Post

New research · Gastroenterology
Digestive and liver disease : official journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver · 2d
Cohort studyDigestive and liver disease : official journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver · 2026

Benchmarking outcomes of endoscopic retrograde cholangio-pancreatography for malignant biliary obstructions: A multicenter real-world study.

Binda Cecilia, Cucchetti Alessandro, Anderloni Andrea … i-EUS Group
Read paper
GastroenterologyCohort study

ERCP for malignant biliary obstruction achieved high technical success.

Benchmarking outcomes of endoscopic retrograde cholangio-pancreatography for malignant biliary obstructions: A multicenter real-world study.

Binda Cecilia et al. · Digestive and liver disease : official journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver · 2026
Background

Endoscopic retrograde cholangiopancreatography (ERCP) quality measures are critical to define standards of care and guide improvement strategies.

Purpose

This study aimed to determine risk-adjusted outcomes following ERCP for malignant biliary obstruction(MBO).

Methods

Using an intention-to-treat approach, we analyzed data from a multicenter database including 23 Italian hospitals (2017-2022).

n = 3148
91.3%
Results
the ERCP procedure successfully cleared blocked bile ducts caused by cancer
n = 3148
More results

Clinical and procedural characteristics showed considerable heterogeneity across centers (I²>75%).

Post-ERCP pancreatitis occurred in 5.4% (ICC 12.9%), additional ERCPs were required in 23.7% (ICC 4.1%), and 30-day mortality was 4.2%.

Treatment in high-volume hospitals (>350ERCPs/year) was associated with lower mortality(p = 0.001).

“
Conclusion · 1 of 2

Most variability in ERCP outcomes across hospitals reflects differences in patient selection and technical strategies. After risk adjustment, outcomes were similar across centers, supporting consistent quality of care.

Conclusion · 2 of 2

This study provides exploratory, risk-adjusted benchmarks derived from real-world practice for ERCP in MBO and supports their use for quality monitoring and referral planning.

Read paper
0 comments

No comments yet. Be the first.

Related papers

LatestFoundational
Study
56 recommendations
international experts agreed on guidelines for reporting findings from early cancer samples
Guideline
46
recommendations experts agreed on for treating difficulty emptying bowels
Systematic Review
RR=1.28
Underwater EMR leads to a higher rate of complete polyp removal
Cohort Study
HR 3.59
severe aortic stenosis has a much higher rate of serious bleeding than mild disease