Prediction of Post-ERCP Pancreatitis
نویسندگان
چکیده
Diagnostic accuracy in regard to biliary and pancreatic diseases has improved markedly since the introduction of computed tomography (CT) and magnetic resonance cholangiopancreatography (MRCP)(1,2), but detection of small bile duct cancers and small pancreatic cancers is difficult even by those modalities. Endoscopic retrograde cholangiopancreatography (ERCP) remains the most accurate and reliable procedure for cytodiagnosis and precise staging of biliary and pancreatic neoplasms, and it is indispensable to the endoscopic treatment of biliary and pancreatic diseases.
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 کاملUsing the 4-hour Post-ERCP amylase level to predict post-ERCP pancreatitis.
CONTEXT Post-ERCP pancreatitis is the most common complication of endoscopic retrograde cholangiopancreatography (ERCP). A simple method of predicting patients who are at risk of developing post-ERCP pancreatitis is needed to allow those at low risk to be discharged on the same day of their procedure. The aim of this study was to confirm that 4-hour post-ERCP serum amylase level is predictive o...
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Pancreatitis is a common serious complication of endoscopic retrograde cholangio-pancreatography (ERCP) with reported incidence rates from 2 to 40%. Prediction of post-ERCP pancreatitis and its severity is useful for planning treatment strategy (surveillance, intensive care therapy, use of novel drugs like platelet activating factor antagonist, parenteral nutrition). The commonly used criteria ...
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Objective: Procalcitonin is considered a possible predictive marker of severity in the early phase of acute pancreatitis. The variations of procalcitonin levels after ERCP and its contribution to the determination of the severity of post-ERCP pancreatitis were studied. Methods: Serum procalcitonin was measured with immunoluminometric assay (normal<0.5ng/ml) in 196 patients who underwent ERCP. S...
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ERCP is a very important therapeutic tool and Acute Pancreatitis remains the most common and feared complication. The recognition of the risk factors for post ERCP pancreatitis and the high risk patients is highly desirable & in this study we evaluate the relation between post ERCP serum amylase level and the incidence of post procedure acute pancreatitis. Patients and Methods: The study was pe...
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