Rao AG, Nashwan AJ. Enhancing endoscopic retrograde cholangiopancreatography safety: Predictive insights into gastric retention. World J Gastrointest Surg 2025; 17(3): 98898 [DOI: 10.4240/wjgs.v17.i3.98898]
Corresponding Author of This Article
Abdulqadir J Nashwan, MSc, PhD, Research Scientist, Department Nursing and Midwifery Research, Hamad Medical Corporation, Rayyan Road, Doha 3050, Qatar. anashwan@hamad.qa
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. Mar 27, 2025; 17(3): 98898 Published online Mar 27, 2025. doi: 10.4240/wjgs.v17.i3.98898
Enhancing endoscopic retrograde cholangiopancreatography safety: Predictive insights into gastric retention
Asad Gul Rao, Abdulqadir J Nashwan
Asad Gul Rao, Clinical Medicine, Dow Medical College, Karachi 74200, Pakistan
Abdulqadir J Nashwan, Department Nursing and Midwifery Research, Hamad Medical Corporation, Doha 3050, Qatar
Author contributions: Rao AG and Nashwan AJ wrote the draft and critically reviewed the literature.
Conflict-of-interest statement: All the authors declare that they have no conflicts of interest.
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: Abdulqadir J Nashwan, MSc, PhD, Research Scientist, Department Nursing and Midwifery Research, Hamad Medical Corporation, Rayyan Road, Doha 3050, Qatar. anashwan@hamad.qa
Received: July 8, 2024 Revised: December 20, 2024 Accepted: January 2, 2025 Published online: March 27, 2025 Processing time: 230 Days and 8.1 Hours
Abstract
Endoscopic retrograde cholangiopancreatography (ERCP) is a vital tool for diagnosing and treating biliary and pancreatic disorders, but its safety and efficacy are marred by preoperative gastric retention. Jia et al retrospectively analyzed 190 patients who underwent ERCP and found that gastrointestinal obstruction, jaundice, opioid use, female sex, and primary diseases were independent predictors and risk factors of preoperative gastric retention. Based on these findings and comprehensive analysis, a proposed predictive model offers clinicians valuable tools to tailor preoperative strategies, improving the procedural safety and efficacy of ERCP. Despite having several limitations, like single-center design and limited generalizability, the study marks a significant advancement in optimizing ERCP outcomes through predictive analytics. Further research with larger populations and prospective designs is warranted to establish these findings.
Core Tip: This article highlighted the groundbreaking study by Jia et al, which revealed that sex, jaundice, primary disease, opioid use, and gastrointestinal obstruction can exclusively contribute to the occurrence of gastric retention for patients undergoing endoscopic retrograde cholangiopancreatography. Despite several limitations, the study reflects profound clinical implications while suggesting additional research and innovative treatment approaches.
