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Post Endoscopic Retrograde Cholangiopancreatography Pancreatitis: Novel Mechanisms and Prevention by Drugs

delete2024-12-23
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V
Venkata S. Akshintala *
I
Ibadat S. Boparai
M
Monique T. Barakat
S
Sohail Z. Husain *
DOI:10.1002/ueg2.12732delete
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Abstract

Abstract

En 中文
Endoscopic retrograde cholangiopancreatography (ERCP) is becoming more common than first-line therapy for pancreaticobiliary duct disorders. However, post-ERCP pancreatitis is the most common complication of ERCPs, and affects about 10% of cases. In this review, we provide an overview of the mechanisms purported to cause post-ERCP pancreatitis as well as associated risk factors. We discuss measures that are in practice for post-ERCP pancreatitis pharmaco-prophylaxis, along with advances in the pipeline. We emphasize that there is still a pressing need to narrow the incidence of post-ERCP pancreatitis and that a mechanistic approach may reveal the greatest benefit from utilizing a combination of targets.
Keywords:
endoscopic retrograde cholangiopancreatography
indomethacin
pancreatitis
post-ERCP pancreatitis
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Journal

United European Gastroenterology Journal cover
United European Gastroenterology Journal
IF:
6.7
Papers:
1.9K
Citations:
4.9K

Organization

J
Johns Hopkins University
Scholars:
10.2W
Papers: 8.8W
Citations: 13.0W
J
Johns Hopkins Medicine
Scholars:
1.7W
Papers: 1.3W
Citations: 5.0W