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| 1 | Endoscopic retrograde cholangiopancreatography outcome from a single referral center in Iran显示文摘BACKGROUND: Endoscopic retrograde cholangiopancreato- graphy (ERCP) is the first choice for diagnostic evaluation of the pancreatic and biliary tree and can be accompanied by a high diagnostic sensitivity and a poor therapeutic outcome. In the current study, we described our experiences in the indications, findings, and technical success of ERCP in a sample of the Iranian population admitted to a referral center in Iran. METHODS: In a retrospective review database-based study, 780 patients (393 males and 387 females; mean age 57.5 years) who had undergone diagnostic and therapeutic ERCP with the primary diagnosis of hepatobiliary disorder between 2006 and 2008 at Taleghani Hospital in Tehran were reviewed. The key data were demographic characteristics, clinical information, laboratory parameters, as well as post-ERCP complications. RESULTS: A history of cholecystectomy was found in about one-third (36.3%) of participants and 80 (10.3%) out of 780 patients had a previous history of biliary stone. A minority (1.4%) of the patients suffered from hepatobiliary carcinomas, and 11 patients had cirrhosis. The most common clinical manifestations in the patients undergoing diagnostic ERCP were icterus (47.3%), weight loss (31.2%), and dark urine (26.9%). Selective biliary cannulation was technically successful in 87.0% of the patients; however, cannulation failed in 13.0%. The most frequent final diagnosis of ERCP was common bile duct stone that was detected in 40.1% of the patients. The ERCP results in 11.0% of the patients were normal. Regarding appropriate treatment, successful stenting was performed in 43 patients (15.2%). Among post-ERCP complications, pancreatitis was the most adverse event withan incidence rate of 3.3%. Other complications including local bleeding, cholangitis and gastrointestinal perforation, rarely occurred. Post-ERCP pancreatitis was reported in 1.8% of men and 3.6% of women (P=0.120). Pancreatitis was more common in women below 70 years than in those who were older than 70 years (3.6% versus 0.5%; OR: 8.216, P=0.015). This might be due to the more functionally active pancreas in younger women than in the older ones. However, other complications were similar in the two age groups. CONCLUSIONS: Based on our experience, ERCP indications, final diagnosis and related complications are comparatively consistent with those reported in other countries. The most common post-ERCP complication is pancreatitis that is more often observed in younger patients. | Amir H Mohammad Alizadeh Esmaeil S Afzali Mirhadi Mousavi Yaghoub Moaddab Mohammad R Zali | 2010 | Hepatobiliary & Pancreatic Diseases International2010，9，4： | 3 |
| 2 | Inflammatory bowel disease in Iran:a review of 457 cases显示文摘 | Aghazadeh R Zali MR Bahari A | 2005 | J Gastroenterlo2005，20，： | 1 |
| 3 | The CpG island methylator phenotype (CIMP) in colorectal cancer显示文摘 | Nazemalhosseini Mojarad E Kuppen P J Aghdaei H A Zali M R | 2013 | Gastroenterol Hepatol Bed Bench2013，6，： | 1 |
| 4 | De novo aneu- rysms in long - term follow - up computed tomographic angiography of patients with clipped intracranial aneu- rysms 显示文摘 | Zali A khoshnood R J Zarqhi A | 2014 | World neurosurgery2014，82，5： | 1 |
| 5 | Fungal diversity in wounded stems of Aquilaria malaccensis 显示文摘 | Mohamed R Jong P L Zali M S | 2010 | Fungal Divers2010，43，： | 1 |
| 6 | New optimal solutions to disjoint set K-coverage for lifetime extension in wireless sensor networks显示文摘 | Ashouri M Zali Z Mousavi S R et aL | 2012 | IET Wireless Sensor Systems2012，2，1： | 1 |
| 7 | In vivo effects of chron- ic treatment with -enkephalin on hematological values and natural killer cell activity in athymic mice 显示文摘 | Zalys R Zagon IS Bonneau RH ct al | 2000 | Life Sci2000，66，9： | 1 |
| 8 | Prevalence of metabolic syndrome components in patients with acute coronary syndromes显示文摘 | Zaliūnas R Slapikas R Luksienê R | 2008 | Medicina (Kaunas)2008，44，3： | 1 |
| 9 | Inflammatory bowel disease in Iran: a review of 457 cases 显示文摘 | Aghazadeh R Zali MR Bahari A | 2005 | J Gastroenterol Hepatol2005，20，11： | 1 |
| 10 | Inflammatory bowel disease in Iran : a review of 457 cases 显示文摘 | Aghazadeh R Zali MR Bahari A | 2005 | J Gastroenterol Hepatol2005，20，11： | 1 |
| 11 | Time-resolved Emission Spectra and TD-DFT Excited-state Calculations of and 显示文摘 | Farrell I R VanSlageren J Zalis S | 2001 | Inorg Chim Acta2001，315，： | 1 |
| 12 | The fine structure of rice-starch amylopectin and its relation to the texture of cooked rice 显示文摘 | K R Reddy S ZAli K R Bhattacharya | 1993 | Carbohydrate Polymers1993，22，： | 1 |
| 13 | The prevalence of the metabolic syndrome components and their combinations in men and women with acuteischemicsyndromes显示文摘 | Zaliūnas R Slapikas R Babarskiene R | 2008 | Medicina(Kaunas)2008，44，7： | 1 |
| 14 | Fungal diversity in wounded stems of Aquilaria malaccensis 显示文摘 | MOHAMED R JONG P L ZALI M S | 2010 | Fungal Di- vers2010，43，1： | 1 |
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