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The standard definition proposed by Cotton, Lehman is as follows: “Pancreatitis after ERCP is a clinical illness with typical pain, associated with at least a threefold increase in serum amylase (or lipase) at 24 h, with symptoms impressive enough to require admission to hospital for treatment (or extension of an existing or planned admission ...
- Post-ERCP pancreatitis: Frequency and risk stratification from four ...
A diagnosis of post-ERCP pancreatitis was made if the...
- Post-ERCP pancreatitis: Frequency and risk stratification from four ...
The main complications after ERCP are pancreatitis, bleeding, cholecystitis, infection and intestinal perforation. 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.
8 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.
9 wrz 2022 · Based on the random-effects model, there was a significant reduction in post-ERCP pancreatitis in high-risk patients treated with rectal NSAIDs compared with placebo (OR, 0.50; 95% CI, 0.30-0.83; I 2 = 56.6%) (Fig. 2; Supplementary Fig. 6A, available online at www.giejournal.org).
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.
13 wrz 2024 · 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.
16 mar 2021 · Pancreatitis is the most frequent complication resulting from endoscopic retrograde cholangiopancreatography (ERCP), affecting 4–10% of patients undergoing this procedure worldwide. 1 Although mortality due to post-ERCP pancreatitis is low (<1%), it can be morbid, with substantial annual health-care costs. 2 Multi-society guidance derived from m...
