%0 Journal Article %@ 1590-8658 %A Kollaborációs szervezet: Hungarian Pancreatic Study Group %A Szabó-Halász Adrienn %A Pécsi Dániel %A Borbásné Farkas Kornélia %A Izbéki Ferenc %A Gajdán László %A Fejes Roland %A Hamvas József %A Takács Tamás %A Szepes Zoltán %A Czakó László %A Vincze Áron %A Gódi Szilárd %A Szentesi Andrea Ildikó %A Párniczky Andrea %A Illés Dóra %A Kui Balázs %A Varjú Péter %A Márta Katalin %A Varga Márta %A Novák János %A Szepes Attila %A Bod Barnabás %A Ihász Miklós %A Hegyi Péter %A Hritz István %A Erőss Bálint Mihály %A I.sz. Belgyógyászati Klinika PTE / ÁOK IBK, %A I. Sz. Sebészeti Klinika SE / AOK / K ISZSK [2000-2020], %A MTA-SZTE Lendület Gasztroenterológiai Multidiszciplináris Kutatócsoport SZTE / ÁOK / I.BelK [2014-2019], %A Klinikai Orvostudományi Doktori Iskola SZTE / DI KODI [2000-], %A Transzlációs Medicina Intézet PTE / ÁOK TMI [2016-], %A I. sz. Belgyógyászati Klinika SZTE / ÁOK I.BelK [2009-], %A Fejér Megyei Szent György Egyetemi Oktató Kórház FMSZGYEOK [2015-], %A Bioanalitikai Intézet PTE / ÁOK BI, %D 2019 %F publicatio:22006 %J DIGESTIVE AND LIVER DISEASE %N 9 %P 1281-1286 %T Outcomes and timing of endoscopic retrograde cholangiopancreatography for acute biliary pancreatitis %U http://publicatio.bibl.u-szeged.hu/22006/ %V 51 %X Background Indication of endoscopic retrograde cholangiopancreatography (ERCP) in acute biliary pancreatitis (ABP) is challenging. Aims In this retrospective study, we analyzed real-world data to understand the ERCP practice in ABP in Hungarian centers. Methods Clinical data on ABP patients (2013–2015) were extracted from our large multicentric database. Outcomes, quality indicators and the role of early timing of ERCP (<24 h from admission) were analyzed. Results There were 356 patients with ABP. ERCP was performed in 267 (75%). Performance indicators of ERCP proved to be suboptimal with a biliary cannulation rate of 84%. Successful vs unsuccessful cannulation of naïve papilla resulted in lower rates of local [22.9% vs 40.9%, (P = 0.012)] and systemic [4.9% vs 13.6%, (P = 0.042)] complications. Successful vs unsuccessful clearance resulted in lower rates of local complications [22.5% vs 40.8%, (P = 0.008)]. Successful cannulation and drainage correlated with less severe course of ABP [3.6% vs 15.9%, (P = 0.001) and 4.1% vs 12.2%, (P = 0.033)] respectively. A tendency of an increased rate of local complications was observed if ERCP was performed later [<24 h: 21.1% (35/166); between 24–48 h: 23.4% (11/47); >48h: 37.2% (16/43) (P = 0.088)]. Conclusion Optimization of ERCP indication in ABP patients is critical as suboptimal ERCP practices in ABP without definitive stone detection are associated with poorer clinical outcomes. %Z CN: Hungarian Pancreatic Study Group Journal Article; Multicenter Study Funding Agency and Grant Number: Economic Development and Innovation Operative Programme Grant from the National Research, Development and Innovation Office [GINOP 2.3.2-15-372-2016-00048]; Human Resources Development Operational Programme Grant from the National Research, Development and Innovation Office [EFOP-3.6.2-16-2017-00006]; Momentum Grant from the Hungarian Academy of Sciences [LP2014-10/2014]; Janos Bolyai Research Scholarship of the Hungarian Academy of SciencesHungarian Academy of Sciences; new national excellence program of the Ministry of Human Capacities [UNKP-18-4]; [KH125678]; [K116634]; [K120335] Funding text: This study was supported by Project Grants (KH125678 and K116634 to PH, K120335 to TT), the Economic Development and Innovation Operative Programme Grant (GINOP 2.3.2-15-372-2016-00048 to PH) and Human Resources Development Operational Programme Grant (EFOP-3.6.2-16-2017-00006 to PH) from the National Research, Development and Innovation Office, by a Momentum Grant from the Hungarian Academy of Sciences (LP2014-10/2014 to PH), by the Janos Bolyai Research Scholarship of the Hungarian Academy of Sciences (to AP) and the UNKP-18-4 new national excellence program of the Ministry of Human Capacities (to AP). Funders had no role in study design, data collection, analysis, interpretation of the findings, and preparation of the manuscript. Export Date: 19 June 2020 CODEN: DLDIF Export Date: 22 June 2020 CODEN: DLDIF Export Date: 23 November 2020 CODEN: DLDIF Szent György Teaching Hospital of Fejér County, Székesfehérvár, Hungary Institute for Translational Medicine, Medical School, University of Pécs, Pécs, Hungary Institute of Bioanalysis and Institute for Translational Medicine, Medical School, University of Pécs, Pécs, Hungary Bajcsy-Zsilinszky Teaching Hospital of Semmelweis University, Budapest, Hungary First Department of Medicine, University of Szeged, Szeged, Hungary First Department of Medicine, Medical School, University of Pécs, Pécs, Hungary Heim Pál National Institute for Pediatrics, Budapest, Hungary BMKK, Dr. Réthy Pál Hospital, Békéscsaba, Hungary BMKK, Pándy Kálmán Hospital, Gyula, Hungary Bács-Kiskun County University Teaching Hospital, Kecskemét, Hungary Dr. Bugyi István Hospital of Csongrád County, Szentes, Hungary Markusovszky Teaching Hospital, Szombathely, Szombathely, Hungary First Department of Medicine, University of Pécs, Pécs, Hungary MTA–SZTE Momentum Translational Gastroenterology Research Group, Szeged, Hungary First Department of Surgery, Center for Therapeutic Endoscopy, Semmelweis University, Budapest, Hungary Cited By :3 Export Date: 4 January 2021 CODEN: DLDIF Correspondence Address: Erőss, B.; Institute for Translational Medicine, Medical School, University of Pécs, Szigeti str. 12, Hungary; email: eross.balint@pte.hu Szent György Teaching Hospital of Fejér County, Székesfehérvár, Hungary Institute for Translational Medicine, Medical School, University of Pécs, Pécs, Hungary Institute of Bioanalysis and Institute for Translational Medicine, Medical School, University of Pécs, Pécs, Hungary Bajcsy-Zsilinszky Teaching Hospital of Semmelweis University, Budapest, Hungary First Department of Medicine, University of Szeged, Szeged, Hungary First Department of Medicine, Medical School, University of Pécs, Pécs, Hungary Heim Pál National Institute for Pediatrics, Budapest, Hungary BMKK, Dr. Réthy Pál Hospital, Békéscsaba, Hungary BMKK, Pándy Kálmán Hospital, Gyula, Hungary Bács-Kiskun County University Teaching Hospital, Kecskemét, Hungary Dr. Bugyi István Hospital of Csongrád County, Szentes, Hungary Markusovszky Teaching Hospital, Szombathely, Szombathely, Hungary First Department of Medicine, University of Pécs, Pécs, Hungary MTA–SZTE Momentum Translational Gastroenterology Research Group, Szeged, Hungary First Department of Surgery, Center for Therapeutic Endoscopy, Semmelweis University, Budapest, Hungary Cited By :3 Export Date: 21 January 2021 CODEN: DLDIF Correspondence Address: Erőss, B.; Institute for Translational Medicine, Szigeti str. 12, Hungary; email: eross.balint@pte.hu Szent György Teaching Hospital of Fejér County, Székesfehérvár, Hungary Institute for Translational Medicine, Medical School, University of Pécs, Pécs, Hungary Institute of Bioanalysis and Institute for Translational Medicine, Medical School, University of Pécs, Pécs, Hungary Bajcsy-Zsilinszky Teaching Hospital of Semmelweis University, Budapest, Hungary First Department of Medicine, University of Szeged, Szeged, Hungary First Department of Medicine, Medical School, University of Pécs, Pécs, Hungary Heim Pál National Institute for Pediatrics, Budapest, Hungary BMKK, Dr. Réthy Pál Hospital, Békéscsaba, Hungary BMKK, Pándy Kálmán Hospital, Gyula, Hungary Bács-Kiskun County University Teaching Hospital, Kecskemét, Hungary Dr. Bugyi István Hospital of Csongrád County, Szentes, Hungary Markusovszky Teaching Hospital, Szombathely, Szombathely, Hungary First Department of Medicine, University of Pécs, Pécs, Hungary MTA–SZTE Momentum Translational Gastroenterology Research Group, Szeged, Hungary First Department of Surgery, Center for Therapeutic Endoscopy, Semmelweis University, Budapest, Hungary Cited By :3 Export Date: 25 January 2021 CODEN: DLDIF Correspondence Address: Erőss, B.; Institute for Translational Medicine, Szigeti str. 12, Hungary; email: eross.balint@pte.hu