Copyright
©2013 Baishideng Publishing Group Co.
World J Gastroenterol. Feb 7, 2013; 19(5): 631-637
Published online Feb 7, 2013. doi: 10.3748/wjg.v19.i5.631
Published online Feb 7, 2013. doi: 10.3748/wjg.v19.i5.631
Table 3 Clinical pearls to help avoid post-endoscopic retrograde cholangiopancreatography pancreatitis
Remember that ERCP is the most dangerous endoscopic procedure that can be associated with bad outcomes |
Instead of diagnostic ERCP, use alternative imaging techniques such as magnetic resonance cholangiopancreatography or EUS, especially in high-risk patients |
Rectal NSAIDs before or after ERCP procedure can be a simple measure to prevent PEP |
Tailor a variety of cannulation techniques to the individual risk profile and the papillary anatomy of the patient |
In cases of difficult cannulation, early precut or fistulotomy technique with a pancreatic stent (performed by an expert endoscopist) can decrease the risk of PEP |
Quit the ERCP procedure earlier in high-risk patients if success is not achieved quickly. After a failed ERCP, alternative therapeutic methods such as percutaneous or EUS-guided approaches can be considered |
In high risk patients, make sure that a prophylactic pancreatic stent is placed. In cases with equivocal risk at the end of the procedure, a prophylactic pancreatic stent can eliminate the fear of PEP |
- Citation: Moon SH, Kim MH. Prophecy about post-endoscopic retrograde cholangiopancreatography pancreatitis: From divination to science. World J Gastroenterol 2013; 19(5): 631-637
- URL: https://www.wjgnet.com/1007-9327/full/v19/i5/631.htm
- DOI: https://dx.doi.org/10.3748/wjg.v19.i5.631