title: [Prevention of acute pancreatitis following endoscopic retrograde cholangiopancreatography].
abstract: Over 14,000 endoscopic retrograde cholangiopancreatographies are performed in Hungary annually, and approximately 1400 patients are calculated to develop pancreatititis including 10 cases with fatal outcome. This article reviews the recent and relevant literature and presents a practical guide based on the authors' own experience for the prevention of pancreatitis following endoscopic retrograde cholangiopancreatography. The authors emphasize the importance of careful consideration of indications, analysis of risk factors, avoiding unnecessary diagnostic intervention, a decrease of the attempts for cannulation, early precut, implantation of pancreatic stent in high risk patients, administration of rectal indomethacin or diclofenac, and adequate intravenous fluid replacement.
authors.affiliation: Gasztroenterológiai és Belgyógyászati Osztály, Markusovszky Egyetemi Oktatókórház Szombathely, Markusovszky L. u. 5., 9700.
authors.forename: Árpád
authors.initials: Á
authors.lastname: Patai
authors.forename: Árpád V
authors.initials: ÁV
authors.lastname: Patai
authors.forename: Norbert
authors.initials: N
authors.lastname: Solymosi
authors.forename: Zsolt
authors.initials: Z
authors.lastname: Tulassay
authors.forename: László
authors.initials: L
authors.lastname: Herszényi
mesh_terms: D000208:Acute Disease; D000285:Administration, Rectal; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000008:administration & dosage*; D002404:Catheterization / Q000009:adverse effects; D002760:Cholangiopancreatography, Endoscopic Retrograde / Q000009:adverse effects* / Q000592:standards; D000075202:Contraindications; D004008:Diclofenac / Q000008:administration & dosage; D006801:Humans; D006814:Hungary / Q000453:epidemiology; D007213:Indomethacin / Q000008:administration & dosage; D007262:Infusions, Intravenous; D010195:Pancreatitis / Q000453:epidemiology / Q000209:etiology / Q000517:prevention & control*; D011322:Primary Prevention / Q000379:methods*; D015532:Rehydration Solutions / Q000008:administration & dosage*; D018570:Risk Assessment; D012307:Risk Factors; D012720:Severity of Illness Index; D015607:Stents; D019564:Unnecessary Procedures / Q000009:adverse effects
chemical_list: D000894:Anti-Inflammatory Agents, Non-Steroidal; D015532:Rehydration Solutions; D004008:Diclofenac; D007213:Indomethacin
keywords: Post-ERCP pancreatitis; complications; endoscopic retrograde cholangiopancreatography; endoszkópos retrográd cholangiopancreatographia; megelőzés; post-ERCP-s pancreatitis; prevention; szövődmények