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Background and aim: Pancreatitis is the most common and serious complication of diagnostic and therapeutic endoscopic retrograde cholangiopancreatography (ERCP). Prevention strategies targeting risk factors could be important to reduce the rate of post-ERCP pancreatitis.
9 wrz 2022 · Our updated Cochrane systematic review and meta-analysis indicates that wire-guided cannulation attenuates the risk of post-ERCP pancreatitis versus the contrast-guided approach. 4 It minimizes the risk associated with hydrostatic, chemical, and potential allergic injury associated with the introduction of iodinated contrast material into the ...
5 sie 2021 · Post ERCP pancreatitis risk was enhanced based on female gender by OR 8.1 (95% CI 1.7–37.7) p 0.001), and post ERCP pancreatitis risk was enhanced based on JPD by OR 1.1. The elderly...
The guideline addresses the role of rectal nonste-roidal anti-inflammatory drugs (NSAIDs), contrast-guided versus wire-assisted cannulation, prophylactic pancreatic stents, and aggressive versus moderate hydration in unse-lected patients, those without risk factors, to decrease the risk of post-ERCP pancreatitis.
Risk factors for post-ERCP pancreatitis. Univariate analysis of the general data and intraoperative conditions of the included patients showed that age less than 60, female sex, history of pancreatitis, history of choledocholithiasis, pancreatic sphincterotomy, pancreatic duct imaging, multiple cannulation attempts, difficult cannulation and juxtapapillary duodenal diverticula were ...
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.
15 maj 2014 · Risk Factors. It appears that female gender, previous PEP, previous pancreatitis, endoscopic sphincterotomy, precut sphincterotomy, Sphincter of Oddi dysfunction, and non-prophylactic pancreatic duct stent are the risk factors for post-ERCP pancreatitis.
