This is a prospective, observational (non-interventional), multicenter study that will look at how often inflammation of the pancreas (called post-ERCP pancreatitis, or PEP) occurs after an endoscopic procedure known as ERCP. The study will take place in several hospitals in Slovakia and Czechia and will include all patients who have this procedure during the study period. ERCP is a common procedure used to treat problems in the bile ducts and pancreas. Although generally safe, it sometimes leads to PEP, which is the most frequent and potentially serious complication. Monitoring the rate of PEP helps doctors evaluate the overall quality of ERCP procedures, since patient safety is an important part of quality care. The study will also look at how well hospitals follow current prevention guidelines from two major professional organizations-the European Society of Gastrointestinal Endoscopy (ESGE) and the American Society for Gastrointestinal Endoscopy (ASGE)-and how these prevention methods affect the risk of PEP. This information will help identify how closely real-world practice follows recommended preventive measures and provide new data about PEP rates in the region.
Study Type
OBSERVATIONAL
Enrollment
1,000
University Hospital - St. Michael's Hospital, Bratislava
Bratislava, Slovakia
RECRUITINGPercentage of participants who develop post-ERCP pancreatitis.
Time frame: 48 hours after the procedure.
Percentage of participants experiencing none, mild, moderate, or severe post-ERCP pancreatitis.
Time frame: Every 7 days until hospital discharge.
Proportion of ERCP procedures in which one or more guideline-recommended preventive measures are used.
Time frame: Periprocedural preventive measures applied immediately before, during, or shortly after the ERCP procedure. Aggressive hydration may continue for up to 8 hours post-procedure.
Number of participants stratified by predefined patient- and procedure-related risk factors and occurrence of post-ERCP pancreatitis
Includes age, sex, ERCP indication, and ESGE-defined patient- and procedure-related risk factors
Time frame: Periprocedurally
Number of participants with PEP-related mortality during index hospitalization or within 30 days after ERCP.
Time frame: Up to 30 days post-procedure.
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