Nejrizikovější faktory pro vznik pankreatitidy po ERCP – systematický přehled zaměřený na prevenci

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Authors: G. R. Sivandzadeh ¹; S. A. Taghavi ²; F. Ejtehadi ³; R. Niknam ⁴; M. Tahani ⁵; S. Rakhshaninasab ⁵; I. Shahramian ⁶
Authors‘ workplace: Department of Internal Medicine, School of Medicine, Gastroenterohepatology Research Center, Internal Medicine Research Institute, Shiraz University of Medical Sciences. ¹; Department of Internal Medicine, School of Medicine, Gastroenterohepatology Research Center, Internal Medicine Research Institute, Shiraz University of Medical Sciences. ²; Department of Internal Medicine, School of Medicine, Gastroenterohepatology Research Center, Internal Medicine Research Institute, Namazi Teaching Hospital, Shiraz University of Medical Sciences. ³; Department of Internal Medicine, School of Medicine, Namazi Teaching Hospital, Abu Ali Sina for Medicine & Organ Transplant, Shiraz University of Medical Sciences. ⁴; Pediatric Gastroenterology and Hepatology Research Center, Zabol University of Medical Sciences, Zabol, Iran. ⁵; Department of Pediatrics, School of Medicine, Namazi Teaching Hospital, Abu Ali Sina for Medicine & Organ Transplant, Shiraz University of Medical Sciences. ⁶
Published in: Gastroent Hepatol 2024; 78(4): 345-351
Category: Digestive Endoscopy: Review Article
doi: https://doi.org/10.48095/ccgh2024345

Overview

Pankreatitida po endoskopické retrográdní cholangiopankreatografii (ERCP) je nejčastější a nejnebezpečnější komplikací diagnostické a terapeutické ERCP. Pro identifikaci rizikových pacientů a následný výběr vhodného alternativního způsobu diagnostiky je potřeba provést multifaktoriální studii rizikových faktorů vzniku PEP. Taková studie byla provedena. Dva nezávislí výzkumníci (MT, SH R) hledali relevantní studie publikované mezi 1/1/2017 a 1/10/2022. Literaturu v anglickém jazyce prohledali pomocí MEDLINE přes PubMed, EMBASETM přes Ovid, the Cochrane Library a Trip. V jiných jazycích hledali přes Magiran, SID, KoreaMed a LILACS. Hledaný termín byl endoskopická retrográdní cholangiopankreatografie NEBO pankreatitida NEBO rizikové factory NEBO ERCP NEBO systematický přehled. Vybráno bylo 174 studií. Pět z nich splňovalo požadovaná kritéria a byly definitivně vybrány. Tento článek prezentuje současné znalosti o nejrizikovějších faktorech pro vznik post--ERCP pankreatitidy, která je nejčastější komplikací ERCP. Panuje debata o patofyziologii PEP. Díky její komplexitě by prevence PEP měla zahrnovat úvahu o různých predisponujících faktorech, jako rizikovost pacientů, farmakologická profylaxe a metodou provedení. Věk, pohlaví a předchozí pozitivní anamnéza nemoci patří mezi nejrizikovější faktory pro vznik pankreatitidy po ERCP.

Klíčová slova:

pankreatitida – endoskopická retrográdní cholangiopankreatografie – rizikové factory – ERCP – PEP –přehled

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Abbreviations

ERCP –⁠ endoscopic retrograde cholangiopancreatography

OLT –⁠ orthotopic liver transplant

PEP –⁠ post-ERCP pancreatitis

ORCID authors

G. H. Sivandzadeh 0000-0001-5461-5754,

S. A. Taghavi 0000-0001-5360-6776,

F. Ejtehadi 0000-0002-0791-0133,

R. Niknam 0000-0002-2608-8018,

M. Tahani 0000-0002-0213-9087,

S. Rakhshaninasab 0000-0002-6809-175X,

I. Shahramian 0000-0002-4134-1405.