Preoperative gastric retention in endoscopic retrograde cholangiopancreatography  

作　　者：Alkiviadis Efthymiou Patrick T Kennedy 

机构地区：[1]Department of Gastroenterology,St Luke’s Hospital,Thessaloniki 54623,Greece [2]Liver Centre,Blizard Institute,Barts and The London School of Medicine and Dentistry,QMUL,London E12AD,United Kingdom

出　　处：《World Journal of Gastrointestinal Surgery》2024年第11期3632-3635,共4页世界胃肠外科杂志（英文）

摘　　要：We comment on the article by Jia et al,in the World Journal of Gastrointestinal Surgery.We focus mainly on the factors that impair gastric motility and cause gastric retention in the pre-operative setting of endoscopic retrograde cholan-giopancreatography(ERCP).ERCP is a complex endoscopic therapeutic proce-dure,which demands great skill from the endoscopist but also has recognized complications.Gastric retention impairs the endoscopist’s visibility but also increases the risk of complications,such as aspiration pneumonia.Therefore,identifying the factors that predispose to gastric retention alerts the endoscopists of the possible risks and enables them to take evasive action.The authors in the current study by Jia et al developed and validated a predictive model,which in-corporates five different factors,i.e.,gender,primary disease,jaundice,opioid use,and gastrointestinal obstruction,which were found to influence gastric retention.This model was shown to have a high predictive value to accurately identify pa-tients at risk for gastric retention before a therapeutic ERCP.

关 键 词：Gastric retention Endoscopic retrograde cholangiopancreatography Predic-tive model Malignant gastroparesis 

分 类 号：R657.4[医药卫生—外科学]