{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T16:45:25Z","timestamp":1790959525624,"version":"4.1.0"},"reference-count":19,"publisher":"Index Copernicus","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pol Przegl Chir"],"published-print":{"date-parts":[[2025,8,12]]},"abstract":"<ns3:p>&lt;b&gt;Introduction:&lt;\/b&gt; Endoscopic retrograde cholangiopancreatography (ERCP) is widely used in the management of biliary andpancreatic disorders but carries a significant risk of complications, including post-ERCP pancreatitis (PEP), cholangitis,haemorrhage, and duodenal perforation. Despite technological advancements, these adverse events remain a global concern.A bibliometric analysis can elucidate publication trends, collaborative networks, and emerging themes in this evolving field.&lt;b&gt;Aim:&lt;\/b&gt; To analyze global research trends, authorship patterns, institutional and country contributions, and thematic shifts in post-ERCP complication research published between 2019 and 2025.&lt;b&gt;Methods:&lt;\/b&gt; A bibliometric analysis was conducted using the Scopus database. Articles and reviews in English, published between January 2019 and April 2025, were retrieved using a structured search strategy targeting ERCP complications. Data were analyzed using Microsoft Excel and VOSviewer (v1.6.20) to map publication trends, co-authorship networks, institutional output, country distribution, and keyword co-occurrence.&lt;b&gt;Results:&lt;\/b&gt; A total of 3,113 publications met the inclusion criteria. The number of articles increased steadily, peaking in 2024.The United States, Japan, and China were the most prolific contributors. \u201cPost-ERCP pancreatitis\u201d emerged as the dominanttheme, while recent years showed increasing focus on prevention, prediction models, and artificial intelligence. Collaborationwas highly centralised among high-income countries, with limited representation from low- and middle-income regions.&lt;b&gt;Conclusions:&lt;\/b&gt; Global research landscape on ERCP complications is expanding, with a shift towards data-driven and preventivestrategies. However, disparities in research quality, institutional dominance, and limited international inclusivity persist.Greater global collaboration and targeted capacity-building are essential to ensure equitable progress in ERCP safety andcomplication management.<\/ns3:p>","DOI":"10.5604\/01.3001.0055.2378","type":"journal-article","created":{"date-parts":[[2025,10,15]],"date-time":"2025-10-15T11:43:01Z","timestamp":1760528581000},"page":"72-78","source":"Crossref","is-referenced-by-count":2,"title":["Research Trends on Post-ERCP Complications: Focus on Pancreatitis, Perforation, and Infections"],"prefix":"10.5604","volume":"97","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-3143-0998","authenticated-orcid":false,"given":"Jeffrey Ariesta","family":"Putra","sequence":"first","affiliation":[{"name":"Faculty of Medicine, Universitas Negeri Yogyakarta, Yogyakarta, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0996-6210","authenticated-orcid":false,"given":"Kartika Ratna","family":"Pertiwi","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Universitas Negeri Yogyakarta, Yogyakarta, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3689","reference":[{"key":"631181r1","unstructured":"Testoni P.A., Mariani A., Giussani A., Vailati C., Testoni S.G.: Risk factors forpost-ERCP pancreatitis in high- and low-volume centres and among expertand non-expert operators: A prospective multicentre study. United European Gastroenterol J. 2016; 4(6): 784\u2013792. doi: 10.1177\/2050640615623355."},{"key":"631181r2","doi-asserted-by":"crossref","unstructured":"Freeman M.L.: Complications of endoscopic biliary sphincterotomy: A review.Gastrointest Endosc., 2021; 94(5): 999\u20131011. doi: 10.1016\/j.gie.2021.06.018.","DOI":"10.1016\/j.gie.2021.06.018"},{"key":"631181r3","doi-asserted-by":"crossref","unstructured":"Dumonceau J.M., Andriulli A., Deviere J. et al.: European Society of Gastrointestinal Endoscopy (ESGE) guideline: Prophylaxis of post-ERCP pancreatitis.Endoscopy., 2014; 46(9): 799\u2013815. doi: 10.1055\/s-0034-1377875.","DOI":"10.1055\/s-0034-1377875"},{"key":"631181r4","doi-asserted-by":"crossref","unstructured":"Kochar B., Akshintala V.S., Afghani E. et al.: Incidence, severity, and mortality of post-ERCP pancreatitis: A systematic review by using consensus definitions. Pancreas., 2015; 44(5): 713\u2013719. doi: 10.1097\/MPA.0000000000000324.","DOI":"10.1097\/MPA.0000000000000324"},{"key":"631181r5","unstructured":"Inamdar S., Berzin T.M., Sejpal D.V. et al.: Post-endoscopic retrograde cholangiopancreatography complications in the inpatient setting: A national study of7,982 hospitalisations. World J Gastroenterol., 2016; 22(35): 8038\u20138046. doi:10.3748\/wjg.v22.i35.8038."},{"key":"631181r6","doi-asserted-by":"crossref","unstructured":"Chandrasekhara V., Khashab M.A., Muthusamy V.R. et al.: Adverse events associatedwith ERCP. Gastrointest Endosc., 2017; 85(1): 32\u201347. doi: 10.1016\/j.gie.2016.06.051.","DOI":"10.1016\/j.gie.2016.06.051"},{"key":"631181r7","doi-asserted-by":"crossref","unstructured":"Elmunzer B.J., Serrano J., Chak A. et al.: Rectal indomethacin reduces the riskof post-ERCP pancreatitis: A multicenter, randomized, placebo-controlledtrial. 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Endosc Int Open., 2020; 8(7): E875\u201384."},{"key":"631181r11","unstructured":"Inamdar S., Berzin T.M., Sejpal D.V. et al.: National trends in ERCP utilization and outcomes: A US inpatient analysis. World J Gastroenterol., 2016;22(35): 8038\u20138046."},{"key":"631181r12","unstructured":"Reddy D.N., Nabi Z., Ramchandani M.: ERCP training in developing countries:Bridging the gap. Dig Endosc., 2019; 31(2): 192\u2013198."},{"key":"631181r13","unstructured":"Siau K., Hawkes N.D., Dunckley P.: The global burden of endoscopic traininginequality. Gastrointest Endosc., 2021; 93(4): 867\u2013871."},{"key":"631181r14","unstructured":"Duan Z., Zhang B., Gong Y. et al.: Machine learning\u2013based prediction of post--ERCP pancreatitis: A multicentre development and validation study. Endoscopy., 2023; 55(3): 219\u2013226."},{"key":"631181r15","unstructured":"Wu D., Xu M.M., Wang Y. et al.: High-volume hydration for post-ERCP pancreatitis prevention: Updated meta-analysis. 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