Rescue ERCP and insertion of a small-caliber pancreatic stent to prevent the evolution of severe post-ERCP pancreatitis: a case-controlled series

Abstract

Rescue pancreatic stenting with small-caliber prophylactic pancreatic stents seems to be a safe and effective procedure that might be feasible to stop the evolution of severe post-ERCP pancreatitis, but prospective controlled studies are clearly demanded to support this innovative approach.

Pancreatic stents for prophylaxis against post-ERCP pancreatitis: a meta-analysis and systematic review

“…5 Interestingly, a recent case series explored the role of rescue ERCP a few hours after the initial procedure to prevent post-ERCP pancreatitis. 25 Several pharmacological agents have also been investigated for the prevention of post-ERCP pancreatitis. The role of pharmacological agents in combination with pancreatic stents has not been adequately studied.…”

Feasibility of Temporary Pancreatic Stenting after Early Endoscopic Retrograde Cholangiopancreatography in Patients with Acute Biliary Pancreatitis

“…Madácsy et al, in a case series, described the use of rescue pancreatic stenting to prevent the evolution of severe PEP. 33 Fejes et al reported that temporary pancreatic stenting can serve as a good bridging procedure in 27 patients with severe ABP in whom biliary EST was unsuccessful. 34 However, the number patients in the study was small, and the lack of a control group limited the full understanding of the consequences of failed stenting.…”

Preventing Postendoscopic Retrograde Cholangiopancreatography Pancreatitis

“…30,33 Furthermore, preliminary studies have suggested that "salvage" PSP may be beneficial early in the course of PEP for patients who did not originally receive a stent, or in the case of early stent dislodgement. 34,35 Additional studies including a control group are necessary to fully evaluate PSP for this indication.…”