Post-Endoscopic Retrograde Cholangiopancreatography Pancreatitis: An Updated Review of Current Preventive Strategies
Harshil Bhatt1,2 1Goshen Hospital, Goshen, IN, USA; 2Indiana University School of Medicine, South Bend, IN, USACorrespondence: Harshil BhattGoshen Hospital, 200 High Park Ave, Goshen, IN 46526, USATel +1 574-364-2510Fax +1 844-850-7282Email harshilbhatt@ymail.comAbstract: Pancreatitis is a serious c...
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doaj-7232dc95b4854bcaa1408bec50ae05872021-02-14T19:41:58ZengDove Medical PressClinical and Experimental Gastroenterology1178-70232021-02-01Volume 14273261633Post-Endoscopic Retrograde Cholangiopancreatography Pancreatitis: An Updated Review of Current Preventive StrategiesBhatt HHarshil Bhatt1,2 1Goshen Hospital, Goshen, IN, USA; 2Indiana University School of Medicine, South Bend, IN, USACorrespondence: Harshil BhattGoshen Hospital, 200 High Park Ave, Goshen, IN 46526, USATel +1 574-364-2510Fax +1 844-850-7282Email harshilbhatt@ymail.comAbstract: Pancreatitis is a serious complication of endoscopic retrograde cholangiopancreatography, with incidence rates as high as 16% in some centers. Recent studies have also shown an upward trend in hospitalization due to endoscopic retrograde cholangiopancreatography-related pancreatitis. Early interventions taken before, during, and after the procedure can significantly reduce the risk of pancreatitis and decrease morbidity and mortality of the patients. To select appropriate patients for endoscopic retrograde cholangiopancreatography, in-depth knowledge of the patient-related and procedure-related risk factors is required. This updated clinical review outlines various pharmacological agents and surgical methods used for the prevention of post-endoscopic retrograde cholangiopancreatography pancreatitis. Current evidence supports the use of rectal non-steroidal anti-inflammatory drugs and pancreatic stent placement as an effective preventive strategy. Further research is needed to compare these preventive modalities to improve patient outcomes after endoscopic retrograde cholangiopancreatography.Keywords: ERCP, post-ERCP pancreatitis, endoscopic retrograde cholangiopancreatography, rectal non-steroidal anti-inflammatory drugs, pancreatic stenthttps://www.dovepress.com/post-endoscopic-retrograde-cholangiopancreatography-pancreatitis-an-up-peer-reviewed-article-CEGercppost-ercp pancreatitisendoscopic retrograde cholangiopancreatographyrectal non-steroidal anti-inflammatory drugspancreatic stent |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Bhatt H |
spellingShingle |
Bhatt H Post-Endoscopic Retrograde Cholangiopancreatography Pancreatitis: An Updated Review of Current Preventive Strategies Clinical and Experimental Gastroenterology ercp post-ercp pancreatitis endoscopic retrograde cholangiopancreatography rectal non-steroidal anti-inflammatory drugs pancreatic stent |
author_facet |
Bhatt H |
author_sort |
Bhatt H |
title |
Post-Endoscopic Retrograde Cholangiopancreatography Pancreatitis: An Updated Review of Current Preventive Strategies |
title_short |
Post-Endoscopic Retrograde Cholangiopancreatography Pancreatitis: An Updated Review of Current Preventive Strategies |
title_full |
Post-Endoscopic Retrograde Cholangiopancreatography Pancreatitis: An Updated Review of Current Preventive Strategies |
title_fullStr |
Post-Endoscopic Retrograde Cholangiopancreatography Pancreatitis: An Updated Review of Current Preventive Strategies |
title_full_unstemmed |
Post-Endoscopic Retrograde Cholangiopancreatography Pancreatitis: An Updated Review of Current Preventive Strategies |
title_sort |
post-endoscopic retrograde cholangiopancreatography pancreatitis: an updated review of current preventive strategies |
publisher |
Dove Medical Press |
series |
Clinical and Experimental Gastroenterology |
issn |
1178-7023 |
publishDate |
2021-02-01 |
description |
Harshil Bhatt1,2 1Goshen Hospital, Goshen, IN, USA; 2Indiana University School of Medicine, South Bend, IN, USACorrespondence: Harshil BhattGoshen Hospital, 200 High Park Ave, Goshen, IN 46526, USATel +1 574-364-2510Fax +1 844-850-7282Email harshilbhatt@ymail.comAbstract: Pancreatitis is a serious complication of endoscopic retrograde cholangiopancreatography, with incidence rates as high as 16% in some centers. Recent studies have also shown an upward trend in hospitalization due to endoscopic retrograde cholangiopancreatography-related pancreatitis. Early interventions taken before, during, and after the procedure can significantly reduce the risk of pancreatitis and decrease morbidity and mortality of the patients. To select appropriate patients for endoscopic retrograde cholangiopancreatography, in-depth knowledge of the patient-related and procedure-related risk factors is required. This updated clinical review outlines various pharmacological agents and surgical methods used for the prevention of post-endoscopic retrograde cholangiopancreatography pancreatitis. Current evidence supports the use of rectal non-steroidal anti-inflammatory drugs and pancreatic stent placement as an effective preventive strategy. Further research is needed to compare these preventive modalities to improve patient outcomes after endoscopic retrograde cholangiopancreatography.Keywords: ERCP, post-ERCP pancreatitis, endoscopic retrograde cholangiopancreatography, rectal non-steroidal anti-inflammatory drugs, pancreatic stent |
topic |
ercp post-ercp pancreatitis endoscopic retrograde cholangiopancreatography rectal non-steroidal anti-inflammatory drugs pancreatic stent |
url |
https://www.dovepress.com/post-endoscopic-retrograde-cholangiopancreatography-pancreatitis-an-up-peer-reviewed-article-CEG |
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