Han SY, Kim DU, Lee MW, Park YJ, Baek DH, Kim GH, Song GA. Acute distal common bile duct angle is risk factor for post-endoscopic retrograde cholangiopancreatography pancreatitis in beginner endoscopist. World J Clin Cases 2020; 8(1): 20-28 [PMID: 31970166 DOI: 10.12998/wjcc.v8.i1.20]
Corresponding Author of This Article
Dong Uk Kim, MD, PhD, Assistant Professor, Division of Gastroenterology, Department of Internal Medicine and Biomedical Research Institute, Pusan National University Hospital, Gudeok ro 179, Seo-gu, Busan 49241, South Korea. amlm3@hanmail.net
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Jan 6, 2020; 8(1): 20-28 Published online Jan 6, 2020. doi: 10.12998/wjcc.v8.i1.20
Acute distal common bile duct angle is risk factor for post-endoscopic retrograde cholangiopancreatography pancreatitis in beginner endoscopist
Sung Yong Han, Dong Uk Kim, Moon Won Lee, Young Joo Park, Dong Hoon Baek, Gwang Ha Kim, Geun Am Song
Sung Yong Han, Dong Uk Kim, Moon Won Lee, Young Joo Park, Dong Hoon Baek, Gwang Ha Kim, Geun Am Song, Division of Gastroenterology, Department of Internal Medicine and Biomedical Research Institute, Pusan National University Hospital, Busan 49241, South Korea
Author contributions: Kim DU and Kim GH designed research; Han SY, Lee MW and Park YJ performed research; Han SY, Baek DH contributed analytzed data; Han SY wrote the paper; Kim DU and Song GA contributed critical revision of the paper.
Supported byBiomedical Research Institute Grant, No. 2019B021, Pusan National University Hospital.
Institutional review board statement: This study was reviewed and approved by the Ethics Committee of the Pusan National University Hospital.
Conflict-of-interest statement: Authors declare no conflict of interests for this article.
Open-Access: This is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Dong Uk Kim, MD, PhD, Assistant Professor, Division of Gastroenterology, Department of Internal Medicine and Biomedical Research Institute, Pusan National University Hospital, Gudeok ro 179, Seo-gu, Busan 49241, South Korea. amlm3@hanmail.net
Received: October 14, 2019 Peer-review started: October 14, 2019 First decision: December 4, 2019 Revised: December 4, 2019 Accepted: December 13, 2019 Article in press: December 13, 2019 Published online: January 6, 2020
Core Tip
Core tip: The most studies investigating endoscopic retrograde cholangiopancreatography (ERCP)-related risk factors have included well-trained endoscopists, with the issue of endoscopist experience on post-ERCP pancreatitis (PEP) incidence not having been systematically evaluated. Our retrospective study aims to explore the risk factors for PEP in beginner endoscopists without supervisor. Our data showed that acute distal common bile duct (CBD) angle was the only significantly risk factor of PEP in novice endoscopist. The acute distal CBD angle could be known before the procedure. Therefore, beginners can avoid these cases or perform with supervisor to reduce the PEP rate. Obtuse distal CBD angle may be more appropriate to beginner endoscopist.
