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大学・研究所にある論文を検索できる 「Larger Volume and Higher Fat Content of the Pancreatic Head Are Predictive Factors for Postendoscopic Retrograde Cholangiopancreatography Pancreatitis.」の論文概要。リケラボ論文検索は、全国の大学リポジトリにある学位論文・教授論文を一括検索できる論文検索サービスです。
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Larger Volume and Higher Fat Content of the Pancreatic Head Are Predictive Factors for Postendoscopic Retrograde Cholangiopancreatography Pancreatitis.

SHINTANI Shuhei 60838861 INATOMI Osamu 70530351 0000-0002-5837-6575 BAMBA Shigeki 40422901 0000-0002-4108-5894 TAKEDA Yoshiya FUJIMOTO Takehide 90792820 OTA Shinichi 30583637 TSUJI Yoshihisa 10711541 KUTSUMI Hiromu 70420461 WATANABE Yoshiyuki 20362733 0000-0003-3906-3730 ANDOH Akira 90252395 0000-0001-8533-2669 滋賀医科大学

2022.01

概要

Objectives:
Acute pancreatitis is the most critical complication of endoscopic retrograde cholangiopancreatography (ERCP). In this study, we investigated the association between the volume/fat content of the pancreatic head and the incidence of post-ERCP pancreatitis (PEP).
Methods:
We retrospectively enrolled 157 patients who underwent ERCP. The volume and fat content of the pancreas were calculated by multislice computed tomographic imaging by using a volume analyzer. Multivariate analysis was performed to identify risk factors for PEP.
Results:
The mean volumes of the whole pancreas and pancreatic head were significantly larger, and the fat content of the pancreatic head was significantly higher in the PEP group (P < 0.01). There were no significant differences in the mean volume and fat content of the pancreatic body and tail in the PEP group. Multivariate analysis revealed that the pancreatic guidewire placement (odds ratio [OR], 12.4; P < 0.01), pancreatic head volume (OR, 5.3; P < 0.01), and the pancreatic head fat content (OR, 4.8; P < 0.01) were independent risk factors for PEP.
Conclusions:
The pancreatic head volume and fat content were independent predicting factors of PEP. Quantitative assessment of the pancreas may contribute to the prediction of PEP onset.

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参考文献

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