Feasibility and safety of emergency ERCP and small-caliber pancreatic stenting as a bridging procedure in patients with acute biliary pancreatitis but difficult sphincterotomy.

Surgical Endoscopy
Roland FejesLászló Madácsy

Abstract

The aims of the present study were: (1) to assess the feasibility and safety of emergency endoscopic retrograde cholangiopancreatography (ERCP) and pancreatic duct (PD) stenting with small-caliber stents as a bridging procedure in acute biliary pancreatitis (ABP) patients in whom biliary endoscopic sphincterotomy (EST) proved difficult, failed or was contraindicated, and (2) to compare the clinical outcome of those patients having emergency ERCP with and without pancreatic stent. Eighty-seven consecutive patients with ABP were referred for emergency ERCP. In 60 of these ABP patients, ERCP, EST, and stone extraction (if necessary) were performed without PD stenting. In the remaining 27 patients, small-caliber (3-5 F, 4 cm) pancreatic stent insertion was initially applied. All patients were hospitalized for medical therapy and were followed up. The mean ages, the initial symptom-to-ERCP times, the Glasgow severity scores, and the peak amylase and CRP levels at initial presentation were not significantly different in the ERCP + EST with PD stent group versus the ERCP + EST without PD stent group. More importantly, the complication rate was significantly lower in the ERCP + EST with PD stent group versus the ERCP + EST without PD s...Continue Reading

References

Jun 1, 1990·The Journal of Surgical Research·A J BilchikI M Modlin
Jun 1, 1990·Der Radiologe·E Meyer, E Kohlberger
Jan 28, 1993·The New England Journal of Medicine·S T FanJ Wong
Apr 12, 2000·Journal of Gastroenterology and Hepatology·M Otsuki
Jan 31, 2002·Gastrointestinal Endoscopy·Madhukar Kaw, George J Brodmerkel
Mar 4, 2003·Gastrointestinal Endoscopy·Ali FazelJoseph E Geenen
Mar 19, 2004·Pancreas·Danuta KruszewskaStefan G Pierzynowski
May 4, 2005·Journal of Hepato-biliary-pancreatic Surgery·Masatoshi IsogaiKiyoshi Aikawa
Feb 8, 2006·Journal of Hepato-biliary-pancreatic Surgery·Yasutoshi KimuraUNKNOWN JPN
Feb 18, 2006·Scandinavian Journal of Gastroenterology·Helle LundOle Olsen
Mar 27, 2009·World Journal of Gastroenterology : WJG·Guo-Jun WangSi-Qin Ding
Aug 21, 2009·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·László MadácsyIván Székely

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Citations

Oct 2, 2013·Gastrointestinal Endoscopy Clinics of North America·Vincent C Kuo, Paul R Tarnasky
Mar 11, 2015·Pancreatology : Official Journal of the International Association of Pancreatology (IAP) ... [et Al.]·Zsolt DubravcsikUNKNOWN Hungarian Pancreatic Study Group
Nov 23, 2017·The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi·Jun Kyu LeeSang Hyub Lee

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