Acute Pancreatitis after Biliary and Pancreatic Stent Removal with a Forward-Viewing Endoscope

Biliary Drainage ◽

Ambulatory Setting ◽

Pancreatic Stent ◽

Biliary Stents ◽

Endoscopic Retrograde ◽

Stent Removal

Plastic biliary stents are commonly used for biliary drainage, while plastic pancreatic stents may be used prophylactically against acute pancreatitis in patients at high risk for post-endoscopic retrograde cholangiopancreatography pancreatitis. Removal of these prostheses is generally safe and can easily be performed in the ambulatory setting. Herein, we report a case of acute pancreatitis induced by removal of plastic biliary and pancreatic stents with a forward-viewing endoscope.

Prophylactic Pancreatic Stents in High-Risk Population and Post-Endoscopic Retrograde Cholangiopancreatography Pancreatitis

Galen Medical Journal ◽

10.31661/gmj.v4i2.234 ◽

2015 ◽

Vol 4 (2) ◽

pp. 67-71

Author(s):

Hossein Ajdarkosh ◽

Gholamreza Hemasi ◽

Farhad Zamani ◽

Masoudreza Sohrabi ◽

Mohammad Mahdi Zamani ◽

...

Keyword(s):

High Risk ◽

Pancreatic Duct ◽

Stent Placement ◽

Guide Wire ◽

High Risk Population ◽

Pancreatic Stent ◽

Stent Group ◽

Endoscopic Retrograde ◽

Pancreatic Duct Stent

Background: Acute pancreatitis is a common complication of endoscopic retrograde cholangiopancreatography (ERCP). Several medical and surgical procedures have been analyzed in prevention of post-ERCP pancreatitis as a major post-ERCP complication, so we conducted a study to assess the role of prophylactic pancreatic stents on prevention and severity of post-ERCP pancreatitis. Materials and Methods: This case control studied adult patients undergoing ERCP at the ERCP unit of a referral educational hospital. Data of the case (stent, N=90) and control (non-stent) (N=105) groups were retrieved from medical records. In our center, sphinctrerotomy was performed for 103 patients of non-stent group and successful pancreatic stent placement was done in 86 patients of stent group in a standard fashion. In stent group, a 5F, 4 centimeter pancreatic stent was emplaced over a guide wire under fluoroscopic guidance. All post–ERCP pancreatitis and major complications of all patients were retrieved too. Results: Of 255 enrolled patients, 195 were at high risk of post-ERCP pancreatitis allocated in two groups of this study. Successful pancreatic stent placement was done in 86 patients (95.6%) of stent group. There was no major complication during procedures. The migration of pancreatic duct stent was diagnostic in 3 (3.5%) patients. The overall post ERCP pancreatitis was 4.0% and 16.6% in stent and non-stent groups, respectively. Conclusion: Based on our findings in this study, we strongly recommended pancreatic duct stent placement in high-risk patients; although the experience of endoscopist plays a crucial role. [GMJ.2015;4(2):67-71]

Pancreatic duct stent preventing post endoscopic retrograde cholangiopancreatography pancreatitis in high-risk patients

Academic Journal of Second Military Medical University ◽

10.3724/sp.j.1008.2015.01319 ◽

2015 ◽

Vol 36 (12) ◽

pp. 1319

Author(s):

Lu WEI ◽

Ping LI ◽

Chang-qing WANG

Keyword(s):

High Risk ◽

Pancreatic Duct ◽

Endoscopic Retrograde ◽

High Risk Patients ◽

Pancreatic Duct Stent ◽

Risk Patients

Endoscopic retrograde cholangiopancreatography in gallstone acute pancreatitis

10.1002/14651858.cd003630 ◽

2002 ◽

Author(s):

R Imada ◽

K Ayub ◽

J Slavin

Keyword(s):

Acute Pancreatitis ◽

A Randomized Trial of Topical Epinephrine and Rectal Indomethacin for Preventing Post-Endoscopic Retrograde Cholangiopancreatography Pancreatitis in High-Risk Patients

The American Journal of Gastroenterology ◽

10.14309/ajg.0000000000000049 ◽

2019 ◽

Vol 114 (2) ◽

pp. 339-347 ◽

Cited By ~ 6

Author(s):

Ayesha Kamal ◽

Venkata S. Akshintala ◽

Rupjyoti Talukdar ◽

Mahesh K. Goenka ◽

Rakesh Kochhar ◽

...

Keyword(s):

High Risk ◽

Randomized Trial ◽

Endoscopic Retrograde ◽

High Risk Patients ◽

Risk Patients ◽

Rectal Indomethacin

ID: 3521463 COMPARISON OF OUTCOMES IN ENDOSCOPIC ULTRASOUND-GUIDED HEPATICOGASTROSTOMY VERSUS PERCUTANEOUS TRANSHEPATIC BILIARY DRAINAGE FOLLOWING FAILED ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY

Gastrointestinal Endoscopy ◽

10.1016/j.gie.2021.03.528 ◽

2021 ◽

Vol 93 (6) ◽

pp. AB244

Author(s):

Troy Pleasant ◽

Rishi Pawa

Keyword(s):

Endoscopic Ultrasound ◽

Biliary Drainage ◽

Percutaneous Transhepatic Biliary Drainage ◽

Ultrasound Guided ◽

Endoscopic Retrograde ◽

Transhepatic Biliary Drainage

ID: 3522056 PROGNOSTIC SCORES IN POST-ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY ACUTE PANCREATITIS: IS THERE A BETTER OPTION?

Gastrointestinal Endoscopy ◽

10.1016/j.gie.2021.03.307 ◽

2021 ◽

Vol 93 (6) ◽

pp. AB151

Author(s):

Vítor Macedo Silva ◽

Marta Freitas ◽

Rui S. Magalhães ◽

Tiago Cúrdia Gonçalves ◽

Pedro Boal Carvalho ◽

...

Keyword(s):

Acute Pancreatitis ◽

Prognostic Scores ◽

Acute pancreatitis – a complication of endoscopic retrograde cholangiopancreatography

Gastroenterology Review ◽

10.5114/pg.2012.28652 ◽

2012 ◽

Vol 2 ◽

pp. 103-107

Author(s):

Jarosław Matykiewicz ◽

Stanisław Głuszek ◽

Dorota Kozieł

Keyword(s):

Acute Pancreatitis ◽

Trends in the Use of Endoscopic Retrograde Cholangiopancreatography for the Management of Acute Pancreatitis in the United States

The American Journal of Gastroenterology ◽

10.14309/00000434-201810001-00801 ◽

2018 ◽

Vol 113 (Supplement) ◽

pp. S444-S445

Author(s):

Zubair Khan ◽

Nauman Siddiqui ◽

Mohamad Moussa ◽

Muhammad Ali Khan ◽

Thomas Sodeman ◽

...

Keyword(s):

United States ◽

Acute Pancreatitis ◽

The United States ◽

Study protocol for a multicentre, randomised controlled trial of the external use of mirabilite to prevent pancreatitis in children after endoscopic retrograde cholangiopancreatography.

10.21203/rs.3.rs-20402/v1 ◽

2021 ◽

Author(s):

Zhaohui Deng ◽

Biao Gong ◽

Kaihua Yang ◽

Jingqing Zeng ◽

Chan Lv ◽

...

Keyword(s):

Acute Pancreatitis ◽

Controlled Trial ◽

Intestinal Barrier ◽

Basic Research ◽

Intestinal Barrier Function ◽

Therapeutic Effects ◽

Endoscopic Retrograde ◽

Clinical Benefits ◽

Randomised Controlled

Abstract Background Acute pancreatitis is the most common complication of endoscopic retrograde cholangiopancreatography (ERCP) in children. To date, there is no suitable medicine for post-ERCP pancreatitis prophylaxis in children and few study has prospectively evaluated an intervention to prevent post-ERCP pancreatitis in children. Mirabilite, a well-known traditional Chinese medicine(TCM) has good therapeutic effects on acute pancreatitis and no side effect for children by basic research and clinical studies. Our protocol is designed to assess the efficacy and safety of the external use of mirabilite to prevent post-ERCP pancreatitis in children. Methods/design: 520 patients planned for diagnostic and therapeutic ERCP will be enrolled according to the eligibility criteria‎. The patients will be randomly divided into two equal groups (Mirabilite and control, the external use of mirabilite in a bag on the projected abdominal area over the pancreas within 30 min before ERCP). The primary end point is incidence of post-ERCP pancreatitis. Secondary end points include abdominal pain scores, the levels of inflammatory markers [tissue necrosis factor (TNF)-α, IL-6, and IL-8] and intestinal barrier function markers (diamine oxidase, D-lactic acid, and endotoxin). Additionally, the side effects of topical mirabilite is investigated. Conclusion This trial would be the first experiment to determine mirabilite to prevent post-ERCP pancreatitis in children. Mirabilite maybe provide potential clinical benefits and a new avenue with tremendous potential for the future preventing of post-ERCP pancreatitis. Trial registration number: ChiCTR1900022642. Registered on 19 April 2019- Retrospectively registered, http://www.chictr.org.cn.