PMID- 38093022 OWN - NLM STAT- MEDLINE DCOM- 20240126 LR - 20240206 IS - 1708-0428 (Electronic) IS - 0960-8923 (Linking) VI - 34 IP - 2 DP - 2024 Feb TI - Obesity and Risk for Incomplete Stone Clearance in Patients with Bile Duct Stones Undergoing ERCP. PG - 690-693 LID - 10.1007/s11695-023-06983-8 [doi] AB - INTRODUCTION: Obesity degrades fluoroscopic image quality and could impact on the endoscopic retrograde cholangiopancreatography (ERCP) outcomes. Our study aimed to compare the clinical outcomes and adverse events (AEs) between obese and non-obese patients undergoing ERCP for biliary stone-related conditions. METHODS: Patients who underwent ERCP for biliary-stone related conditions were included. The analyzed outcomes included the rates of successful bile duct cannulation, incomplete bile duct stone clearance, recurrent bile duct stones, and AEs. RESULTS: A total of 229 patients (116 obese patients and 113 non-obese patients) were included. All patients had successful bile duct cannulation. The rates of incomplete bile duct stone clearance (11.3% vs. 9.0%, P = 0.51), recurrent bile duct stones (1.9% vs. 4.2%, P = 0.24), and AEs (1.8% vs. 0.7%, P = 0.43) were not significantly different between the two groups, respectively. CONCLUSION: Our study demonstrates no associations between obesity and the rates of incomplete stone clearance, recurrent stones, successful cannulation, or AEs in patients undergoing ERCP for biliary stone-related disease. CI - (c) 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature. FAU - Jaruvongvanich, Veeravich AU - Jaruvongvanich V AD - Division of Gastroenterology, Queen's Health System, Honolulu, HI, USA. FAU - Garimella, Vishal AU - Garimella V AD - Division of Gastroenterology and Hepatology, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA. FAU - Kaur, Jyotroop AU - Kaur J AD - Division of Gastroenterology and Hepatology, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA. FAU - Chandrasekhara, Vinay AU - Chandrasekhara V AUID- ORCID: 0000-0001-6209-9905 AD - Division of Gastroenterology and Hepatology, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA. Chandrasekhara.vinay@mayo.edu. LA - eng PT - Journal Article DEP - 20231214 PL - United States TA - Obes Surg JT - Obesity surgery JID - 9106714 SB - IM MH - Humans MH - Cholangiopancreatography, Endoscopic Retrograde/methods MH - *Gallstones/diagnostic imaging/surgery/etiology MH - Common Bile Duct MH - *Obesity, Morbid/surgery MH - Obesity/complications MH - *Choledocholithiasis/diagnostic imaging/surgery/etiology MH - Treatment Outcome OTO - NOTNLM OT - Choledocholithiasis OT - Endoscopic retrograde cholangiopancreatography OT - Obesity EDAT- 2023/12/14 00:42 MHDA- 2024/01/26 06:43 CRDT- 2023/12/13 23:45 PHST- 2023/07/09 00:00 [received] PHST- 2023/12/06 00:00 [accepted] PHST- 2023/11/20 00:00 [revised] PHST- 2024/01/26 06:43 [medline] PHST- 2023/12/14 00:42 [pubmed] PHST- 2023/12/13 23:45 [entrez] AID - 10.1007/s11695-023-06983-8 [pii] AID - 10.1007/s11695-023-06983-8 [doi] PST - ppublish SO - Obes Surg. 2024 Feb;34(2):690-693. doi: 10.1007/s11695-023-06983-8. Epub 2023 Dec 14.