocholithiasis patients treated with ERCP and the impact on prognosis

Li¹

2023

Gland Surg

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Background Endoscopic retrograde cholangiopancreatography (ERCP) is an emerging option in the management of common bile duct stones and has a high success rate for biliary stone extraction. However, due to the lack of knowledge and understanding of this technique, some patients often experience varying degrees of anxiety and depression. There is little research on the factors associated with negative emotions. This study aimed to investigate the risk factors for negative emotions in choledocholithiasis patients treated with ERCP and the impact on prognosis to provide a reference for improving patients’ prognosis. Methods We analyzed the data of 364 patients with choledocholithiasis treated with ERCP at our hospital between July 2019 and June 2022. Patients’ emotional state was assessed using the SAS and SDS scales. The t -test and chi-square test were used to analyze the relationship between patients’ negative emotions and prognosis. The patient’s prognosis was assessed at one month postoperatively using the SF-36 scale. Binary logistic regression and multiple linear regression were used to analyze the independent risk factors for negative emotions and prognosis in patients. Results In this study, the prevalence of anxiety was 10.4%, the prevalence of depression was 8.8% and the prevalence of negative emotions was 15.4%. Binary logistic regression analysis showed that gender [odds ratio (OR) =0.379, P=0.023], fertility status (OR =0.164, P=0.032), monthly household income (OR =0.180, P=0.001) and so on were independent risk factors for the anxiety. Fertility status (OR =0.173, P=0.038), marital status (OR =0.210, P=0.043), TBIL on the first postoperative day (OR =1.079, P=0.002) and so on were independent risk factors for depression. Multiple linear regression analysis revealed that the presence of negative emotions (P=0.001) was an important risk factor for prognosis. Conclusions Patients with choledocholithiasis treated with ERCP are prone to anxiety, depression and other psychological disorders. Therefore, clinical work should not only focus on the patient’s condition, but also pay attention to the patient's family situation and emotional changes, and give timely psychological counselling and prevent complications, reduce the patient’s suffering and improve the patient’s prognosis.

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Section: Discussionmentioning

confidence: 99%

Cohort analysis of relevant factors for negative emotions during the perioperative period in choledocholithiasis patients treated with ERCP and the impact on prognosis

Li¹

2023

Gland Surg

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“…Prior meta-analyses on this topic have focused only on paediatric patients26 or instead on specific AEs or specific patient subgroups 13 27 28. Therefore, we propose an up-to-date, comprehensive and methodologically rigorous systematic review and meta-analysis to determine the incidence of AEs following ERCP in adult patients, both overall and within clinically relevant patient-related and procedure-related subgroups.…”

Section: Introductionmentioning

confidence: 99%

Adverse events associated with endoscopic retrograde cholangiopancreatography: protocol for a systematic review and meta-analysis

et al. 2021

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IntroductionEndoscopic retrograde cholangiopancreatography (ERCP) is performed to diagnose and manage conditions of the biliary and pancreatic ducts. Though effective, it is associated with common adverse events (AEs). The purpose of this study is to systematically review ERCP AE rates and report up-to-date pooled estimates.Methods and analysisA comprehensive electronic search will be conducted of relevant medical databases through 10 November 2020. A study team of eight data abstracters will independently determine study eligibility, assess quality and abstract data in parallel, with any two concordant entries constituting agreement and with discrepancies resolved by consensus. The primary outcome will be the pooled incidence of post-ERCP pancreatitis, with secondary outcomes including post-ERCP bleeding, cholangitis, perforation, cholecystitis, death and unplanned healthcare encounters. Secondary outcomes will also include rates of specific and overall AEs within clinically relevant subgroups determined a priori. DerSimonian and Laird random effects models will be used to perform meta-analyses of these outcomes. Sources of heterogeneity will be explored via meta-regression. Subgroup analyses based on median dates of data collection across studies will be performed to determine whether AE rates have changed over time.Ethics and disseminationEthics approval is not required for this study as it is a planned meta-analysis of previously published data. Participant consent is similarly not required. Dissemination is planned via presentation at relevant conferences in addition to publication in peer-reviewed journals.PROSPERO registration numberCRD42020220221.

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Safety and Efficacy of Endoscopic Retrograde Cholangiopancreatography in Nonagenarians: A Systematic Review and Meta-Analysis

Cited by 2 publications

References 32 publications

Cohort analysis of relevant factors for negative emotions during the perioperative period in choledocholithiasis patients treated with ERCP and the impact on prognosis

Cohort analysis of relevant factors for negative emotions during the perioperative period in choledocholithiasis patients treated with ERCP and the impact on prognosis

Adverse events associated with endoscopic retrograde cholangiopancreatography: protocol for a systematic review and meta-analysis

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