ERCP-related adverse events: European Society of Gastrointestinal Endoscopy (ESGE) Guideline
Endoscopy DOI: 10.1055/a-1075-4080
Prophylaxis
1 ESGE recommends routine rectal administration of 100 mg of diclofenac or indomethacin immediately before endoscopic retrograde cholangiopancreatography (ERCP) in all patients without contraindications to nonsteroidal anti-inflammatory drug administration.Strong recommendation, moderate quality evidence.
2 ESGE recommends prophylactic pancreatic stenting in selected patients at high risk for post-ERCP pancreatitis (inadvertent guidewire insertion/opacification of the pancreatic duct, double-guidewire cannulation).Strong recommendation, moderate quality evidence.
3 ESGE suggests against routine endoscopic biliary sphincterotomy before the insertion of a single plastic stent or an uncovered/partially covered self-expandable metal stent for relief of biliary obstruction.Weak recommendation, moderate quality evidence.
4 ESGE recommends against the routine use of antibiotic prophylaxis before ERCP.Strong recommendation, moderate quality evidence.
5 ESGE suggests antibiotic prophylaxis before ERCP in the case of anticipated incomplete biliary drainage, for severely immunocompromised patients, and when performing cholangioscopy.Weak recommendation, moderate quality evidence.
6 ESGE suggests tests of coagulation are not routinely required prior to ERCP for patients who are not on anticoagulants and not jaundiced.Weak recommendation, low quality evidence.
Treatment
7 ESGE su...
Source: Endoscopy - Category: Gastroenterology Authors: Dumonceau, Jean-Marc Kapral, Christine Aabakken, Lars Papanikolaou, Ioannis S. Tringali, Andrea Vanbiervliet, Geoffroy Beyna, Torsten Dinis-Ribeiro, Mario Hritz, Istvan Mariani, Alberto Paspatis, Gregorios Radaelli, Franco Lakhtakia, Sundeep Veitch, Andre Tags: Guideline Source Type: research
More News: Bile | Bleeding | CT Scan | Diclofenac | Endoscopy | ERCP | Gastroenterology | Indomethacin | Jaundice | Microbiology | Pancreas | Pancreatitis | PET Scan | Voltaren