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KMID : 0985520150200040190
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Korean Journal of Pancreas and Biliary Tract
2015 Volume.20 No. 4 p.190 ~ p.197
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Prevention of Post-endoscopic Retrograde Cholangiopancreatography Pancreatitis: An Endoscopic Perspective
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이윤석:Lee Yoon-Suk
조광범:Cho Kwang-Bum
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Abstract
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Post-endoscopic retrograde cholangiopancreatography pancreatitis (PEP) remains to be the most common adverse event, even in experienced hands. While most of the PEP has a mild clinical course, it could be severe pancreatitis or into mortality. Recently, several endoscopic techniques, such as pancreatic stent placement, guidewire-assisted cannulation, or early precut cannulation, have been suggested as a possible techniques for the PEP prophylaxis. Since several pharmacologic agents are turned out to be non-effective or equivocal except for the rectal non-steroidal anti-inflammatory drugs which are not available in Korea, this paper will describe the general aspects of PEP and focus on the endoscopy-techniques for PEP prophylaxis.
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KEYWORD
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Endoscopic retrograde cholangiopancreatography, ERCP, Pancreatitis, Prophylaxis
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