{"doi":"10.1016/j.cgh.2024.11.014","title":"Predictors of Post-endoscopic Retrograde Cholangiopancreatography Pancreatitis: A Comprehensive Systematic Review and Meta-analysis","abstract":null,"journal":"Clinical Gastroenterology and Hepatology","year":2025,"id":612993,"datarank":0.4887144807032224,"base_score":3.258096538021482,"endowment":3.258096538021482,"self_citation_contribution":0.4887144807032224,"citation_network_contribution":0.0,"self_endowment_contribution":0.4887144807032224,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":25,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":null,"is_data_producer":false,"deposit_databanks":null,"is_oa":false,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":null,"fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1578834,"name":"Tarek Aboursheid","orcid":null,"position":1,"is_corresponding":false},{"id":1102474,"name":"Adel Hajj Ali","orcid":"0000-0002-7166-1071","position":2,"is_corresponding":false},{"id":669520,"name":"Tarek Nayfeh","orcid":"0000-0001-9052-5537","position":3,"is_corresponding":false},{"id":1578835,"name":"Hashem Albunni","orcid":null,"position":4,"is_corresponding":false},{"id":1205367,"name":"Alejandra Vargas","orcid":"0009-0003-7994-1371","position":5,"is_corresponding":false},{"id":1578836,"name":"Mouhand F. Mohamed","orcid":null,"position":6,"is_corresponding":false},{"id":1361331,"name":"Khaled Elfert","orcid":"0000-0001-5554-6252","position":7,"is_corresponding":false},{"id":1578837,"name":"Mohammad Shaear","orcid":null,"position":8,"is_corresponding":false},{"id":1578838,"name":"Ite Obaitan","orcid":null,"position":9,"is_corresponding":false},{"id":437764,"name":"Nasir Saleem","orcid":"0000-0001-6831-2674","position":10,"is_corresponding":false},{"id":972555,"name":"Awais Ahmed","orcid":null,"position":11,"is_corresponding":false},{"id":732743,"name":"Mark A. Gromski","orcid":"0000-0002-9035-2434","position":12,"is_corresponding":false},{"id":780112,"name":"John M. DeWitt","orcid":"0000-0003-3835-4464","position":13,"is_corresponding":false},{"id":1578839,"name":"Mohammad Al-Haddad","orcid":null,"position":14,"is_corresponding":false},{"id":791590,"name":"James L. Watkins","orcid":null,"position":15,"is_corresponding":false},{"id":1578840,"name":"Evan Fogel","orcid":null,"position":16,"is_corresponding":false},{"id":666589,"name":"Jeffrey J. Easler","orcid":"0000-0002-3772-2803","position":17,"is_corresponding":false},{"id":1361332,"name":"Azizullah Beran","orcid":"0000-0002-4161-942X","position":0,"is_corresponding":false}],"reference_count":0,"raw_metadata":{"has_enrichment":true,"resolved":true,"title":"Predictors of Post-endoscopic Retrograde Cholangiopancreatography Pancreatitis: A Comprehensive Systematic Review and Meta-analysis.","abstract":"<h4>Background & aims</h4>Pancreatitis is the most common serious adverse event associated with endoscopic retrograde cholangiopancreatography (ERCP). This meta-analysis aimed to precisely assess the risk factors for post-ERCP pancreatitis (PEP).<h4>Methods</h4>We searched electronic databases for studies that assessed risk factors for PEP after adjusting for ≥3 risk factors, including at least one pre-specified patient-related and one procedure-related risk factor, and reported the data as adjusted odds ratios (ORs) with 95% confidence intervals. Meta-analyses were conducted using a random-effects model, and pooled adjusted ORs for risk factors reported in ≥3 studies were constructed.<h4>Results</h4>A total of 159 studies with 315,580 ERCPs were included, assessing 31 unique risk factors (20 patient-related and 11 procedure-related). Key patient-related predictors of PEP were age ≤60 years (OR, 1.81; high credibility), prior acute pancreatitis (OR, 2.59; moderate), age ≤40 years (OR, 2.33; moderate), asymptomatic choledocholithiasis (OR, 4.76; low), prior PEP (OR, 4.40; low), sphincter of Oddi dysfunction (OR, 3.11; low), and female gender (OR, 1.70; low). Key procedure-related predictors of PEP were any guidewire passage into the pancreatic duct (PD) (OR, 2.18; high), first ERCP with a native papilla (OR, 1.91; high), endoscopic papillary balloon dilation of an intact papilla (OR, 2.91; moderate), pancreatic acinarization (OR, 4.23; low), any PD cannulation (OR, 2.73; low), pancreatic sphincterotomy (OR, 2.64; low), difficult cannulation (OR, 2.60; low), any pancreatogram (OR, 2.40; low), and precut sphincterotomy (OR, 1.98; low).<h4>Conclusions</h4>Our meta-analysis focused on adjusted risk factors to provide precise estimates of the most important risk factors for PEP. Incorporating our results into a prediction model may reliably help identify high-risk patients, optimize informed consent, and guide prevention and management strategies for PEP.","is_dataset_classified":null,"base_score":0.0,"endowment":0.0,"datacite_reuse_total":0,"file_count":0,"downloads":0,"views":0,"has_version_chain":false,"is_dataset":false,"is_oa":false,"pmid":"39694210","pmcid":null,"openalex_id":null,"authors":[],"funders":[],"total_grants":0,"fwci":null,"citation_percentile":null,"influential_citations":0,"citation_trend":[],"oa_status":"green","license":null,"oa_locations":[{"url":"https://scholarworks.indianapolis.iu.edu/bitstreams/aeffcd78-48ff-4742-b369-71d22b76572e/download","host_type":"repository"}],"fields_of_study":[],"mesh_terms":["Humans","Pancreatitis","Cholangiopancreatography, Endoscopic Retrograde","Risk Factors","Middle Aged","Female","Male"],"keywords":["Pancreatitis","ERCP","risk factors","Post-ercp Pancreatitis"],"sdg_mappings":[],"linked_datasets":[],"clinical_trials":[],"software_tools":[],"database_accessions":[],"source":"live","citation_network_status":"fetched"},"created_at":"2026-08-02T06:01:39.697242Z","pmid":null,"pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}