Indomethacin May Curb Pancreatitis After ERCPIndomethacin May Curb Pancreatitis After ERCP
Rectal indomethacin may cut the risk of pancreatitis after endoscopic retrograde cholangiopancreatography (ERCP) in a wide range of patients, suggests a new study. Reuters Health Information
Conclusions: Regular statin use was not shown to be protective against PEP. A further investigation is warranted before this medication is tested in prospective randomized trials.
AbstractBackgroundThe goal of this study was to compare the efficacy and safety of needle-knife fistulotomy (NKF) to that of conventional cannulation methods (CCMs) when used for primary biliary access in patients with duodenal papillary tumors.MethodsConsecutive patients who had duodenal papillary tumors and who underwent endoscopic retrograde cholangiopancreatography (ERCP) were retrospectively enrolled. Successful cannulation rates, cannulation and procedure times, and the prevalence of adverse events were compared between the NKF and CCM groups.ResultsA total of 404 patients (NKF,n = 124; CCM,...
ConclusionThe presence of PAD did not affect the duration or success of the ERCP procedure. However, it was associated with longer cannulation time and an increase in the cannulation difficulty, especially with PAD type 1.Clinical Trial Study Registration This study is approved by Nanjing Medical University and registered at ClinicalTrial.gov PRS with ID/NCT03771547/.
ConclusionsLCBDE + LC and IO-ERCP + LC have similar efficacy and safety in terms of technical success, morbidity, major morbidity, and conversion rate. However, LCBDE + LC is associated with a higher biliary leak rate, lower postoperative pancreatitis rate, and higher rate of retained stones.
CONCLUSIONS: Our meta-analysis seems to suggest the non-superiority of chronic statin therapy in preventing post-ERCP pancreatitis. PMID: 32993442 [PubMed - as supplied by publisher]
Conclusions With our novel method, accurate assessment of the longitudinal extension of PHCC might be expected with minimal trauma to the duodenal papilla. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents | Abstract | Full text
Conclusions: Large balloon lithotripsy, in order to crush the stones or make working room for baskets or balloons in the bile duct is an effective , safe and low cost technique for impacted, packed or giant bile duct stones.
Conditions: Post-ERCP Acute Pancreatitis; Pancreatic Stent; Ultrasound; X-rays Intervention: Diagnostic Test: Sonographic based visualization of a pancreatic stent Sponsor: Johann Wolfgang Goethe University Hospital Not yet recruiting
CONCLUSION: Our study highlights the high technical and clinical success rates for POP, EHL and LL. POP-guided lithotripsy could be a viable option for management of chronic pancreatitis with PDC. PMID: 32982119 [PubMed - in process]
Endoscopic ultrasound is instrumental in biliary pancreatitis for stratifying patients for invasive ERCP, given high rates of spontaneous stone passage. This is reflected in this report illustrating “triple detection” of stones above, at, and below the papilla. AbstractEndoscopic ultrasound is instrumental in biliary pancreatitis for stratifying patients for invasive ERCP, given high rates of spontaneous stone passage. This is reflected in this report illustrating “triple detection” of stones above, at, and below the papilla.