Characteristics | Patients with post-ERCP pancreatitis (N = 21 ) | Patients without post-ERCP pancreatitis (N = 145) | P |
---|---|---|---|
Female | 17 | 93 | 0.14 |
Male | 4 | 52 | |
Age (years) | 48.3 ± 16.2 | 53.7 ± 18.3 | 0.21 |
<50 years | 11 | 63 | 0.44 |
>50 years | 10 | 82 | |
Ambulatory ERCP | 10 | 81 | 0.51 |
Hospitalized ERCP | 11 | 64 | |
Dilated bile duct by imaging studies pre-ERCP | 14 | 104 | 0.58 |
Without dilation bile duct by imaging studies pre-ERCP | 7 | 41 | |
Diameter of the bile duct by ERCP (mm) | 9.0 ± 2.1 | 11.9 ± 5.0 | 0.001 |
With previous cholecystectomy | 13 | 69 | 0.12 |
Without previous cholecystectomy | 8 | 76 | |
Elevated pre-ERCP bilirubin | 18 | 99 | 0.12 |
Normal pre-ERCP bilirubin | 3 | 46 | |
Number of attempts to cannulate the biliary tract | 9.1 ± 2.7 | 7.1 ± 3.5 | 0.02 |
Difficult cannulation | |||
<8 attempts | 5 | 83 | 0.005 |
>8 attempts | 16 | 62 | |
Precut (access) sphincterotomy | |||
Yes | 17 | 78 | 0.01 |
No | 4 | 67 | |
Biliary sphincterotomy | |||
Yes | 11 | 86 | 0.54 |
No | 10 | 59 | |
Cannulation time of the bile duct (min) | 8.7 ± 2.8 | 6.1 ± 3.5 | 0.001 |
ERCP Length (min) | 30.0 ± 3.7 | 23.7 ± 7.2 | 0.001 |
Pancreatography | |||
Yes | 17 | 62 | 0.002 |
No | 4 | 83 | |
Number of passes of the guide in the Wirsung duct. | 2.3 ± 0.76 | 1.40 ± 0.75 | 0.000 |
Number of injections into the Wirsung duct. | 2.0 ± 0.72 | 1.43 ± 0.64 | 0.001 |
Pancreatography extension | |||
Partial | 2 | 9 | 0.39 |
Full | 13 | 52 | |
Acinarization | 2 | 1 | |
Serum amylase at 2 hours post-ERCP (U/L) | 1163.5 ± 999.6 | 176.9 ± 105.2 | 0.001 |