Methods for prevention of acute post-endoscopic retrograde cholangiopancreatography pancreatitis

Prz Gastroenterol. 2020;15(2):98-102. doi: 10.5114/pg.2020.95555. Epub 2020 Jun 8.

Abstract

Acute pancreatitis is the most common complication of endoscopic retrograde cholangiopancreatography (ERCP), with incidence rates ranging between 2% and 16%. In addition to being experienced in endoscopic procedures and having knowledge of the patient qualification criteria, physicians should also be aware of the patient and procedure-related risk factors responsible for post-ERCP pancreatitis (PEP). Intrarectal administration of nonsteroidal anti-inflammatory drugs and pancreatic duct stenting were demonstrated to be efficient in high-risk patients. This review provides a broader summary of pharmacological methods and techniques aimed at reducing the risk of PEP.

Keywords: endoscopic retrograde cholangiopancreatography; nonsteroidal anti-inflammatory drugs; pancreatic duct stents; post-endoscopic retrograde cholangiopancreatography pancreatitis.

Publication types

  • Review