지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 214 - 218 (5page)
이용수
초록· 키워드
오류제보하기
Background/Aims: This study aimed to determine the risk of post-endoscopic retrograde cholangiopancreatography (post-ERCP) bleeding among patients taking antiplatelet agents (APAs), particularly in the era of multiple APAs. Methods: The primary outcomes were the frequency, type, and severity of ERCP-related bleeding according to the use of APAs. Results: The frequencies of post-ERCP bleeding among the four different groups were 16 of 2,083 (0.8%) in the no drug group, 12 of 256 (4.7%) in the aspirin group, 3 of 48 (6.3%) in the single APA group, and 4 of 48 (8.3%) in the multiple APA group (p<0.001). In the univariate analysis, post-ERCP bleeding was associated with age, pull-type sphincterotomy, and APA and was inversely associated with balloon dilation of the biliary orifice. In the multivariate analysis, pull-type sphincterotomy (odds ratio [OR], 7.829; 95% confidence interval [CI], 1.411 to 43.453; p=0.019) and country (Korea: OR, 0.124; 95% CI, 0.042 to 0.361; p<0.001) were associated with post-ERCP bleeding. Conclusions: The frequency of post-ERCP bleeding was statistically higher in patients on any APA within 6 days prior to ERCP. However, in the multivariate analysis, APA use was not associated with post-ERCP bleeding. Until a large, adequately powered study to detect differences is performed, caution is recommended when considering invasive procedures during ERCP in patients on APAs.
목차
등록된 정보가 없습니다.
참고문헌 (14)
참고문헌 신청
Freeman ML / 1996 / Complications of endoscopic biliary sphincterotomy / N Engl J Med 335:909~918
Andriulli A / 2007 / Incidence rates of post-ERCP complications: a systematic survey of prospective studies / Am J Gastroenterol 102:1781~1788
Cotton PB / 2009 / Risk factors for complications after ERCP: a multivariate analysis of 11,497 procedures over 12 years / Gastrointest Endosc 70:80~88
Freeman ML / 2002 / Adverse outcomes of ERCP / Gastrointest Endosc 56(6 Suppl):S273~S282
ASGE Standards of Practice Committee / 2016 / The management of antithrombotic agents for patients undergoing GI endoscopy / Gastrointest Endosc 83:3~16
Andriulli A / 2007 / Incidence rates of post-ERCP complications: a systematic survey of prospective studies / Am J Gastroenterol 102:1781~1788
Cotton PB / 2009 / Risk factors for complications after ERCP: a multivariate analysis of 11,497 procedures over 12 years / Gastrointest Endosc 70:80~88
Freeman ML / 2002 / Adverse outcomes of ERCP / Gastrointest Endosc 56(6 Suppl):S273~S282
ASGE Standards of Practice Committee / 2016 / The management of antithrombotic agents for patients undergoing GI endoscopy / Gastrointest Endosc 83:3~16
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