Korean J Pancreas Biliary Tract.  2015 Oct;20(4):190-197. 10.15279/kpba.2015.20.4.190.

Prevention of Post-endoscopic Retrograde Cholangiopancreatography Pancreatitis: An Endoscopic Perspective

Affiliations
  • 1Department of Internal Medicine, Keimyung University School of Medicine, Daegu, Korea. chokb@dsmc.or.kr

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.

Keyword

Endoscopic retrograde cholangiopancreatography; ERCP; Pancreatitis; Prophylaxis
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