{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T23:51:54Z","timestamp":1785801114742,"version":"3.56.0"},"reference-count":31,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2025,6,5]],"date-time":"2025-06-05T00:00:00Z","timestamp":1749081600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Hepato Biliary Pancreat"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background\/Purpose<\/jats:title><jats:p>Current guidelines do not provide specific recommendations regarding the timing of endoscopic retrograde cholangiopancreatography (ERCP) in patients with acute cholangitis (AC) concurrent with acute gallstone pancreatitis (AGP). This study evaluated the impact of ERCP timing on clinical outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A total of 144 patients diagnosed with AC concurrent with AGP between March 2019 and February 2024 were included in the study. Patients were classified into two groups: urgent ERCP group (ERCP \u2264\u200924\u2009h) and non\u2010urgent ERCP group (ERCP 24\u201372\u2009h). Clinical outcomes were compared using propensity score matching (PSM) analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>After PSM, two well\u2010balanced groups of 55 patients were created. The median ERCP time was 18 (13\u201321) hours in the urgent group and 41 (36\u201354) hours in the non\u2010urgent group. There was no significant difference in composite outcomes, including in\u2010hospital mortality, prolonged hospital stay, severe pancreatitis, or late localized\/systemic complications of pancreatitis [11 (20%) vs. 16 (29.1%); <jats:italic>p<\/jats:italic>\u2009=\u20090.268]. Additionally, no significant difference was observed between the groups regarding prolonged hospital stay (<jats:italic>p<\/jats:italic>\u2009=\u20090.506), ICU admission (<jats:italic>p<\/jats:italic>\u2009=\u20090.680), or in\u2010hospital mortality (<jats:italic>p<\/jats:italic>\u2009=\u20090.161).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Urgent ERCP within 24\u2009h does not significantly improve clinical outcomes compared to ERCP performed within 24\u201372\u2009h in patients with AC and AGP.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jhbp.12164","type":"journal-article","created":{"date-parts":[[2025,6,6]],"date-time":"2025-06-06T00:45:33Z","timestamp":1749170733000},"page":"591-601","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Effect of Urgent <scp>ERCP<\/scp> on Clinical Outcomes in Acute Cholangitis With Concurrent Acute Gallstone Pancreatitis: A Propensity Score Matching Analysis"],"prefix":"10.1002","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4977-9919","authenticated-orcid":false,"given":"Mustafa","family":"Comoglu","sequence":"first","affiliation":[{"name":"Department of Internal Medicine Ankara Bilkent City Hospital  Ankara Turkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8469-0907","authenticated-orcid":false,"given":"Fatih","family":"Acehan","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Ankara Bilkent City Hospital  Ankara Turkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Enes Seyda","family":"Sahiner","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Ankara Bilkent City Hospital  Ankara Turkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1537-2125","authenticated-orcid":false,"given":"Huseyin","family":"Camli","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Ankara Bilkent City Hospital  Ankara Turkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zeki Mesut Yalin","family":"Kilic","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Ankara Bilkent City Hospital  Ankara Turkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bulent","family":"Odemis","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Ankara Bilkent City Hospital  Ankara Turkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ihsan","family":"Ates","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Ankara Bilkent City Hospital  Ankara Turkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,6,5]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/jhbp.1275"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s002689900535"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/jhbp.12087"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/jhbp.518"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/jhbp.512"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2020.12.032"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/MPA.0000000000001032"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e31815edddd"},{"key":"e_1_2_7_10_1","article-title":"Urgent Endoscopic Retrograde Cholangiopancreatography (ERCP) vs. Conventional Approach in Acute Biliary Pancreatitis Without Cholangitis: An Updated Systematic Review and Meta\u2010Analysis","volume":"14","author":"Shrestha D. B.","year":"2022","journal-title":"Cureus"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.14309\/ajg.0000000000002645"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/jhbp.1146"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1499-3872(11)60033-7"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1308\/003588403321661325"},{"key":"e_1_2_7_15_1","first-page":"257","article-title":"Gallstone Pancreatitis: A Review","volume":"94","author":"Cucher D.","year":"2014","journal-title":"Surgical Clinics"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1136\/gutjnl-2012-302779"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10620-019-05719-y"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/0021-9681(87)90171-8"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1136\/gut.2008.152702"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cgh.2008.08.013"},{"key":"e_1_2_7_21_1","first-page":"1","article-title":"Propensity Score Matching in SPSS","volume":"6385","author":"Thoemmes F.","year":"2012","journal-title":"arXiv Preprint arXiv:1201"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1002\/jhbp.509"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1097\/MCG.0000000000000982"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.5114\/pg.2018.74557"},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v30.i15.2118"},{"key":"e_1_2_7_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2019.09.040"},{"key":"e_1_2_7_27_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLE.0000000000001110"},{"key":"e_1_2_7_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2017.04.009"},{"key":"e_1_2_7_29_1","doi-asserted-by":"publisher","DOI":"10.1111\/apt.13253"},{"key":"e_1_2_7_30_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00534-009-0217-0"},{"key":"e_1_2_7_31_1","doi-asserted-by":"publisher","DOI":"10.1038\/nrgastro.2010.114"},{"key":"e_1_2_7_32_1","doi-asserted-by":"publisher","DOI":"10.1155\/2019\/5382708"}],"container-title":["Journal of Hepato-Biliary-Pancreatic Sciences"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jhbp.12164","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,26]],"date-time":"2025-08-26T14:26:58Z","timestamp":1756218418000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jhbp.12164"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6,5]]},"references-count":31,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2025,8]]}},"alternative-id":["10.1002\/jhbp.12164"],"URL":"https:\/\/doi.org\/10.1002\/jhbp.12164","archive":["Portico"],"relation":{},"ISSN":["1868-6974","1868-6982"],"issn-type":[{"value":"1868-6974","type":"print"},{"value":"1868-6982","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,6,5]]},"assertion":[{"value":"2025-03-09","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-05-09","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-06-05","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}