{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,19]],"date-time":"2026-02-19T00:45:33Z","timestamp":1771461933471,"version":"3.50.1"},"reference-count":19,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2013,8,30]],"date-time":"2013-08-30T00:00:00Z","timestamp":1377820800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Hepato Biliary Pancreat"],"published-print":{"date-parts":[[2014,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Conducting randomized controlled trial (<jats:styled-content style=\"fixed-case\">RCT<\/jats:styled-content>) for each of the risk factors associated with prophylactic pancreatic duct stent (<jats:styled-content style=\"fixed-case\">PPDS<\/jats:styled-content>) for post\u2010endoscopic retrograde cholangiopancreatography (<jats:styled-content style=\"fixed-case\">ERCP)<\/jats:styled-content> pancreatitis (<jats:styled-content style=\"fixed-case\">PEP<\/jats:styled-content>) is difficult owing to the volume of cases and ethical considerations. In this study, we tried to reveal the degree of preventive effects of <jats:styled-content style=\"fixed-case\">PPDS<\/jats:styled-content> for each individual risk factor within the high\u2010risk group of <jats:styled-content style=\"fixed-case\">PEP<\/jats:styled-content> using the propensity score analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The clinical data of 1131 <jats:styled-content style=\"fixed-case\">ERCP<\/jats:styled-content> practices performed at <jats:styled-content style=\"fixed-case\">K<\/jats:styled-content>obe <jats:styled-content style=\"fixed-case\">U<\/jats:styled-content>niversity <jats:styled-content style=\"fixed-case\">H<\/jats:styled-content>ospital from <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>pril 2006 to <jats:styled-content style=\"fixed-case\">F<\/jats:styled-content>ebruary 2009 were collected prospectively. We investigated their clinical characteristics including the risk factors of <jats:styled-content style=\"fixed-case\">PEP<\/jats:styled-content>, the use of <jats:styled-content style=\"fixed-case\">PPDS<\/jats:styled-content> and complications of <jats:styled-content style=\"fixed-case\">ERCP<\/jats:styled-content>. We conducted the stratification analysis using the propensity score matching analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In 210 propensity score\u2010matched <jats:styled-content style=\"fixed-case\">ERCPs<\/jats:styled-content>, <jats:styled-content style=\"fixed-case\">PPDS<\/jats:styled-content> proved to be effective in preventing <jats:styled-content style=\"fixed-case\">PEP<\/jats:styled-content> in patients with a history of pancreatitis (odds ratio 0.11, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 0.01\u20130.76, <jats:italic>P<\/jats:italic> = 0.01) and cases of difficult cannulation (requiring more than 30\u2009min) (odds ratio 0.13, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 0.01\u20131.14, <jats:italic>P<\/jats:italic> = 0.08).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Patients with a history of pancreatitis and cases of difficult cannulation are strongly recommended for <jats:styled-content style=\"fixed-case\">PPDS<\/jats:styled-content> placement. The propensity score analysis can be adapted to the <jats:styled-content style=\"fixed-case\">ERCP<\/jats:styled-content>\u2010related analysis with many procedure\u2010related factors with using retrospective data, and may be adapted to investigate the matters that are unsuitable for <jats:styled-content style=\"fixed-case\">RCT<\/jats:styled-content> by volume and ethical issue.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jhbp.24","type":"journal-article","created":{"date-parts":[[2013,8,30]],"date-time":"2013-08-30T09:34:46Z","timestamp":1377855286000},"page":"275-280","source":"Crossref","is-referenced-by-count":17,"title":["What is the most adapted indication of prophylactic pancreatic duct stent within the high\u2010risk group of post\u2010endoscopic retrograde cholangiopancreatography pancreatitis? Using the propensity score analysis"],"prefix":"10.1002","volume":"21","author":[{"given":"Mamoru","family":"Takenaka","sequence":"first","affiliation":[{"name":"Division of Gastroenterology Department of Internal Medicine Kobe University Graduate School of Medicine  Kobe Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tsuyoshi","family":"Fujita","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology Department of Internal Medicine Kobe University Graduate School of Medicine  Kobe Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daisuke","family":"Sugiyama","sequence":"additional","affiliation":[{"name":"Section of Evidence\u2010based Laboratory Medicine Division of Clinical Pathology and Immunology Department of Internal Medicine Kobe University Graduate School of Medicine  Kobe 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