Association of greater intravenous volume infusion with shorter hospitalization for patients with post-ERCP pancreatitis

作者: Sashidhar V Sagi , Suzette Schmidt , Evan Fogel , Glen A Lehman , Lee McHenry

DOI: 10.1111/JGH.12511

关键词: Post ercp pancreatitisLength of hospitalizationIn patientPancreatitisMedicineEndoscopic retrograde cholangiopancreatographyPrimary outcomeAnesthesiaRetrospective cohort studyDemographics

摘要: Background and Aim There are no data specifically correlating early intravenous volume infusion (IVI) with the length of hospitalization for postendoscopic retrograde cholangiopancreatography (ERCP) pancreatitis (PEP). Methods We conducted a retrospective cohort study patients admitted within 24 h after ERCP to our institute PEP. IVI during first was assessed. Primary outcome severity PEP, defined by according consensus guidelines: mild ≤ 3, moderate 4–10, severe > 10 days. Results Of 72 eligible patients, 41 (56.9%) had mild 31 (43.1%) moderate/severe Both groups comparable demographics, indications, procedural factors except PEP were older (median age 49 vs 36 years, P = 0.05) more likely be discharged readmitted (41.9% 14.6%, P < 0.01). Patients received significantly greater (2834 mL [2046, 3570] 2044 mL [1227, 2875], P < 0.02) 50% fluid post-ERCP (2270 mL [1435, 2961] 1515 [950–2350], compared those at least PEP. Conclusion In is associated reduced hospitalization. Lower commonly observed in individuals who then 24 h.

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