Prevention of Post-endoscopic Retrograde Cholangiopancreatography Pancreatitis: An Endoscopic Perspective.
10.15279/kpba.2015.20.4.190
- Author:
Yoon Suk LEE
1
;
Kwang Bum CHO
Author Information
1. Department of Internal Medicine, Keimyung University School of Medicine, Daegu, Korea. chokb@dsmc.or.kr
- Publication Type:Review
- Keywords:
Endoscopic retrograde cholangiopancreatography;
ERCP;
Pancreatitis;
Prophylaxis
- MeSH:
Catheterization;
Cholangiopancreatography, Endoscopic Retrograde;
Hand;
Korea;
Mortality;
Pancreatitis*;
Stents
- From:Korean Journal of Pancreas and Biliary Tract
2015;20(4):190-197
- CountryRepublic of Korea
- Language:English
-
Abstract:
Post-endoscopic retrograde cholangiopancreatography pancreatitis (PEP) remains to be the most common adverse event, even in experienced hands. While most of the PEP has a mild clinical course, it could be severe pancreatitis or into mortality. Recently, several endoscopic techniques, such as pancreatic stent placement, guidewire-assisted cannulation, or early precut cannulation, have been suggested as a possible techniques for the PEP prophylaxis. Since several pharmacologic agents are turned out to be non-effective or equivocal except for the rectal non-steroidal anti-inflammatory drugs which are not available in Korea, this paper will describe the general aspects of PEP and focus on the endoscopy-techniques for PEP prophylaxis.
