Prevention of Postendoscopic Retrograde Cholangiopancreatography Pancreatitis: The Endoscopic Technique
نویسندگان
چکیده
Pancreatitis is the most frequent and distressing complication of endoscopic retrograde cholangiopancreatography (ERCP). Many recent studies have reported the use of pharmacological agents to reduce post-ERCP pancreatitis (PEP); however, the most effective agents have not been established. Reduction in the incidence of PEP in high-risk patients has been reported through specific cannulation techniques such as guide wire-assisted cannulation and the use of pancreatic stents. The present review focuses on ERCP techniques for the prevention of PEP.
منابع مشابه
Meta-analysis: allopurinol in the prevention of postendoscopic retrograde cholangiopancreatography pancreatitis.
BACKGROUND Several clinical trials evaluating the prophylactic effect of allopurinol on postendoscopic retrograde cholangiopancreatography (ERCP) pancreatitis have been published; however, there is no consensus on whether prophylactic allopurinol can reduce the incidence of post-ERCP pancreatitis. AIM To compare prophylactic allopurinol with placebo on post-ERCP pancreatitis reduction by perf...
متن کاملCan postendoscopic retrograde cholangiopancreatography pancreatitis be prevented by a pharmacological approach?
Acute pancreatitis remains the most frequent complication of endoscopic retrograde cholangiopancreatography (ERCP), with reported incidence rates that have changed little over several decades. Patient- and procedure-related risk factors for post-ERCP pancreatitis (PEP) are well-defined. Effective measures to prevent PEP have been identified, including improvements in cannulation techniques and ...
متن کاملPneumothorax Following Endoscopic Retrograde Cholangiopancreatography: A Case Report
As an invasive procedure endoscopic retrograde cholangiopancreatography is prone to develop complications including; pancreatitis, bleeding, cholangitis, and perforation. There are also other complications like pneumothorax, which are so rare. Although this complication is rare, delay in its management may lead to lethal consequences. The present study report a case of post- ERCP pneumothora...
متن کاملNeedle-knife fistulotomy versus standard method for cannulation of common bile duct: a randomized controlled trial.
BACKGROUND Endoscopic retrograde cholangiopancreatography with endoscopic sphincterotomy has become widely available for the treatment of pancreatobiliary diseases; however, it has mortality and complications. The aim of this study was to compare the success rates and complications of two different methods of common bile duct cannulation. METHODS From June 2003 though February 2004, patients ...
متن کاملThe effect of Orientation technique on vital sign and anxiety level of patients undergoing Endoscopic Retrograde Cholangiopancreatography (ERCP)
Background: Diagnostic and therapeutic procedures such as Endoscopic Retrograde Cholangiopancreatography (ERCP) is stressful for the patient. Aim: to determine the influence of Orientation technique on anxiety levels and pulse rate in patients before ERCP in Talaghni hospital in 2011. Method: This study was a randomized controlled clinical trial which carried out on 70 subjects with gastrointe...
متن کامل