Efthymiou A, Kennedy PT. Preoperative gastric retention in endoscopic retrograde cholangiopancreatography. World J Gastrointest Surg 2024; 16(11): 3632-3635 [PMID: 39649216 DOI: 10.4240/wjgs.v16.i11.3632]
Corresponding Author of This Article
Alkiviadis Efthymiou, FEBG, MD, Consultant Gastroenterologist, Department of Gastroenterology, St Luke’s Hospital, Panorama, Thessaloniki 54623, Greece. a_efthimiou@hotmail.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Letter to the Editor
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 Gastrointest Surg. Nov 27, 2024; 16(11): 3632-3635 Published online Nov 27, 2024. doi: 10.4240/wjgs.v16.i11.3632
Preoperative gastric retention in endoscopic retrograde cholangiopancreatography
Alkiviadis Efthymiou, Patrick T Kennedy
Alkiviadis Efthymiou, Department of Gastroenterology, St Luke’s Hospital, Thessaloniki 54623, Greece
Patrick T Kennedy, Liver Centre, Blizard Institute, Barts and The London School of Medicine and Dentistry, QMUL, London E1 2AD, United Kingdom
Author contributions: Efthymiou A analyzed the data, reviewed the literature, wrote the original article, and approved the final manuscript; Kennedy PT reviewed and edited the manuscript.
Conflict-of-interest statement: No conflict of interest to declare.
Open-Access: This article 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 NonCommercial (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: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Alkiviadis Efthymiou, FEBG, MD, Consultant Gastroenterologist, Department of Gastroenterology, St Luke’s Hospital, Panorama, Thessaloniki 54623, Greece. a_efthimiou@hotmail.com
Received: July 27, 2024 Revised: September 29, 2024 Accepted: October 10, 2024 Published online: November 27, 2024 Processing time: 95 Days and 2.6 Hours
Abstract
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 cholangiopancreatography (ERCP). ERCP is a complex endoscopic therapeutic procedure, 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 incorporates 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 patients at risk for gastric retention before a therapeutic ERCP.
Core Tip: Gastric retention is a relatively common problem prior to endoscopic retrograde cholangiopancreatography (ERCP). In this article, we analyze the factors implicated in gastric retention in ERCP patients, before to their procedure. We also comment on a new predictive model, which can accurately identify patients at greatest risk for gastric retention, thereby helping physicians to avoid complications, unnecessary delays and increased hospital costs.
