Prospective analysis of risk factors for pancreatitis after diagnostic and therapeutic ERCP

The Indications, Utilization and Safety of Gastrointestinal Endoscopy in an Extremely Elderly Patient Cohort

“…Because of the high prevalence of co-morbidity in this population we had anticipated, but did not experience, a higher frequency of adverse events than was observed. The frequency of post-ERCP pancreatitis (5 %) did not differ from that observed with younger patients at our institution [7,8]. Although there was a single perforation in the colonoscopy group, it occurred after the execution of hemostatic electrocautery in the cecum (which is known to be associated with an increased risk of perforation) and the only alternative was operative treatment.…”

Patient And Procedure Related Risk Factors of Post-ERCP Pancreatitis In Assiut University Hospital

“…The total procedure time was the duration measured from the moment the endoscope is inserted into the mouth until it is removed (6) . Pancreatic cannulation refers to the insertion of a device into the pancreatic duct at a significant depth (7) .…”

Hypotension during ERCP is common but not a risk factor for post‐ERCP pancreatitis

“…Endoscopic retrograde cholangiopancreatography (ERCP) has become a commonplace gastroenterological procedure, but post-ERCP acute pancreatitis remains an appreciable source of morbidity. Studies have documented an incidence of pancreatitis between 1 and 5% after diagnostic ERCP and up to 15% after therapeutic ERCP [1][2][3][4][5][6][7], although we have previously demonstrated little difference in complications between diagnostic and therapeutic ERCP [8]. A better understanding of the risk factors associated with this complication might provide insight into its cause and suggest strategies for its prevention.…”

“…Several variables have already been linked to an increased risk of developing post‐ERCP pancreatitis. These are younger age [6], difficulty with cannulation [6,8], presence of (or suspected) sphincter of Oddi dysfunction [4,6], number of contrast injections [1,6,9], acinarisation during injection of contrast [1,6], performance of a pancreatogram [2,8,9], performance of sphincterotomy [6,8] and prior history of post‐ERCP pancreatitis [6,8]. Prior history of pancreatitis may, however, correlate inversely with severity of post‐ERCP pancreatitis [5].…”