Evaluation of pancreatic stent and/or suppository indomethacin efficacy in post ERCP pancreatitis prophylaxis: a single center experience
نویسندگان
چکیده
Aim: Post-endoscopic retrograde cholangiopancreatography (ERCP) pancreatitis (PEP) is a serious complication of ERCP. In this study, we aimed to compare the use rectal indomethacin, pancreatic stenting or both techniques for prevention PEP.
 Material and Method: Patients who underwent ERCP first time due choledocholithiasis between January 2022 June were retrospectively reviewed. The clinical findings, demographics, laboratory records, endoscopic intervention characteristics, whether indomethacin was applied before procedure, stent placed not evaluated.
 Results: A total 367 patients included in study. mean age 61 (28-92) years 53.4% female. 124 (33.8%) patients, involuntary guide-wire insertion into duct occurred during canulation. Pancreatic 82 (22.3%) patients. Rectal administered 288 (78.5%), while could be 79 (21.5%), because they did give consent. When with involuntarily canulation evaluated, rate PEP 3.6% stented group, it 15.3% stent-free group (p
منابع مشابه
Pancreatic Stent or Rectal Indomethacin—Which Better Prevents Post-ERCP Pancreatitis?
We investigated and compared 2 clinical strategies to prevent postendoscopic retrograde cholangiopancreatography (ERCP) pancreatitis (PEP).We retrospectively reviewed data from patients who underwent ERCP between 2008 and 2014. Of 623 patients at high risk for PEP, 145 were treated with prophylactic pancreatic stent placement (PSP) only, and 478 were treated with rectal indomethacin (RI) only, ...
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BACKGROUND/AIMS This meta-analysis was undertaken to evaluate the effect of rectal indomethacin in the prevention of post-endoscopic retrograde cholangiopancreatography (ERCP) pancreatitis. MATERIALS AND METHODS Major databases including Embase, Medline, Science Citation Index Expanded, Pubmed and the Cochrane Central Register of Controlled Trials, were searched to identify all relevant studi...
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BACKGROUND Prophylactic pancreatic stents after endoscopic retrograde cholangiopancreatography (ERCP) can help prevent post-ERCP pancreatitis. However most of the pancreatic stents need to be removed by another ERCP. The aim of this observational study was to investigate the feasibility and effectiveness of the modified pancreatic stent system for prevention of post-ERCP pancreatitis. METHODS...
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BACKGROUND AND STUDY AIMS Pancreatitis is one of the most frequent complications of endoscopic retrograde cholangiopancreatography (ERCP). The placement of a prophylactic pancreatic stent after ERCP can help prevent post-ERCP pancreatitis (PEP). We aimed to provide an up-to-date meta-analysis regarding pancreatic stent placement for prevention of PEP and review the immediate adverse events asso...
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ژورنال
عنوان ژورنال: Journal of health sciences and medicine
سال: 2023
ISSN: ['2636-8579']
DOI: https://doi.org/10.32322/jhsm.1197804