Korean J Gastroenterol.  2022 May;79(5):195-198. 10.4166/kjg.2022.056.

The Latest Knowledge on Endoscopic Retrograde Cholangiopancreatography-related Pancreatitis

Affiliations
  • 1Department of Internal Medicine, Chonnam National University Medical School, Gwangju, Korea

Abstract

ERCP has been established as a golden diagnostic and therapeutic modality in various pancreatobiliary diseases, including gallstones and malignancy. On the other hand, ERCP is a relatively invasive procedure with radiation hazards and major complications. Among the major complications, ERCP-related pancreatitis has been reported in more than 14.7% of high-risk patients, which might lead to extended hospitalization and a substantial burden for both patients and physicians. Recent guidelines have defined the high-risk factors for ERCP-related pancreatitis. In addition, several outstanding studies have shown that rectal non-steroidal anti-inflammatory drugs, aggressive hydration with lactated Ringer’s solution, and pancreatic stents can reduce ERCP-related pancreatitis in high-risk patients or all patients. A prevention algorithm for ERCP-related pancreatitis was provided based on advanced research.

Keyword

Cholangiopancreatography; endoscopic retrograde; Pancreatitis; Anti-inflammatory agents; non-steroidal; Ringer's lactate; Pancreatic stents

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