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Among them, post-ERCP pancreatitis (PEP) is the most common, with an incidence between 1.6 and 15% [9, 10]. Most cases of PEP are mild or moderate, and only a few present with severe conditions. ... : occurrence of persistent pancreatitis-related symptoms (i.e., new or aggravated abdominal pain) after ERCP, accompanied by an increase in serum ...
26 sie 2022 · A diagnosis of post-ERCP pancreatitis was made if the patients had pancreatic-type abdominal pain (epigastric pain radiating to the back), tenderness that required analgesia and lasted for at least 24 hours after the procedure, and a serum amylase level at least 3 times the normal upper limit.
13 wrz 2024 · The most frequent adverse event associated with ERCP is acute pancreatitis. Post-ERCP pancreatitis can lead to severe complications, including pancreatic necrosis and organ failure, and it is a common basis for ERCP-related malpractice claims [1,2].
Endoscopic retrograde cholangiopancreatography (ERCP) is a specialized endoscopic procedure for managing pancreaticobiliary disorders (eg, removal of bile duct stones, relief of biliary obstruction). The most frequent adverse event associated with ERCP is acute pancreatitis.
Acute pancreatitis is the most common and feared complication of endoscopic retrograde cholangiopancrea-tography (ERCP). The aim of the study was to review the current knowledge on the nomenclature, etiology, pathophysiology, clinical presentation, diagnostic workup, and risk stratification of post-ERCP pancreatitis (PEP).
1) Post-ERCP pancreatitis 2) Severe post-ERCP pancreatitis 3) Adverse events Critical Important 4. High risk for PEP Pancreatic stents No pancreatic stents 1) Post-ERCP pancreatitis 2) Severe post-ERCP pancreatitis 3) Adverse events Critical Important 5. Unselected patients undergoing ERCP Aggressive peri- and postprocedural hydration Standard ...
This clinical practice guideline from the American Society for Gastrointestinal Endoscopy provides an evidence-based approach for strategies to prevent post-ERCP pancreatitis. This document was developed using the Grading of Recommendations Assessment, Development and Evaluation framework.