Prevention of post-ERCP pancreatitis using pancreatic duct stenting in difficult cannulation patients with calcular biliary bbstruction
نویسندگان
چکیده
Background: Post-ERCP pancreatitis (PEP) has been the most frequent complication of Endoscopic Retrograde Cholangiopancreatography (ERCP). It documented to happen after 5–30% ERCP procedures. PEP is new or exacerbated abdominal pain associated with a serum lipase amylase concentration which more than three times upper limit normal at 24 hours post-ERCP, requiring least two days prolongation planned admission. Following pancreatic sphincterotomy, stenting commonly used objective decreasing both early restenosis and post-ERCP pancreatitis. Aim work: Evaluation technique as preventive measure against post in calcular obstructive jaundice patients difficult cannulation. Patients methods: Forty Egyptian biliary obstruction cannulation who are risk developing enrolled prospective randomized controlled comparative study. Group A: 20 manipulation duct by guidewire without stent insertion; B: insertion.Results: The had reduced significantly CBD 20?% (in group B) compared 60?% (group A).Conclusion: Prophylactic simple easy procedure that showed be efficient cases patients. endoscopists should trained practice safely.
منابع مشابه
Evaluation of guide wire cannulation in reduced risk of post - ERCP pancreatitis and facilitated bile duct cannulation
Background: Pancreatitis is most common complication of post-ERCP and needs to admission at least for one day. The purpose of this study was to assess the efficacy of guide wire for better common bile duct (CBD) cannulation for reducing post-ERCP pancreatitis. Methods: From April 2010 through March 2011, the patients who needed ERCP and referred to Shahid Beheshti and Rouhani Teaching Hospita...
متن کاملPancreatic Stenting Reduces Post-ERCP Pancreatitis and Biliary Sepsis in High-Risk Patients: A Randomized, Controlled Study.
Background. Endoscopic retrograde cholangiopancreatography (ERCP) is an established treatment modality for bile duct disorders, but patients have a risk of post-ERCP pancreatitis (PEP) and biliary sepsis. Aim. To evaluate the effectiveness and safety of pancreatic stent for prophylaxis of PEP and biliary sepsis in high-risk patients with complicating common bile duct (CBD) disorders. Methods. T...
متن کاملPrevention of Post-ERCP Pancreatitis
Pancreatitis is the most common complication of ERCP. It can be associated with substantial morbidity. Hence, the minimization of both the incidence and severity of post-ERCP pancreatitis is paramount. Considerable efforts have been made to identify factors that may be associated with an increased risk of this complication. In addition, both procedure- and pharmacological-related interventions ...
متن کاملevaluation of guide wire cannulation in reduced risk of post - ercp pancreatitis and facilitated bile duct cannulation
background: pancreatitis is most common complication of post-ercp and needs to admission at least for one day. the purpose of this study was to assess the efficacy of guide wire for better common bile duct (cbd) cannulation for reducing post-ercp pancreatitis. methods: from april 2010 through march 2011, the patients who needed ercp and referred to shahid beheshti and rouhani teaching hospital ...
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ژورنال
عنوان ژورنال: Bali Medical Journal
سال: 2021
ISSN: ['2089-1180', '2302-2914']
DOI: https://doi.org/10.15562/bmj.v10i3.2665