Best practices for prevention of post-endoscopic retrograde cholangiopancreatography pancreatitis

doi:10.4253/wjge.v13.i6.161

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Jun 16, 2021 (publication date) through Apr 18, 2024

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World Journal of Gastrointestinal Endoscopy

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1948-5190

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Gastrointest Endosc. Jun 16, 2021; 13(6): 161-169
Published online Jun 16, 2021. doi: 10.4253/wjge.v13.i6.161

Table 2 Reported patient-, procedure-, and operator-related risk factors for post- endoscopic retrograde cholangiopancreatography pancreatitis

Risk factors for post-ERCP pancreatitis by category
Patient-related	Procedure-related	Operator-related
Sphincter of Oddi dysfunction	Pancreatic sphincterotomy	Endoscopist inexperience
Age (young or old)	Recent sphincter of Oddi manometry	Lower ERCP case volume
Normal bilirubin	Difficult biliary cannulation	Poor fluoroscopic imaging
Female sex	Papillary balloon dilation	Aggressive attempts at cannulation
History of PEP	Numerous pancreatic duct cannulations	Poor ancillary services
History of pancreatitis	Inadvertent/high-pressure pancreatography	Unfamilarity with preventative methods

PEP: Post endoscopic retrograde cholangiopancreatography pancreatitis; ERCP: Endoscopic retrograde cholangiopancreatography.

Citation: Weissman S, Ahmed M, Baniqued MR, Ehrlich D, Tabibian JH. Best practices for prevention of post-endoscopic retrograde cholangiopancreatography pancreatitis. World J Gastrointest Endosc 2021; 13(6): 161-169
URL: https://www.wjgnet.com/1948-5190/full/v13/i6/161.htm
DOI: https://dx.doi.org/10.4253/wjge.v13.i6.161