Tajti Máté, Pécsi Dániel, Mátrai Péter, Gódi Szilárd, Hegyi Péter, Szentesi Andrea, Altorjay István, Bakucz Tamás, Orbán-Szilágyi Ákos, Szepes Zoltán, Patai Árpád, Gyökeres Tibor, Fejes Roland, Dubravcsik Zsolt, Vincze Áron, Czakó László
Division of Gastroenterology, Department of Medicine, University of Szeged, Szeged, Hungary.
Institute for Translational Medicine, Medical School, University of Pécs, Pécs, Hungary.
Therap Adv Gastroenterol. 2024 Sep 5;17:17562848241272973. doi: 10.1177/17562848241272973. eCollection 2024.
Endoscopic retrograde cholangiopancreatography (ERCP) is essential for the minimally invasive management of biliary and pancreatic disorders. Under certain indications, performing ERCP without delay during the weekend can be important for improving outcomes.
To compare the outcomes of ERCP performed on weekends and holidays with those of regular weekday ERCPs.
Propensity score match analysis of the data from the Hungarian ERCP Registry.
A total of 116 ERCPs were performed during weekends or holidays, and 3144 during weekday working hours. The analyses were performed on 1:2 propensity-matched groups (116 weekend and 232 weekday cases).
Weekend ERCPs were mostly performed for acute cholangitis and acute biliary pancreatitis (70% of cases), whereas in the weekday group, only 32% of cases were performed for these indications. No significant difference was found between weekday and weekend ERCPs in terms of the rates of successful (91.38% vs 93.1%, = 0.565) and difficult (33.62% vs 36.64%, = 0.511) biliary cannulations. We found no significant differences in the number of adverse events (bleeding, post-ERCP pancreatitis, and 30-day mortality) in ERCPs performed during weekends or weekdays. Moreover, no significant differences in the aforementioned outcomes were detected between the propensity-matched groups.
In this propensity-matched study, no significant differences were found in the outcomes of weekend and weekday ERCPs.
内镜逆行胰胆管造影术（ERCP）对于微创治疗胆管和胰腺疾病至关重要。在某些适应症下，周末及时进行ERCP对于改善治疗效果可能很重要。
比较周末和节假日进行的ERCP与工作日常规ERCP的治疗效果。
对匈牙利ERCP登记处的数据进行倾向得分匹配分析。
周末或节假日共进行了116例ERCP，工作日工作时间进行了3144例。分析在1:2倾向匹配组（116例周末病例和232例工作日病例）中进行。
周末ERCP主要用于治疗急性胆管炎和急性胆源性胰腺炎（70%的病例），而在工作日组中，只有32%的病例是针对这些适应症进行的。在成功胆管插管率（91.38%对93.1%，P = 0.565）和困难胆管插管率（33.62%对36.64%，P = 0.511）方面，工作日和周末的ERCP之间没有显著差异。我们发现周末或工作日进行的ERCP在不良事件（出血、ERCP后胰腺炎和30天死亡率）数量上没有显著差异。此外，倾向匹配组之间在上述结果上也没有显著差异。
在这项倾向匹配研究中，周末和工作日ERCP的治疗效果没有显著差异。
