Update in preventing post-endoscopic retrograde cholangiopancreatography pancreatitis.

Autor: Gellért B; Department of Surgery, Transplantation and Gastroenterology, Division of Interventional Gastroenterology, Semmelweis University, Budapest, Hungary (Bálint Gellért, Árpád V. Patai, István Hritz)., Patai ÁV; Department of Surgery, Transplantation and Gastroenterology, Division of Interventional Gastroenterology, Semmelweis University, Budapest, Hungary (Bálint Gellért, Árpád V. Patai, István Hritz)., Hritz I; Department of Surgery, Transplantation and Gastroenterology, Division of Interventional Gastroenterology, Semmelweis University, Budapest, Hungary (Bálint Gellért, Árpád V. Patai, István Hritz).
Jazyk: angličtina
Zdroj: Annals of gastroenterology [Ann Gastroenterol] 2024 May-Jun; Vol. 37 (3), pp. 266-279. Date of Electronic Publication: 2024 Mar 14.
DOI: 10.20524/aog.2024.0870
Abstrakt: Of all the possible complications associated with endoscopic retrograde cholangiopancreatography (ERCP), acute pancreatitis undoubtedly represents the heaviest burden for patients and healthcare professionals. The overall incidence, ranging from 3.5% to around 10%, and annual estimated costs exceeding $150 million in the USA should signal caution for everyone carrying out ERCP. In-depth knowledge of the risk factors and the pharmacological and endoscopic treatment options is required to avoid this adverse event. In this review, we evaluate the relevant data published in the literature since the appearance of the latest recommendations of the leading gastroenterological societies. Thus, we intend to provide a comprehensive and up-to-date overview of the factors to consider and possible interventions applicable before and after the intervention to prevent the development of post-ERCP pancreatitis.
Competing Interests: Conflict of Interest: None
(Copyright: © Hellenic Society of Gastroenterology.)
Databáze: MEDLINE