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| 1 | Endoscopic retrograde cholangiopancreatography outcome from a single referral center in Iran显示文摘BACKGROUND: Endoscopic retrograde cholangiopancreato- graphy (ERCP) is the first choice for diagnostic evaluation of the pancreatic and biliary tree and can be accompanied by a high diagnostic sensitivity and a poor therapeutic outcome. In the current study, we described our experiences in the indications, findings, and technical success of ERCP in a sample of the Iranian population admitted to a referral center in Iran. METHODS: In a retrospective review database-based study, 780 patients (393 males and 387 females; mean age 57.5 years) who had undergone diagnostic and therapeutic ERCP with the primary diagnosis of hepatobiliary disorder between 2006 and 2008 at Taleghani Hospital in Tehran were reviewed. The key data were demographic characteristics, clinical information, laboratory parameters, as well as post-ERCP complications. RESULTS: A history of cholecystectomy was found in about one-third (36.3%) of participants and 80 (10.3%) out of 780 patients had a previous history of biliary stone. A minority (1.4%) of the patients suffered from hepatobiliary carcinomas, and 11 patients had cirrhosis. The most common clinical manifestations in the patients undergoing diagnostic ERCP were icterus (47.3%), weight loss (31.2%), and dark urine (26.9%). Selective biliary cannulation was technically successful in 87.0% of the patients; however, cannulation failed in 13.0%. The most frequent final diagnosis of ERCP was common bile duct stone that was detected in 40.1% of the patients. The ERCP results in 11.0% of the patients were normal. Regarding appropriate treatment, successful stenting was performed in 43 patients (15.2%). Among post-ERCP complications, pancreatitis was the most adverse event withan incidence rate of 3.3%. Other complications including local bleeding, cholangitis and gastrointestinal perforation, rarely occurred. Post-ERCP pancreatitis was reported in 1.8% of men and 3.6% of women (P=0.120). Pancreatitis was more common in women below 70 years than in those who were older than 70 years (3.6% versus 0.5%; OR: 8.216, P=0.015). This might be due to the more functionally active pancreas in younger women than in the older ones. However, other complications were similar in the two age groups. CONCLUSIONS: Based on our experience, ERCP indications, final diagnosis and related complications are comparatively consistent with those reported in other countries. The most common post-ERCP complication is pancreatitis that is more often observed in younger patients. | Amir H Mohammad Alizadeh Esmaeil S Afzali Mirhadi Mousavi Yaghoub Moaddab Mohammad R Zali | 2010 | Hepatobiliary & Pancreatic Diseases International2010，9，4： | 3 |
| 2 | Spectroscopic and electrochemical studies of the inter- action between oleuropein,the major bio-phenol in olives, and salmon sperm DNA显示文摘 | MOHAMADI M AFZALI D ESMAEILI-MAHANI S etal | 2015 | Spectrochimica Acta Part A2015，148，： | 1 |
| 3 | The effectiveness of combined treatment with methylprednisolone and cyclophosphamide in oral paraquat poisoning显示文摘 | Afzali S Gholyaf M | 2008 | Arch Iranian Med2008，11，4： | 1 |
| 4 | The effectiveness of Combined Treatment with Methylpre-dnisolone and Cyclophosphamide in Oral Paraquat Poisoning显示文摘 | Afzalis S Gholyaf M | | 0，，04： | 1 |
| 5 | Myelin oligodendrocyte glycoprotein(MOG35 55)induced experimental autoimmune encephalomyelitis(EAE)in C57BL/6 mice显示文摘 | Bittner S Afzali AM Wiendl H | 2014 | J Vis Exp2014，15，51： | 1 |
| 6 | The effectiveness of combined treatment with methylprednisolone and cyclophosphamide in oral paraquat poisoning显示文摘 | Afzali S Gholyaf M | 2008 | Arch Iran Med2008，11，4： | 1 |
| 7 | The effectiveness of combined treatment with methylprednisolone and cyclophosphamide in oral paraquat poisoning显示文摘 | Afzali S Gholyaf M | 2008 | Arch Iran Med2008，11，4： | 1 |
| 8 | Anti-TNFalpha therapy- killing two birds with one stone? 显示文摘 | Arif S Cox P Afzali B | 2010 | Lancet2010，375，9733： | 1 |
| 9 | Anaemia in diabetic patients with chronic kidney disease-prevalence and predictors显示文摘 | AL-KHOURY S AFZALI B SHAH N | 2006 | Diabetologia2006，49，： | 1 |
| 10 | Reliability-Based Simulation-Optimization Model for Multireservoir Hydropower Systems Operations: Khersan Experi- ence 显示文摘 | Afzali R Mousavi S J Ghaheri A | 2008 | Journal of Water Resources Planning and Management2008，134，1： | 1 |
| 11 | The effectiveness of combined treatment with methylprednisolone and cyclophosphamide in oral paraquat poisoning 显示文摘 | Afzali S Gholyaf M | 2008 | Arch Iran Med2008，11，4： | 1 |
| 12 | The effectiveness of combined treatment with methylprednisolone and cyclophosphamide in oral paraquatpoisoning显示文摘 | Afzali S Gholyaf M | 2008 | Arch Iran Med2008，11，4： | 1 |
| 13 | The effectiveness of combined treatment with methylprednisolone and cyclophosphamide in oral paraquat poisoning 显示文摘 | Afzali S Gho/yaf M | 2008 | Arch Iran Med2008，11，4： | 1 |
| 14 | The Effectiveness of Combined Treatment with Methylr,rednisolone and Cyclophosphamide in Oral Paraquat Poisoning显示文摘 | Afzali S Gholyaf M | 2008 | Arch Iran Med2008，11，： | 1 |
| 15 | The effectiveness of combined treatment with methylprednisolone and cyclophosphamide in oral paraquat poisoning 显示文摘 | Afzali S Gholyaf M | 2008 | Arch Iron Med2008，11，4： | 1 |
| 16 | Anaemia in diabetic patients with chronic kidney diseases prevalence and predietors 显示文摘 | AI Khoury S Afzali B Shah N | 2006 | Diabeto- logia2006，49，： | 1 |
| 17 | The effectiveness of combined treatment withmethylprednisolone and cyclophosphamide in oral paraquat poisoning显示文摘 | Afzali S Gholyaf M | 2008 | Arch Iran Med2008，11，4： | 1 |
| 18 | The effectiveness of combined treatmentwith methylprednisolone and cyclophosphamide in oral paraquatpoisoning显示文摘 | AFZALI S GHOLYAF M | 2008 | Arch Iran Med2008，11，4： | 1 |
| 19 | Myelin oligodendrocyte glycoprotein (MOG35-55) induced experimental autoimmune encephalomyelitis (EAE) in C57BL/6 mice显示文摘 | Bittner S Afzali AM Wiendl H | 2014 | J Vis Exp2014，15，86： | 1 |
| 20 | Ligandless - dispersive liquid - liquid microextraction of trace amount of copper ions显示文摘 | Mohammadi S Z Afzali D Baghelani Y M | 2009 | Anal Chim Acta2009，653，2： | 1 |
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