Prevention of post-ERCP pancreatitis with multimodality techniques in fragile pancreatic cancer patients

Prevention of post-ERCP pancreatitis with multimodality techniques in fragile pancreatic cancer patients

Introduction: Etiology of post-ERCP pancreatitis is multifactorial, involving mechanical injury to papilla and pancreatic duct with impaired drainage of pancreatic juice,chemical and hydrostatic damage by infection,thermal injury due to electrosurgical current during biliary and/or pancreatic sphinc...

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Veröffentlicht in:Pancreatology : official journal of the International Association of Pancreatology (IAP) ... [et al.] 2013-05, Vol.13 (3), p.S25-S26
Hauptverfasser: Pap, Ákos, Tarpay, Ádám, Smola, Richárd, Burai, Mária, Bak, Mihály, Káposztás, Zsolt, Pozsár, József
Format: Artikel
Sprache:eng
Schlagworte:
Cellular biology
Endocrinology & Metabolism
Gastroenterology and Hepatology
Medical research
Pancreatic cancer
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Zusammenfassung:Introduction: Etiology of post-ERCP pancreatitis is multifactorial, involving mechanical injury to papilla and pancreatic duct with impaired drainage of pancreatic juice,chemical and hydrostatic damage by infection,thermal injury due to electrosurgical current during biliary and/or pancreatic sphincterotomy.Multifactorial pathomechanism needs combined measures for prevention.There are 3 established techniques for prevention of post-ERCP pancreatitis: pancreatic stent placement, rectal NSAIDs, and sublingual with/without transdermal NO.
ISSN:1424-3903
1424-3911
DOI:10.1016/j.pan.2013.04.080