Post-endoscopic retrograde cholangiopancreatography pancreatitis: A systematic review for prevention and treatment
Post endoscopic retrograde cholangiopancreatography (ERCP) is comparatively complex application. Researchers has been investigated prevention of post-ERCP pancreatitis (PEP), since it has been considered to be the most common complication of ERCP. Although ERCP can lead various complications, it can...
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Veröffentlicht in: | World journal of gastroenterology : WJG 2019-08, Vol.25 (29), p.4019-4042 |
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description | Post endoscopic retrograde cholangiopancreatography (ERCP) is comparatively complex application. Researchers has been investigated prevention of post-ERCP pancreatitis (PEP), since it has been considered to be the most common complication of ERCP. Although ERCP can lead various complications, it can also be avoided.AIMSTo study the published evidence and systematically review the literature on the prevention and treatment for PEP.
A systematic literature review on the prevention of PEP was conducted using the electronic databases of ISI Web of Science, PubMed and Cochrane Library for relevant articles. The electronic search for the review was performed by using the search terms "Post endoscopic retrograde cholangiopancreatography pancreatitis" AND "prevention" through different criteria. The search was restricted to randomized controlled trials (RCTs) performed between January 2009 and February 2019. Duplicate studies were detected by using EndNote and deleted by the author. PRISMA checklist and flow diagram were adopted for evaluation and reporting. The reference lists of the selected papers were also scanned to find other relevant studies.
726 studies meeting the search criteria and 4 relevant articles found in the edited books about ERCP were identified. Duplicates and irrelevant studies were excluded by screening titles and abstracts and assessing full texts. 54 studies were evaluated for full text review. Prevention methods were categorized into three groups as (1) assessment of patient related factors; (2) pharmacoprevention; and (3) procedural techniques for prevention. Most of studies in the literature showed that young age, female gender, absence of chronic pancreatitis, suspected Sphincter of Oddi dysfunction, recurrent pancreatitis and history of previous PEP played a crucial role in posing high risks for PEP. 37 studies designed to assess the impact of 24 different pharmacologic agents to reduce the development of PEP delivered through various administration methods were reviewed. Nonsteroidal anti-inflammatory drugs are widely used to reduce risks for PEP. Rectal administration of indomethacin immediately prior to or after ERCP in all patients is recommended by European Society for Gastrointestinal Endoscopy guidelines to prevent the development of PEP. The majority of the studies reviewed revealed that rectally administered indomethacin had efficacy to prevent PEP. Results of the other studies on the other pharmacological interventions had bo |
doi_str_mv | 10.3748/wjg.v25.i29.4019 |
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A systematic literature review on the prevention of PEP was conducted using the electronic databases of ISI Web of Science, PubMed and Cochrane Library for relevant articles. The electronic search for the review was performed by using the search terms "Post endoscopic retrograde cholangiopancreatography pancreatitis" AND "prevention" through different criteria. The search was restricted to randomized controlled trials (RCTs) performed between January 2009 and February 2019. Duplicate studies were detected by using EndNote and deleted by the author. PRISMA checklist and flow diagram were adopted for evaluation and reporting. The reference lists of the selected papers were also scanned to find other relevant studies.
726 studies meeting the search criteria and 4 relevant articles found in the edited books about ERCP were identified. Duplicates and irrelevant studies were excluded by screening titles and abstracts and assessing full texts. 54 studies were evaluated for full text review. Prevention methods were categorized into three groups as (1) assessment of patient related factors; (2) pharmacoprevention; and (3) procedural techniques for prevention. Most of studies in the literature showed that young age, female gender, absence of chronic pancreatitis, suspected Sphincter of Oddi dysfunction, recurrent pancreatitis and history of previous PEP played a crucial role in posing high risks for PEP. 37 studies designed to assess the impact of 24 different pharmacologic agents to reduce the development of PEP delivered through various administration methods were reviewed. Nonsteroidal anti-inflammatory drugs are widely used to reduce risks for PEP. Rectal administration of indomethacin immediately prior to or after ERCP in all patients is recommended by European Society for Gastrointestinal Endoscopy guidelines to prevent the development of PEP. The majority of the studies reviewed revealed that rectally administered indomethacin had efficacy to prevent PEP. Results of the other studies on the other pharmacological interventions had both controversial and promising results. Thirteen studies conducted to evaluate the efficacy of 4 distinct procedural techniques to prevent the development of PEP were reviewed. Pancreatic Stent Placement has been frequently used in this sense and has potent and promising benefits in the prevention of PEP. Studies on the other procedural techniques have had inconsistent results.
Prevention of PEP involves multifactorial aspects, including assessment of patients with high risk factors for alternative therapeutic and diagnostic techniques, administration of pharmacological agents and procedural techniques with highly precise results in the literature.</description><identifier>ISSN: 1007-9327</identifier><identifier>EISSN: 2219-2840</identifier><identifier>DOI: 10.3748/wjg.v25.i29.4019</identifier><identifier>PMID: 31413535</identifier><language>eng</language><publisher>United States: Baishideng Publishing Group Inc</publisher><subject>Administration, Rectal ; Anti-Inflammatory Agents - administration & dosage ; Biliary Tract Diseases - surgery ; Catheterization - instrumentation ; Catheterization - methods ; Cholangiopancreatography, Endoscopic Retrograde - adverse effects ; Drainage - instrumentation ; Drainage - methods ; Humans ; Pancreas - drug effects ; Pancreas - metabolism ; Pancreas - surgery ; Pancreatitis - etiology ; Pancreatitis - therapy ; Phosphodiesterase 5 Inhibitors - administration & dosage ; Postoperative Complications - etiology ; Postoperative Complications - therapy ; Preoperative Care - methods ; Risk Assessment ; Risk Factors ; Somatostatin - administration & dosage ; Sphincter of Oddi - drug effects ; Sphincter of Oddi - surgery ; Stents ; Systematic Review</subject><ispartof>World journal of gastroenterology : WJG, 2019-08, Vol.25 (29), p.4019-4042</ispartof><rights>The Author(s) 2019. Published by Baishideng Publishing Group Inc. All rights reserved. 2019</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c396t-f0dfd46123be02527f1beac0848197e030d12105553a261b9ff2d51cead5c58d3</citedby><cites>FETCH-LOGICAL-c396t-f0dfd46123be02527f1beac0848197e030d12105553a261b9ff2d51cead5c58d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6689803/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6689803/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27923,27924,53790,53792</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31413535$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Pekgöz, Murat</creatorcontrib><title>Post-endoscopic retrograde cholangiopancreatography pancreatitis: A systematic review for prevention and treatment</title><title>World journal of gastroenterology : WJG</title><addtitle>World J Gastroenterol</addtitle><description>Post endoscopic retrograde cholangiopancreatography (ERCP) is comparatively complex application. Researchers has been investigated prevention of post-ERCP pancreatitis (PEP), since it has been considered to be the most common complication of ERCP. Although ERCP can lead various complications, it can also be avoided.AIMSTo study the published evidence and systematically review the literature on the prevention and treatment for PEP.
A systematic literature review on the prevention of PEP was conducted using the electronic databases of ISI Web of Science, PubMed and Cochrane Library for relevant articles. The electronic search for the review was performed by using the search terms "Post endoscopic retrograde cholangiopancreatography pancreatitis" AND "prevention" through different criteria. The search was restricted to randomized controlled trials (RCTs) performed between January 2009 and February 2019. Duplicate studies were detected by using EndNote and deleted by the author. PRISMA checklist and flow diagram were adopted for evaluation and reporting. The reference lists of the selected papers were also scanned to find other relevant studies.
726 studies meeting the search criteria and 4 relevant articles found in the edited books about ERCP were identified. Duplicates and irrelevant studies were excluded by screening titles and abstracts and assessing full texts. 54 studies were evaluated for full text review. Prevention methods were categorized into three groups as (1) assessment of patient related factors; (2) pharmacoprevention; and (3) procedural techniques for prevention. Most of studies in the literature showed that young age, female gender, absence of chronic pancreatitis, suspected Sphincter of Oddi dysfunction, recurrent pancreatitis and history of previous PEP played a crucial role in posing high risks for PEP. 37 studies designed to assess the impact of 24 different pharmacologic agents to reduce the development of PEP delivered through various administration methods were reviewed. Nonsteroidal anti-inflammatory drugs are widely used to reduce risks for PEP. Rectal administration of indomethacin immediately prior to or after ERCP in all patients is recommended by European Society for Gastrointestinal Endoscopy guidelines to prevent the development of PEP. The majority of the studies reviewed revealed that rectally administered indomethacin had efficacy to prevent PEP. Results of the other studies on the other pharmacological interventions had both controversial and promising results. Thirteen studies conducted to evaluate the efficacy of 4 distinct procedural techniques to prevent the development of PEP were reviewed. Pancreatic Stent Placement has been frequently used in this sense and has potent and promising benefits in the prevention of PEP. Studies on the other procedural techniques have had inconsistent results.
Prevention of PEP involves multifactorial aspects, including assessment of patients with high risk factors for alternative therapeutic and diagnostic techniques, administration of pharmacological agents and procedural techniques with highly precise results in the literature.</description><subject>Administration, Rectal</subject><subject>Anti-Inflammatory Agents - administration & dosage</subject><subject>Biliary Tract Diseases - surgery</subject><subject>Catheterization - instrumentation</subject><subject>Catheterization - methods</subject><subject>Cholangiopancreatography, Endoscopic Retrograde - adverse effects</subject><subject>Drainage - instrumentation</subject><subject>Drainage - methods</subject><subject>Humans</subject><subject>Pancreas - drug effects</subject><subject>Pancreas - metabolism</subject><subject>Pancreas - surgery</subject><subject>Pancreatitis - etiology</subject><subject>Pancreatitis - therapy</subject><subject>Phosphodiesterase 5 Inhibitors - administration & dosage</subject><subject>Postoperative Complications - etiology</subject><subject>Postoperative Complications - therapy</subject><subject>Preoperative Care - methods</subject><subject>Risk Assessment</subject><subject>Risk Factors</subject><subject>Somatostatin - administration & dosage</subject><subject>Sphincter of Oddi - drug effects</subject><subject>Sphincter of Oddi - surgery</subject><subject>Stents</subject><subject>Systematic Review</subject><issn>1007-9327</issn><issn>2219-2840</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkctvGyEQxlHVKnHS3HuqOPayDo9lWXqoZFl5SZHaQ3tGGGZtIu-yBWzL_31YxbHaE8zj-2Y0P4S-UDLnsm5vDy_r-Z6JuWdqXhOqPqAZY1RVrK3JRzSjhMhKcSYv0VVKL4QwzgW7QJec1pQLLmYo_gopVzC4kGwYvcURcgzraBxguwlbM6x9GM1gI5g85cfNEb_HPvv0HS9wOqYMfYkn-d7DAXch4rH8Ycg-DNgMDudJ0ZfEZ_SpM9sEN6f3Gv25v_u9fKyefz48LRfPleWqyVVHXOfqhjK-AsIEkx1dgbGkrVuqJBBOHGWUCCG4YQ1dqa5jTlALxgkrWsev0Y8333G36sHZMjqarR6j70086mC8_r8y-I1eh71umla1hBeDbyeDGP7uIGXd-2RhW44CYZc0Y5JLKZWcWslbq40hpQjdeQwlekKlCypdUOmCSk-oiuTrv-udBe9s-CvNI5Vv</recordid><startdate>20190807</startdate><enddate>20190807</enddate><creator>Pekgöz, Murat</creator><general>Baishideng Publishing Group Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20190807</creationdate><title>Post-endoscopic retrograde cholangiopancreatography pancreatitis: A systematic review for prevention and treatment</title><author>Pekgöz, Murat</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c396t-f0dfd46123be02527f1beac0848197e030d12105553a261b9ff2d51cead5c58d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Administration, Rectal</topic><topic>Anti-Inflammatory Agents - administration & dosage</topic><topic>Biliary Tract Diseases - surgery</topic><topic>Catheterization - instrumentation</topic><topic>Catheterization - methods</topic><topic>Cholangiopancreatography, Endoscopic Retrograde - adverse effects</topic><topic>Drainage - instrumentation</topic><topic>Drainage - methods</topic><topic>Humans</topic><topic>Pancreas - drug effects</topic><topic>Pancreas - metabolism</topic><topic>Pancreas - surgery</topic><topic>Pancreatitis - etiology</topic><topic>Pancreatitis - therapy</topic><topic>Phosphodiesterase 5 Inhibitors - administration & dosage</topic><topic>Postoperative Complications - etiology</topic><topic>Postoperative Complications - therapy</topic><topic>Preoperative Care - methods</topic><topic>Risk Assessment</topic><topic>Risk Factors</topic><topic>Somatostatin - administration & dosage</topic><topic>Sphincter of Oddi - drug effects</topic><topic>Sphincter of Oddi - surgery</topic><topic>Stents</topic><topic>Systematic Review</topic><toplevel>online_resources</toplevel><creatorcontrib>Pekgöz, Murat</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>World journal of gastroenterology : WJG</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pekgöz, Murat</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Post-endoscopic retrograde cholangiopancreatography pancreatitis: A systematic review for prevention and treatment</atitle><jtitle>World journal of gastroenterology : WJG</jtitle><addtitle>World J Gastroenterol</addtitle><date>2019-08-07</date><risdate>2019</risdate><volume>25</volume><issue>29</issue><spage>4019</spage><epage>4042</epage><pages>4019-4042</pages><issn>1007-9327</issn><eissn>2219-2840</eissn><abstract>Post endoscopic retrograde cholangiopancreatography (ERCP) is comparatively complex application. Researchers has been investigated prevention of post-ERCP pancreatitis (PEP), since it has been considered to be the most common complication of ERCP. Although ERCP can lead various complications, it can also be avoided.AIMSTo study the published evidence and systematically review the literature on the prevention and treatment for PEP.
A systematic literature review on the prevention of PEP was conducted using the electronic databases of ISI Web of Science, PubMed and Cochrane Library for relevant articles. The electronic search for the review was performed by using the search terms "Post endoscopic retrograde cholangiopancreatography pancreatitis" AND "prevention" through different criteria. The search was restricted to randomized controlled trials (RCTs) performed between January 2009 and February 2019. Duplicate studies were detected by using EndNote and deleted by the author. PRISMA checklist and flow diagram were adopted for evaluation and reporting. The reference lists of the selected papers were also scanned to find other relevant studies.
726 studies meeting the search criteria and 4 relevant articles found in the edited books about ERCP were identified. Duplicates and irrelevant studies were excluded by screening titles and abstracts and assessing full texts. 54 studies were evaluated for full text review. Prevention methods were categorized into three groups as (1) assessment of patient related factors; (2) pharmacoprevention; and (3) procedural techniques for prevention. Most of studies in the literature showed that young age, female gender, absence of chronic pancreatitis, suspected Sphincter of Oddi dysfunction, recurrent pancreatitis and history of previous PEP played a crucial role in posing high risks for PEP. 37 studies designed to assess the impact of 24 different pharmacologic agents to reduce the development of PEP delivered through various administration methods were reviewed. Nonsteroidal anti-inflammatory drugs are widely used to reduce risks for PEP. Rectal administration of indomethacin immediately prior to or after ERCP in all patients is recommended by European Society for Gastrointestinal Endoscopy guidelines to prevent the development of PEP. The majority of the studies reviewed revealed that rectally administered indomethacin had efficacy to prevent PEP. Results of the other studies on the other pharmacological interventions had both controversial and promising results. Thirteen studies conducted to evaluate the efficacy of 4 distinct procedural techniques to prevent the development of PEP were reviewed. Pancreatic Stent Placement has been frequently used in this sense and has potent and promising benefits in the prevention of PEP. Studies on the other procedural techniques have had inconsistent results.
Prevention of PEP involves multifactorial aspects, including assessment of patients with high risk factors for alternative therapeutic and diagnostic techniques, administration of pharmacological agents and procedural techniques with highly precise results in the literature.</abstract><cop>United States</cop><pub>Baishideng Publishing Group Inc</pub><pmid>31413535</pmid><doi>10.3748/wjg.v25.i29.4019</doi><tpages>24</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Administration, Rectal Anti-Inflammatory Agents - administration & dosage Biliary Tract Diseases - surgery Catheterization - instrumentation Catheterization - methods Cholangiopancreatography, Endoscopic Retrograde - adverse effects Drainage - instrumentation Drainage - methods Humans Pancreas - drug effects Pancreas - metabolism Pancreas - surgery Pancreatitis - etiology Pancreatitis - therapy Phosphodiesterase 5 Inhibitors - administration & dosage Postoperative Complications - etiology Postoperative Complications - therapy Preoperative Care - methods Risk Assessment Risk Factors Somatostatin - administration & dosage Sphincter of Oddi - drug effects Sphincter of Oddi - surgery Stents Systematic Review |
title | Post-endoscopic retrograde cholangiopancreatography pancreatitis: A systematic review for prevention and treatment |
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