Ribeiro IB, do Monte Junior ES, Miranda Neto AA, Proença IM, de Moura DTH, Minata MK, Ide E, dos Santos MEL, Luz GO, Matuguma SE, Cheng S, Baracat R, de Moura EGH. Pancreatitis after endoscopic retrograde cholangiopancreatography: A narrative review. World J Gastroenterol 2021; 27(20): 2495-2506 [PMID: 34092971 DOI: 10.3748/wjg.v27.i20.2495]
Corresponding Author of This Article
Igor Braga Ribeiro, MD, Research Scientist, Surgeon, Department of Gastrointestinal Endoscopy Unit, University of São Paulo School of Medicine, Av. Dr Enéas de Carvalho Aguiar, 225, 6o andar, bloco 3, Cerqueira Cesar, São Paulo 05403-010, Brazil. igorbraga1@gmail.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Minireviews
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastroenterol. May 28, 2021; 27(20): 2495-2506 Published online May 28, 2021. doi: 10.3748/wjg.v27.i20.2495
Pancreatitis after endoscopic retrograde cholangiopancreatography: A narrative review
Igor Braga Ribeiro, Epifanio Silvino do Monte Junior, Antonio Afonso Miranda Neto, Igor Mendonça Proença, Diogo Turiani Hourneaux de Moura, Mauricio Kazuyoshi Minata, Edson Ide, Marcos Eduardo Lera dos Santos, Gustavo de Oliveira Luz, Sergio Eiji Matuguma, Spencer Cheng, Renato Baracat, Eduardo Guimarães Hourneaux de Moura
Igor Braga Ribeiro, Epifanio Silvino do Monte Junior, Antonio Afonso Miranda Neto, Igor Mendonça Proença, Diogo Turiani Hourneaux de Moura, Mauricio Kazuyoshi Minata, Edson Ide, Marcos Eduardo Lera dos Santos, Gustavo de Oliveira Luz, Sergio Eiji Matuguma, Spencer Cheng, Renato Baracat, Eduardo Guimarães Hourneaux de Moura, Department of Gastrointestinal Endoscopy Unit, University of São Paulo School of Medicine, São Paulo 05403-010, Brazil
Author contributions: Ribeiro IB performed the acquisition of data, analysis, interpretation of data, drafting the article, revising the article, final approval; do Monte Junior ES, Miranda Neto AA, Proença IM, de Moura DTH, and Minata MK conducted data analysis and interpretation, revised the article, and final approval; Ide E, and de Moura EGH conducted data analysis and interpretation, drafted the article, and final approval; dos Santos MEL, Matuguma SE, Cheng S, and Baracat R revised, edited and drafted the article, and final approval.
Conflict-of-interest statement: Dr. Moura reports personal fees from Boston Scientific, personal fees from Olympus, outside the submitted work.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Igor Braga Ribeiro, MD, Research Scientist, Surgeon, Department of Gastrointestinal Endoscopy Unit, University of São Paulo School of Medicine, Av. Dr Enéas de Carvalho Aguiar, 225, 6o andar, bloco 3, Cerqueira Cesar, São Paulo 05403-010, Brazil. igorbraga1@gmail.com
Received: December 10, 2020 Peer-review started: December 10, 2020 First decision: January 27, 2021 Revised: January 30, 2021 Accepted: March 18, 2021 Article in press: March 18, 2021 Published online: May 28, 2021 Processing time: 160 Days and 15.3 Hours
Abstract
Acute post-endoscopic retrograde cholangiopancreatography pancreatitis (PEP) is a feared and potentially fatal complication that can be as high as up to 30% in high-risk patients. Pre-examination measures, during the examination and after the examination are the key to technical and clinical success with a decrease in adverse events. Several studies have debated on the subject, however, numerous topics remain controversial, such as the effectiveness of prophylactic medications and the amylase dosage time. This review was designed to provide an update on the current scientific evidence regarding PEP available in the literature.
Core Tip: Acute post-endoscopic retrograde cholangiopancreatography pancreatitis (PEP) is a feared and potentially fatal complication. Early diagnosis remains the key to the clinical success of these patients. Unfortunately, several topics remain controversial, especially early diagnosis with hyperamylasemia still being mistaken for PEP. The purpose of this review is to demonstrate the evidence in the current literature on PEP.
