Effect of body weight on fixed dose of diclofenac for the prevention of post-endoscopic retrograde cholangiopancreatography pancreatitis

Bonna Leerhøy, Andreas Nordholm-Carstensen, Srdjan Novovic, Mark Berner Hansen, Lars Nannestad Jørgensen

6 Citations (Scopus)

Abstract

OBJECTIVE: The aim of this study was to assess the influence of patient body weight on the clinical effect of 100 mg diclofenac administered as a single dose for the prevention of post-endoscopic retrograde cholangiopancreatography pancreatitis (PEP).

MATERIALS AND METHODS: All patients subjected to endoscopic retrograde cholangiopancreatography (ERCP) from 2009 to 2014 were evaluated for inclusion. In total, 772 patients were included of whom 378 (49%) received diclofenac prophylaxis.

RESULTS: In the diclofenac prophylaxis group, body weight was higher in patients with PEP (mean ± SD: 82 ± 18 kg) than in patients without PEP (74 ± 18 kg) (p = 0.029). In patients not receiving prophylaxis, body weight was not associated with the occurrence of PEP (mean ± SD: 77 ± 18 vs 75 ± 18 kg, respectively, p = 0.450). In an adjusted analysis, higher patient body weight was inversely associated with the clinical effect of 100 mg diclofenac for the prophylaxis of PEP.

CONCLUSIONS: High patient body weight was associated with a reduced effect of 100 mg diclofenac for prophylaxis of PEP.

Original languageEnglish
Book seriesScandinavian Journal of Gastroenterology
Volume51
Issue number8
Pages (from-to)1007-12
Number of pages6
ISSN0036-5521
DOIs
Publication statusPublished - 2 Aug 2016

Keywords

  • Acute Disease
  • Aged
  • Body Weight
  • Cholangiopancreatography, Endoscopic Retrograde
  • Diclofenac
  • Female
  • Humans
  • Logistic Models
  • Male
  • Pancreatitis
  • Journal Article

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